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目的探讨小切口电视胸腔镜辅助肺叶切除在肺癌根治术的临床价值。方法2005年1月至2006年12月收治46例Ⅰ、Ⅱ期非小细胞肺癌,21例在小切口(腋前线肋间6~8cm)辅助电视胸腔镜下行肺叶切除术及肺门纵隔淋巴结清扫(VATS组),25例在常规开胸手术下完成肺叶切除术及淋巴结清扫(传统开胸组)。结果VATS组术后通气功能明显优于传统开胸组,术后镇痛时间和住院时间短于传统开胸组。结论与常规开胸肺癌根治术相比,小切口电视胸腔镜辅助肺叶切除术适合于早中期肺癌,疗效确切,可明显减少病人的手术创伤,可以作为非小细胞型肺癌的一种常规的治疗手段。
Objective To investigate the clinical value of small incision video-assisted thoracoscopic assisted lobectomy in radical resection of lung cancer. Methods From January 2005 to December 2006, 46 patients with stage Ⅰ and Ⅱ non-small cell lung cancer were treated, and 21 patients underwent lobectomy and hilar mediastinal lymph node dissection with a small incision (anterior axillary 6 ~ 8cm) (VATS group), and 25 patients underwent lobectomy and lymph node dissection (conventional thoracotomy) under conventional thoracotomy. Results The postoperative ventilation in VATS group was significantly better than that in the conventional thoracotomy group. The postoperative analgesia time and hospitalization time were shorter than those in the conventional thoracotomy group. Conclusion Compared with the conventional thoracotomy for lung cancer, small-incision video-assisted thoracoscopic assisted lobectomy is suitable for early and mid-stage lung cancer with definite curative effect, which can significantly reduce the surgical trauma and can be used as a routine treatment for non-small cell lung cancer means.