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目的探讨胸腔镜肺癌切除术的临床应用价值。方法回顾性分析2009年3月至2015年3月内蒙古医科大学附属医院行胸腔镜肺癌肺叶或亚肺叶切除术135例患者的临床资料,其中男86例、女49例,年龄56.3(44~81)岁。完成胸腔镜肺叶切除120例,右肺中下叶切除4例,肺楔形切除6例,肺段切除5例,同时行淋巴结清扫术。结果围手术期死亡1例,无支气管胸膜瘘及二次手术者。3例患者中转开胸,余均在腔镜下顺利完成手术。结论胸腔镜肺癌切除术安全有效,合理选择手术适应证可获得良好的治疗效果,值得在基层医院推广应用。
Objective To investigate the clinical value of thoracoscopic lung cancer resection. Methods The clinical data of 135 patients with thoracoscopic lung lobectomy or sublobar resection in the Affiliated Hospital of Inner Mongolia Medical University from March 2009 to March 2015 were retrospectively analyzed. There were 86 males and 49 females, aged 56.3 (44-81) )year old. Complete thoracoscopic lobectomy in 120 cases, 4 cases of right lower lobe resection, wedge resection in 6 cases, segmental resection in 5 cases, at the same time lymph node dissection. Results Perioperative death in 1 case, no bronchopleural fistula and secondary surgery. 3 cases of patients transferred to the thoracotomy, I were in the endoscopic surgery successfully completed. Conclusions Thoracoscopic resection of lung cancer is safe and effective. Reasonable surgical indications can obtain good therapeutic effect, which is worth popularizing and applying in primary hospital.