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目的为了改进传统开胸手术切口，探索腋下小切口在肺部手术中的应用。方法采用腋下小切口（切口平均长度１１．７ｃｍ）对１０例肺部肿瘤患者施行了肺叶楔型切除术、肺叶切除术和肺癌根治性手术。结果１０例患者术中及术后均未发生合并症，术后恢复明显加快。结论腋下小切口伤口和肌肉损伤小，出血少，手术时间短；切口不横断胸壁的肌肉、不切除肋骨和不缝扎肋间神经，故术后伤口疼痛持续时间短而轻；切口不牵拉肩胛骨，术后肩关节和上肢活动受影响小、恢复快。
Objective To improve the traditional thoracotomy incision and explore the application of axillary small incision in pulmonary surgery. Methods A total of 10 cases of pulmonary tumors underwent lobectomy, lobectomy and radical surgery of lung cancer with a small underarm incision (average length of incision 11.7cm). Results All 10 patients had no complications during and after operation, and the postoperative recovery was significantly accelerated. Conclusion The small incision in the underarm wound and muscle damage, less bleeding, shorter operative time; incision does not transect the chest wall muscles, do not remove the ribs and intercostal nerve intercostal, so postoperative wound pain duration is short and light; incision does not pull Pull the scapula, shoulder and upper limb activity postoperative small impact, fast recovery.