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单操作孔胸腔镜治疗早期肺癌临床体会
引用本文:潘雪峰1,武文斌1,张 辉1,姜忠于2. 单操作孔胸腔镜治疗早期肺癌临床体会[J]. 现代肿瘤医学, 2015, 0(19): 2764-2766. DOI: 10.3969/j.issn.1672-4992.2015.19.17
作者姓名:潘雪峰1  武文斌1  张 辉1  姜忠于2
作者单位:1.东南大学附属徐州市中心医院,江苏 徐州 221009;2.浙江衢化医院,浙江 衢化 324004
基金项目:衢州市科技项目(编号:20111092)
摘    要:目的:探讨单操作孔胸腔镜肺叶切除术治疗早期肺癌的临床效果。方法:回顾性分析2011年1月至2013年12月我院应用VATS治疗的97例早期肺癌患者的病例资料,其中单操作孔VATS手术患者43例(单操作孔组),两操作孔VATS手术患者54例(两操作孔组)。比较手术时间、术中出血量、清扫淋巴结数、胸腔引流管时间及术后住院时间等参数。结果:两组患者均无围手术期死亡。单操作孔组术后引流管留置时间、术后住院时间、术后24小时疼痛评分等均低于两操作孔组(P<0.05)。而术中出血量、手术时间、清扫淋巴结数及术后并发症发生率无显著性差异(P>0.05)。结论:单操作孔VATS肺叶切除并淋巴结清扫术治疗早期肺癌是安全可行的,较两操作孔VATS可减少患者创伤。

关 键 词:单操作孔  电视胸腔镜  肺癌

Clinical analysis of single utility port video - assisted thoracoscopic surgery lobectomy for patients with early - stage lung cancer
Pan Xuefeng1,Wu Wenbin1,Zhang Hui1,Jiang Zhongyu2. Clinical analysis of single utility port video - assisted thoracoscopic surgery lobectomy for patients with early - stage lung cancer[J]. Journal of Modern Oncology, 2015, 0(19): 2764-2766. DOI: 10.3969/j.issn.1672-4992.2015.19.17
Authors:Pan Xuefeng1  Wu Wenbin1  Zhang Hui1  Jiang Zhongyu2
Affiliation:1.Xuzhou Central Hospital Affiliated to Southeast University,Jiangsu Xuzhou 221009,China;2.Zhejiang Quhua Hospital,Zhejiang Quhua 324004,China.
Abstract:Objective:To evaluate the clinical efficacy of single utility port video-assisted thoracoscopic surgery lobectomy for patients with early-stage lung cancer.Methods:A retrospective analysis was performed on 97 patients with early-stage lung cancer and 43 cases underwent single utility port VATS lobectomy (S-VATS group),the other 54 patients underwent two utility ports VATS lobectomy in the same period(D-VATS group).The clinical outcomes including operation time,blood loss during the operation,number of dissected lymph nodes,chest drainage duration as well as hospital stay were compared between the two groups.Results:No perioperative death was observed in both groups.There was no surgery-related death.The chest drainage duration,hospital stay and postoperative pain score of the patients in S-VATS group were significantly lower than that of D-VATS group (P<0.05).However,there was no significant difference with regard to blood loss,operation time,number of dissected lymph nodes or postoperative complications (P>0.05).Conclusion:Single utility port VATS lobectomy and lymph node dissection is feasible and safe for patients with early-stage lung cancer which could decrease the operation-related injury.
Keywords:single utility port  video-assisted thoracoscopic surgery  lung cancer
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