胸腔镜辅助小切口肺叶切除术临床分析

目的:探讨胸腔镜辅助小切口肺叶切除术在早期肺癌及肺良性病变治疗中的应用价值。方法:回顾分析1997年4月至2007年4月我科行胸腔镜辅助小切口肺切除术32例的临床资料,其中原发性周围性支气管肺癌26例,支气管扩张4例,肺脓肿2例。结果:30例在胸腔镜下完成手术,手术时间90～210min,平均120min,术中出血80～400mL,平均180mL,均未输血,中转开胸2例,全组患者无一例死亡,并发症少,全部痊愈出院。结论:电视胸腔镜行肺切除手术,具有创伤小、恢复快和安全可靠的优点,但要注意掌握手术指征。

Video-assisted thoracoscopic mini-invasive lobectomy

Objective To assess the value of video-assisted thoracoscopic mini-invasive lobectomy in the treatment of pulmonary benign lesions or malignancies. Methods Clinical data of 32 cases of video-assisted thoracoscopic mini-invasive lobectomy from April 1997 to April 2007 in our hospital were analyzed retrospectively. Among them,the pathological diagnosis included 26 cases of peripheral primary lung cancer,4 cases of bronchiectasis,2 case of pulmonary abscess. Results All procedures were performed successfully under video-assisted thoracoscopic surgery(VATS) except for 2 cases, who were converted to open surgery. The operation time was 90-210min(mean,120min )and the intraoperative blood loss was 80-400ml(mean,180ml).No blood transfusion was required.There was no mortality or severe complication in this series. Conclusion video-assisted thoracoscopic mini-invasive lobectomy is reliable and of the advantages such as less invasion ,fast recovery and fewer complications,but its indications should be strictly followed.