VATS下肺叶切除与开胸肺叶切除对非小细胞肺癌的疗效分析

目的比较全胸腔镜肺叶切除与开胸肺叶切除对非小细胞肺癌的疗效。方法将119例非小细胞肺癌患者，根据手术方式不同分为传统开胸组61例和VATS组58例，观察并比较两组患者的临床效果。结果VATS组的淋巴结清扫组数和阳性数与传统开胸组相比无明显差异（P〉0．05）；而淋巴结清扫数目[（12．3±2．3）个]明显少于传统开胸组，淋巴结清扫时间[（24．9±4．6）min]明显短于传统开胸组，VATS组术中出血量[（231．1±78．3）ml]、胸腔引流量[（1353．5±486．2）ml]和住院时间[（12．1±3．1）d]也明显少于传统开胸组，VATS组并发症也较少，差异有统计学意义（P〈0．05）。结论全胸腔镜肺叶切除术治疗效果佳、安全性好、术后恢复快，是未来胸外科微创手术的发展方向。

Comparative Analysis of Efficacy Between VATS Lobectomy and Thoracotomy Lobectomy for Non-small Cell Lung Cancer

Objective To compare the clinical efficacy of VATS lobeetomy and thoraeotomy lobectomy for non-small cell lung cancer. Methods 119 non-small cell lung cancer patients were randomly divided into the VATS group with 58 cases and the traditional open pneumonectomy group with 61 cases. Clinical efficacy of the 2 groups were compared. Results There were no significant differences in the number of lymph nodes group, number of positive lymph nodes between the two groups （P 〉 0.05 ）. However,the number of lymph nodes [ （ 12.3 ±2.3 ） cases ], cleaning time of lymph nodes [ （ 24.9 ±4.6 ） min ], blood loss [ （231.1 ±78.3） ml] ,time of hospital stay[ （ 12.1 ±3.1 ） d], chest flux[ （ 1353.5 ±486.2） ml] of patients in VATS group were significantly less than those of the traditional open pneumonectomy group（ P 〈 0.05 ） ,and the VATS group had less compli- cations, the difference was statistically significant（ P 〈 0.05 ）. Conclusion Complete video-assisted thoracoscopic pneumonectomy for non-small cell lung cancer is effective, safe with minimal postoperative discomfort, and it can be the development direction for future thoracic surgery.