胸腔镜与Muscle-Sparing开胸肺叶切除术的临床比较

目的比较胸腔镜与Muscle-Sparing开胸肺叶切除术的临床结果。方法56例行肺叶切除术的患者,分为胸腔镜辅助肋间切口(VAMT)肺叶切除术(VAMT组)20例和微创Muscle-sparing开胸(MST)肺叶切除术(MST组)36例,比较两组的临床结果。结果两组均无围术期死亡;两组围术期并发症、住院时间的差异均无显著性(P值均>0．05)。MST组手术时间(90 min)明显短于VAMT组(150 min,P<0．01)。结论VAMT和MST下行肺叶切除术均安全、可行,但前者适合于较早期的肺癌患者,后者几乎可应用于所有有手术指征的肺癌患者。

Muscle-Sparing thoracotomy versus video-assisted minithoracotomy for lung surgery

Objective To analyze the outcomes of lobectomy in a cohort of 56 patients with thoracoscopic and Muscle-Sparing thoracotomy(MST). Methods The 56 nonrandomized cases were divided into two groups, 20 of them undergoing video-assisted minithoracotomy( VAMT) lobectomy and 36 undergoing MST lobectomy; and the clinical results were compared. Results No perioperative mortality no significant difference in severe postoperative complications and average length of hospitalization were revealed between the two groups. But the duration of operation in VAMT(150 minutes) was longer than that of MST(90 minutes, P< 0.01). Conclusion VAMT and MST are both safe and feasible for lobectomy with VAMT more appropriately for early lung cancer and MST suitable for almost all cases of lung cancer with surgical indication.