| 248例胸腔镜肺叶切除术手术心得 |
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| 作者姓名： | Zhang Z Liu D Guo Y Shi B Tian Y Song Z Zhang H Liang Z |
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| 作者单位： | 中日友好医院胸外科,北京,100029 |
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| 摘 要： | 背景与目的早期肺癌胸腔镜肺叶切除术(video-assisted thoracic surgery,VATS)目前已经成为早期非小细胞肺癌(non-small cell lung cancer,NSCLC)治疗的常规术式。本文对中日友好医院胸外科已完成的胸腔镜肺叶切除术术中应急处理情况以及胸腔镜与传统开胸手术围手术期的相关因素进行分析总结。方法对2006年1月-2008年7月在中日友好医院胸外科进行的肺癌手术患者进行回顾性研究。结果共实施胸腔镜肺叶切除术248例,其中完全胸腔镜(complete video-assisted thoracic surgery,CVATS)组117例,胸腔镜辅助(assisted video-assisted thoracic surgery,AVATS)组131例。其中CVATS中转为AVATS或开放手术(open lobectomy,OPEN)共13例。中转术式的最常见原因依次为肺动脉或其分支出血、胸腔粘连、血管解剖变异、奇静脉出血、中叶静脉出血等。入组OPEN手术患者共129例。与OPEN组相比,VATS组的住院时间较短(20天vs27天,P=0.015)、术中失血量较少(197mLvs250mL,P=0.005),患者术后疼痛较轻(4.6vs6.2,P=0.003)。结论胸腔镜手术具有风险小、安全性较高、患者恢复快等特点,因此在一定范围内可以代替传统开胸手术。
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| 关 键 词： | 胸腔镜手术 肺肿瘤 并发症 |
The common causes of conversion of VATS during operation for 248 non-small cell lung cancers |
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| Zhang Z,Liu D,Guo Y,Shi B,Tian Y,Song Z,Zhang H,Liang Z.The common causes of conversion of VATS during operation for 248 non-small cell lung cancers[J].Chinese Journal of Lung Cancer,2011,14(6):523-528. |
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| Authors: | Zhang Zhenrong Liu Deruo Guo Yongqing Shi Bin Tian Yanchu Song Zhiyi Zhang Haitao Liang Zhaoyang |
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| Institution: | Zhenrong ZHANG,Deruo LIU,Yongqing GUO,Bin SHI,Yanchu TIAN,Zhiyi SONG,Haitao ZHANG,Zhaoyang LIANGDepartment of Thoracic Surgery,China-Japan Friendship Hospital,Beijing 100029,China |
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| Abstract: | Background and objective VATS-lobectomy has been used as regular surgical procedure clinically for non-small cell lung cancer. The aim of this study is to evaluate the surgical emergencies during VATS and the related fac-tors postoperatively. Methods Clinical data were reviewed for patients who were performed with pulmonary related surgery between January 2006 and July 2008 in our department. Results 248 (117 CVATS and 131 AVATS) VATS lobectomy were performed, including 13 cases that were transferred into A... |
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| Keywords: | VATS Lung neoplasms Complication |
| 本文献已被 CNKI 万方数据 PubMed 等数据库收录！ |
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