全胸腔镜系统性纵隔淋巴结清扫术的临床效果观察

目的：探讨非小细胞肺癌全胸腔镜肺叶切除术与常规开胸肺叶切除术的淋巴结清扫差异。方法共70例非小细胞肺癌患者入选本研究，其中37例接受全胸腔镜手术（试验组），33例为开胸手术（对照组），对2组患者术中出血量、术后住院时间、淋巴结清扫数量和站数等指标进行分析。结果与对照组相比，试验组手术切口明显缩短、术中出血量少、术后拔管时间短、住院时间短。试验组清扫淋巴结数为（17.6±7.8）枚，对照组为（19.4±5.7）枚，组间差异无统计学意义（P>0.05）；试验组患者术后胸腔总引流量低于对照组的，但差异无统计学意义（P>0.05）；2组均无死亡。结论全胸腔镜纵隔淋巴结清扫可以达到等同传统开胸手术的效果，同时胸腔镜手术具有微创、术后恢复快等优点。

Clinical observation of systematic lymph node dissection by completely thoracoscope lobectomy

Objective To evaluate the effect of non-small cell lung carcinoma lymph nodes scavenge between thoracoscope lobectomy of lung and common lobectomy of lung.Methods Total 70 patients with non small cell lung cancer in this study,37 received complete thoracoscope lobectomy surgery (study group) and 33 cases through thoraeotomy (control group).The volume of intraoperative bleeding loss,number of dissection node and stations, mediastinal lymph node metastasi,volume of postoperative drainage and postoperative hospital stay between two groups were compared.Results The length of the incision,blood loss,postoperative extubation time,the average length of stay of study group were significantly lower than those of the control group,while there was no significant differences between the two groups in lymph nodes dissection number and sations, postoperative drainage and.No death occurred in two groups.Conclusion Systemic mediastinal lymph node dissection by completely thoracoscope lobectomy is as effective as thoracotomy with respect to completeness and safety issues,but the former has the advantages of minimal trauma and quick recovery.