胸腔镜下小切口对肺癌淋巴结清扫的研究

目的 评价胸腔镜辅助小切口淋巴结清扫在肺癌根治术中的临床效果。方法 对197例术前已确诊的非小细胞肺癌应用胸腔镜辅助下的小切口行肺叶切除并胸内淋巴结清扫。对病理类型和分级、淋巴结清除总数和转移数、生存时间等指标进行观察和评价。结果 平均每位患者清扫淋巴结数11．61枚，确诊有转移的淋巴结为382区471枚，分别占24．1％和20、6％。和传统开胸手术在肺癌根治术淋巴结清扫方面无统计学差异（P〉0．05）。结论 肺癌根治应用胸腔镜辅助小切口能达到与传统开胸肺癌根治同等的治疗目的。

Clinical Study of Video- assisted Thorascopic Surgery for Lung Cancer through Lymphadenectomy

Objective To study the clinical effect of video-assisted thorascopic surgery for lung cancer definitive resection through lymphadenectomy. Methods Radical lobectomy or pneumonectomy and systemic lymphadenectomy were performed on 197 patients with non-small cell lung cancer(NSCLC) through video-assisted thorascopic surgery.Pathological type and grade,total number of dissected lymph nodes,number of metastaic lymph nodes,survival and life quality were evaluated.Results The average of dissected lymph nodes was 11.61,471 lymph nodes form 382 regions were confirmed to have metastasis,The metastatic rates were 24.1% and 20.6% respectively.There were no significiant difference between video-assisted thoracospic surgery and conventional thoracotomy(P>0.05).Conclusion Video-assisted thoracospic surgery should fufill the same quality lymphadenectomy and lung cancer definitive resection.