电视胸腔镜手术在肺部孤立性结节诊治中的应用

目的评价电视胸腔镜手术（VATS）在肺部孤立性结节（SPN）诊治中的应用。方法回顾性分析55例SPN患者行VATS手术的临床资料,术中对SPN进行探查定位,然后行肺叶楔形切除并送快速冰冻病理检查。若为良性,则缝闭结束手术,若为恶性,则VATS辅助小切口行肺叶切除加纵隔淋巴结清扫术。结果全组55例SPN患者中31例为良性病变,24例为恶性病变;30例行VATS下肺楔形切除,25例行VATS辅助小切口肺叶切除加纵隔淋巴结清扫。全组患者无围手术期死亡,无严重手术并发症发生。结论 VATS对SPN患者具有诊断准确和治疗规范的突出优势,应做为SPN主要或标准的诊治手段加以明确。

The Applications of Video-assisted thoracic surgery for the diagnosis and treatment of solitary pulmonary nodule patients

Objective Evaluation of video-assisted thoracoscopic surgery（VATS） in the solitary pulmonary nodule（SPN） diagnosis and treatment.Methods To review 55 solitary pulmonary nodule patients with underwent wedge resection followed by frozen section diagnosis after thoracoscopic exploration.Pulmonary wedge resection was performed.Whether or not an open pulmonary lobectomy and mediastinal lymph node resection was required was determined according to pathological findings of intraoperative frozen section biopsy.Results There were 31 benign nodules and 24 malignant nodules in all 55 cases.Singe wedge resections under thoracoscopy were done in 30 cases,the other 25 cases accompanied by small incision lobectomy plus mediastinal lymph nodes dissections.Conclusions VATS for the SPN patients can make accurate diagnosis and standard treatment and have outstanding advantages.VATS should be the main methods of diagnosis and treatment or standard for the SPN patients.