电视胸腔镜下肺叶切除与常规开胸肺叶切除921例

目的：比较研究基层医院开展电视胸腔镜肺叶切除与常规开胸肺叶切除的优劣性。方法回顾分析了广东省江门市新会区人民医院2001-2013年经历了肺叶切除的患者921例，其中VATS手术261例，常规开胸660例。比较分析两组之间的临床特征、住院时间、并发症等。结果 VATS肺叶切除手术量逐年增加，在2009年增长明显，达到30例以上，VTAS肺叶切除占28．33％；而常规开胸肺叶切除手术逐年减少。 VATS肺叶切除与常规开胸肺叶切除术后住院时间有显著性（P＜0．05），术中平均失血量两组之间有显著性差异（ P＜0．05），住院总费用VATS肺叶切除与常规开胸肺叶切除没有显著性差异（P＝0．052）。结论在基层医院开展VATS肺叶切除术在安全性、可行性方面不亚于常规开胸肺叶切除术，但是需要较长时间的培训学习才能掌握VTAS肺叶切除的技术。

Comparison between VATS lobectomy and conventional thoracotomy lobectomy-a retrospective analysis of 921 cases

Objective To compare effects between Video-assisted thoracoscopic surgery （ VATS ） lobectomy and conventional thoracotomy lobectomy in primary hospitals .Methods Data of 921 cases with lobectomy from 2011 to 2013 were reviewed .261 cases were treated with VATS , 660 cases were treated with conventional thoracotomy lobectomy .Clinical characteristics , hospital stays and complications in two groups were compared.Results Patients with VATS lobectomy increased year by year , especially more than 30 cases （28.33%） treated with VTAS lobectomy in 2009.And the conventional thoracotomy lobectomy surgery reduced year by year.The hospital stays and the amounts of intraoperative blood loss were significantly different between two groups （P〈0.05）, there were no significant difference in total cost of hospitalization between two groups （P=0.052）.Conclusions VATS lobectomy is safe, feasible and as good as conventional thoracotomy in primary hospitals .But it takes a long time to learn the technology of VTAS lobectomy .