微创肌肉非损伤性开胸术治疗肺癌

目的：研究微创肌肉非损伤性开胸术在肺癌手术中的应用。方法：采用肌肉非损伤性开胸术对30例肺癌患者进行了手术治疗。结果：肺叶切除24例，支气管袖状切除2例，肺楔形切除2例，全肺切除2例，2例经心包内处理肺血管。手术能充分暴露，无围术期并发症，28例没有输血，结论：微创肌肉非损伤性开胸术，能提供充分的手术暴露，同时肌肉损伤轻微，减少术中出血和术后并发症的发生，肩关节功能术后恢复快，这种方法是手术治疗肺癌的可选择的方法。

Muscle-sparing thoracotomy for lung cancer

Purpose:Our experience in using the muscle-sparing thoracotomy for lung cancer.Methods:Pulmonary resections through muscle-sparing thoracotomy on 30 patients with lung cancer. Results:Lobectomy 24, sleeve resection 2, wedge resection 2, pneumonectomy 2, these including transpericardial lobectomy 1 and transpericardial pneumonectomy 1. Conclusions:Muscle-sparing thoracotomy provides adequate exposure, yet preserves major muscle masses,decreases the intraoperative bleeding and post-operative morbidity. Return of normal ispsilateral shoulder function appears to be hastened in the postoperative period. This incision is an alternative approach for some selected patients with lung cancer.