胸腔镜肺叶切除术(附23例报告)

回顾性总结23例（支气管扩张症2例，肺炎性假瘤1例，周围型肺癌20例）电视胸腔镜（CATS）肺叶切除术的经验与教训，并与周期常规开胸肺叶切除术（30例）的疗效进行对照比较，结合文献讨论了有关手术方法和治疗原则。认为只要严格把握好手术适应症，熟练掌握手术方法和技巧，VATS肺叶切除术治疗肺良性疾病和早期肺癌，可以达到与常规开胸手术同样的治疗效果。其术中出血量，术后引流量，引流时间，术后住院天数以及术后并发症发生率均低于常规开胸组，且具有创伤小，痛苦轻，恢复快，手术切口符合美学要求等优点。

Video-assisted thoracoscopic lobectomy(23 cases report)

The video assisted thoracoscopic lobectomy were operated on 23 cases who were 2 bronchiectasis patient,1 inflammataory pseudotumor patient and 20 peripheral lung cancer patients.Reviwed relative reports and compared to conventional thoracoting the video assisted thoracoscopic surgery(VATS) could obtain the same results as the conventional thoracotmy to the lung benign diseases and early stage lung cancer. On the other hand VATS had many advantages such as minimal trauma,rapid recovery,cosmetic results,low incidence of complications and fewer volume of chest tube drainage et al.