单操作孔全胸腔镜下肺癌单发肋骨转移切除术

背景与目的随着全胸腔镜手术经验的增加，其适应症也在向复杂的术式延伸。本研究旨在探讨单操作孔全胸腔镜下同期行肺叶联合肋骨切除术的可行性。方法结合我科为1例肺癌单发肋骨转移的患者进行了“单操作孔全胸腔镜下肺叶及部分肋骨切除术”进行病例分享并复习有关文献。结果肿瘤分期为T1N1M1。患者术后恢复良好并于术后第4天出院。最近一次随访于术后18个月，患者无病生存良好。结论筛选后的肺癌伴肋骨转移病例，适合行单操作孔全胸腔镜手术切除。

Complete Single-Utility-Port Thoracoscopic Resection of Lung Cancer with Single-Rib Metastasis

Background and objective Complete thoracoscopic surgery has advanced, and its indication has also been extended to complex procedures. hTe aim of this study is to investigate the feasibility of complete single-utility-port tho-racoscopic lobectomy with rib resection. Methods A patient was diagnosed with lung cancer and single-rib metastasis. hTe patient received lobectomy and segment costectomy through complete single-utility-port thoracoscopic surgery. hTe literature was also reviewed. Results hTe tumor was staged at T1N1M1. hTe patient made an uneventful recovery and was dismissed on day 4 atfer surgery. At the last follow-up, the patient was alive and well, with no evidence of the disease at 18 months postop-eratively. Conclusion Highly selected cases of lung cancer with single-rib metastasis are appropriate candidates for complete single-utility-port thoracoscopic resection.