腋下小切口与传统后外侧切口肺癌根治术疗效对比

目的比较腋下小切口与传统后外侧切口肺癌根治术的临床效果。方法选择我院有手术指征的原发性肺癌患者127例，按患者意愿分为两组，分别接受腋下小切口和传统后外侧切口肺癌根治术，观察两组手术时间、术中出血、术后2个月肺功能、术后死亡、复发及转移率等指标。结果小切口组中5例因肺血管意外、淋巴结粘连严重和侵犯纵膈器官而转为标准后外切口肺癌根治术，两组在手术时间、术中出血、术后死亡、复发及转移率等方面差异无统计学意义（P〉0．05）。腋下小切口组术后2个月肺功能明显高于传统后外切口组（P〈0．05），差异有统计学意义。结论腋下小切口肺癌根治术减少患者术后肺功能的损害。

Comparision of transaxiillary minithoracotomy versus classic posterolateral thoracotomy for radical resection of lung cancer

Objective To compare the usefulness of transaxillary minithoracotomy with posterolateral thoracotomy for radical resection of lung cancer. Methods Subjects were 127 lung cancer patients who underwent lobectomy via TM （n=64） or PLT （n=61）. We used retrospective analysis to compare time for operation, volume of blood lose during operation, postoperative pulmonary function, mortality, recurrence rate, metastasis rate between transaxillary minithoracotomy （TM） and posterolateral tho- racotomy（PLT）. Results No difference was observed between the TM and PLT groups in time for operation, volume of blood lose during operation, postoperative mortality, recurrence rate, metastasis rate. There were significantly preserved in patients with TM compared with patients with PLT （P〈0.05） at 2 months after surgery. Conclusion TM is a reasonable thoracotomy alternative to standard PLT for curative lung cancer resection, because of its diminished impairment of postoperative pulmonary function.