电视胸腔镜辅助腋下小切口与传统开胸切口行肺叶切除术的疗效比较

目的比较电视胸腔镜（Video-assisted thoracoscopic surgery，VATS）辅助腋下小切口与传统开胸切口行肺叶切除术的临床效果。方法将60例需行肺叶切除的患者随机分为A、B2组，A组采用VATS辅助腋下小切口行肺叶切除术，B组采用传统开胸切口行肺叶切除术；比较2组的手术效果。结果A组切口长度比B组显著缩短（P〈0．01）；A组术中出血量及手术当日引流量显著少于B组（P〈0．01）；A组术后住院时间显著短于B组（P〈0．01）；A组术后并发症发生率显著低于B组（P〈0．05）；2组手术时间无统计学差异（P〉0．05）。结论VATS辅助腋下小切口比传统开胸切口行肺叶切除术创伤小、并发症少、恢复快。

Comparision of Clinical Effect of Video-assisted Thoracoscopic Surgery and Conventional Thoracotomy for Pulmonary Lobectomy

Objective To compare the clinical effect of video-assisted thoracoscopic surgery （VATS） and conventional thoracotomy for pulmonary lobectomy. Methods A total of 60 patients undergoing pulmonary lobectomy were divided into two groups randomly by surgical approach. Group A received VATS,and Group B received conventional thoracotomy. Results The length of incision of Group A was significantly shorter than that of Group B（P〈0.01）. The intraoperative blood loss and the drainage volume at the first postoperative day in Group A was significantly less than those in Group B（P〈0.01）. The postoperative hospital stay of Group A presented a significantly shorter than that of Group B（P〈0.01） ,and the morbidity rate was significantly lower in Group A（P〈0.05）. There was no statistically significance in the operating time between the two groups （P〉0.05）. Conclusion VATS for lobectomy has the advantage of less surgical invasion, fewer complications, and quicker postoperative recovery.