全胸腔镜肺叶切除术在早期非小细胞肺癌治疗中的应用

目的：探讨全胸腔镜肺叶切除与开胸肺叶切除治疗早期非小细胞肺癌临床疗效。方法：接受肺叶切除的60例非小细胞肺癌患者，其中30例行常规开胸肺叶切除术为对照组（ OT组）；30例行全胸腔镜肺叶切除术为观察组（ VATS组），对2组患者病例选择、手术时间、术中出血量、淋巴结清扫数量、术后胸管引流总量、术后住院时间以及并发症发生率、住院总费用等指标进行分析。结果：VATS组术中出血量、术后住院时间均明显少于OT组，而住院总费用明显高于OT组（P〈0.01）。2组淋巴结清扫数量、术后胸管引流总量、手术时间及术后并发症发生率差异均无统计学意义（P〉0.05）。结论：全胸腔镜肺叶切除术治疗早期非小细胞肺癌安全有效，值得临床推广使用。

Clinical application of complete video-assisted-thoracoscopic lobectomy in the treatment of non-small cell lung cancer at early stage

Objective：To explore the clinical effects of complete video-assisted-thoracoscopic lobectomy and thoracoscopic lobectomy in the treatment of non-small cell lung cancer at early stage. Methods：The clinical data of 60 patients with non small cell lung cancer treated with lobectomy were analyzed. The patients treated with thoracoscopic lobectomy （ 30 cases ） and complete video-assisted-thoracoscopic lobectomy（30 cases） were divided into control group（OT group） and observation group（VATS group）,respectively. The patient selection, operation time, volume of intraoperative bleeding loss, number of lymph node dissection, volume of postoperative drainage,postoperative hospital stay,incidence of postoperative complication and total cost of hospitalization between two groups were compared. Results：The volume of intraoperative bleeding loss and postoperative hospital stay in VAST group were significantly less than those in OT group（P〈0. 05）,but its total cost of hospitalization was significantly higher than that in OT group. The differences of the number of lymph node dissection,volume of postoperative drainage,operation time and incidence of postoperative complication between two groups were not statistically significant（P〉0. 05）. Conclusions：The complete video-assisted-thoracoscopic surgery lobectomy in the treatment of non-small cell lung cancer at early stage is safe and effective,which is worthy of clinical use.