电视胸腔镜辅助小切口肺叶切除术62例临床研究

目的：探讨电视胸腔镜辅助小切口在肺良性病变及肺癌手术中的应用价值。方法：对62例肺部良、恶性病变分别进行了肺叶切除及肺癌根治切除＋淋巴结清扫。结果：54例在胸腔镜辅助6—8cm小切口下完成手术，其中8例因胸膜粘连或肺部肿瘤较大、术中血管损伤出血等原因，延长切口至约12cm，部分撑开肋骨完成手术。结论：电视胸腔镜辅助小切口行肺叶切除术比全胸腔镜下手术适应证更宽，费用低，且具备较常规开胸手术切口小、对心肺功能影响小、恢复快等优点。可作为开胸手术向全胸腔镜手术过渡的桥梁。

Clinical research of Iobectomy of benign pulmonary lesion and Lung cancer with video - assisted minithoracotomy

Objective ：To evaluate the value of video - assisted mini - thoracoscopy （ VAMT ） lobectomy for be-nign pulmonary lesion and lung cancer. Methods ： Lobectomy or radical resection was performed on 62 patients of be-nign puhnonary lesion or lung cancer by VAMT. Results：Lobectomy or radical resection were completed in 54 patients by a 6cm to 8cm incision during the operation. For the other 8 cases the incision was extended to about 12cm because of pleural adhesions,larger pulmonary tumor or intraoperative vascular injury. Conclusion：The indication of VAMT is wider than video-assisted thoracoscopic surgery（VATS）. Compared to conventional thoracotomy VAMT brought pa-tients less intraoperative blood loss,quicker recovery, shorter length of postoperative hospital stay,less cost of hospital-ization. VAMT can be regarded as transitional bridge from traditional thoracotomy to VATS.