全胸腔镜肺叶切除治疗早期肺癌22例临床报道

目的 探讨全胸腔镜下肺叶切除治疗早期肺癌的临床疗效.方法 分析我院胸外科施行的22例早期非小细胞肺癌全胸腔镜下肺叶切除术+淋巴结清扫患者资料.结果 22例患者均顺利完成手术,无手术死亡及术后重大并发症.术中中转开胸2例,术后引流量150～450 ml,平均260 ml,术中失血量平均190 ml,平均住院日12天,手术中淋巴结清扫4～16个,平均10.5个,回访所有患者均生存良好.结论 全胸腔镜下肺叶切除术是一种安全、有效、微创的手术方式,对于Ⅰ～Ⅱ期非小细胞肺癌患者是合适的.

Clinical application of completed video-assisted thoracic surgery(VATS)lobectomy to primarv earlv stage lung cancer(with 22 cases report)

Object To evaluate the effects of completed VATS lobectomy to primary early stage lung cancer.Methods Retrospective analysis of 22 early stage non-small cell lung cancer(NSCLL) patients received completed VATS lobectomy and systomic lymph node dissection from January 2008 to July 2011.Results All surgeries were performed successfully,except for 2 cases conversions to thoracotomy.there was no death and severe postsurgery complications.The blood loss was average 190 ml.Hospital stay was average 12 days.The average number of dissected lymph node was 10.5.UP to now,all patients were good.Conclusion VATS lobectomy is safe and feasible surgical procedure with minimal invasiveness.It is particularly useful for early stage NSCLL especially for Ⅰ-Ⅱ stage.