全胸腔镜下手术治疗周围型肺癌21例

目的 探讨初开展电视胸腔镜下周围型肺癌切除和淋巴结清扫的方法及体会.方法 完全在胸腔镜下行解剖性肺叶切除和淋巴结清扫治疗周围型肺癌21例,其中右肺上叶9例,中叶1例、下叶2例,左肺上叶4例、下叶5例.结果 手术均顺利,每例切除淋巴结6~15枚,平均8~10枚.无手术相关死亡及严重并发症随访3~6月,无肿瘤转移和复发.结论 胸腔镜肺叶切除治疗周围型肺癌安全可行,掌握好手术适应证,临床可以开展.Abstract：Objective To explore the beginning of video-assisted thoracoscopic resection of peripheral lung cancer and lymph node dissection methods and experience. Methods Twenty-one cases of VATS anatomic pulmonary lobectomy and lymph node dissection for treatment of peripheral lung cancer, of which the right lung upper lobe of 9 cases, the mid-1 case, lower lobe 2 cases, left lung upper lobe 4 cases, lower lobe 5 cases. Results The operation was successful, removal of lymph nodes 6 to 15 per case, with an average of 8 to 10. There was no operative death or severe complications. Follow-up 3 to 6 months, no tumor metastasis or recurrence. Conclusions Thoracoscopic lung resection for peripheral lung cancer is feasible and safe, master surgical indications and it could be carried out clinically.

21 cases of video-assisted thoracoscopic surgical treatment of peripheral lung cancer