中国肺癌杂志2016，Vol.19Issue(4)：216-219,4.DOI:10.3779/j.issn.1009-3419.2016.04.06
胸腔镜治疗≤10 mm非小细胞肺癌的临床研究
Clinical Study of Surgical Treatment of Non-small Cell Lung Cancer 10 mm or Less in Diameter Under Video-assisted Thoracoscopy
王通 1马少华 1闫天生 1宋金涛 1王可毅 1贺未 1白洁1
作者信息
- 1. 100191北京，北京大学第三医院胸外科
- 折叠
摘要
Abstract
Background and objective hTe reasonable operational manner of non-small cell lung cancer (NSCLC) in early stage is in dispute. hTis clinical study is to investigate the operational manner of NSCLC 10 mm or less in diameter. Methods hTe clinical datas of 46 cases with NSCLC 10 mm or less in diameter were retrospectively analyzed in our hospital from July 2013 to March 2016. hTin-section computed tomography (CT) was done on all cases with 46 pulmonary nodules (5 solid nodules, 23 mGGOs and 18 pGGOs). Lobectomy, wedge resection and segmentectomy with lymph node dissection may be performed in patients according to age or heart and lung function. CT-guided Hook-wire precise localization was done on 7 cases. Results Lobectomy and systematic lymph node dissection under video-assisted thoracic surgery (VATS) were performed in patients with 23 pulmonary nodules (15 mGGOs, 4 pGGOs and 4 solid nodules ), among wich, only one patient with N2 lymph node matastasis was found. Wedge resection and selective lymph node dissection under VATS were done in patients with 5 pulmonary nodules (2 mGGOs and 3 pGGOs), and segmentectomy and selective lymph node dissection un-der VATS were done in patients with 4 pulmonary nodules (2 mGGOs and 2 pGGOs), among wich, no patient with lymph node matastasis was found. CT-guided Hook-wire precise localization was done successfully on 7 cases. Conclusion Usually NSCLC with pGGO and mGGO nodules 10 mm or less in diameter has no lymph node metastasis, therefore, systematic lymph node dissection may be not necessary. Selective lymph node dissection or systematic lymph node dissection should be performed in patients with solid nodules 10 mm or less in diameter. Wedge resection and segmentectomy may be performed in patients with advanced age or lower heart and lung function. hTe preoperative CT-guided Hook-wire localization for pulmo-nary nodules particularly for GGOs is an effective and safe technique to assist VATS resection of the GGOs.关键词
电视胸腔镜手术/肺磨玻璃样结节/CT引导下Hook-wire定位Key words
Video-assisted thoracic surgery/Ground glass opacity/CT-guided Hook-wire localization引用本文复制引用
王通,马少华,闫天生,宋金涛,王可毅,贺未,白洁..胸腔镜治疗≤10 mm非小细胞肺癌的临床研究[J].中国肺癌杂志,2016,19(4):216-219,4.
