浙江医学2017，Vol.39Issue(3)：204-207,4.
完全胸腔镜下肺叶切除加纵隔淋巴结清扫术在肺癌治疗中的应用研究
Video-assisted thoracoscopic lobectomy with mediastinal lymphadenectomy in treatment of non-small cell lung cancer
摘要
Abstract
Objective To evaluate the application of video-assisted thoracoscopic surgery (VATS) Iobectomy plus mediastinal lymphadenectomy in treatment of non-small cell lung cancer (NSCLC).Methods Forty six patients with peripheral NSCLC admitted in hospital between November 2013 and October 2015 were treated with video-assisted thoracoscopic (VATS) lobectomy plus mediastinal lymphadenectomy (VATS group) or video-assisted mini-thoracotomy (VAMT) Iobectomy plus mediastinal lymphadenectomy (VAMT group).The operation time,intraoperative blood loss,number of dissected lymph nodes,volume of post operation drainage,duration of postoperative analgesia,time of chest tube removal,postoperative complications and length of stay were documented and compared between two groups.Results All the operations were successfully performed,and no serious complication or death occurred perioperatively in both groups.There were statistical differences in operation time(129.8 ± 23.9min vs 112.8 ± 16.0min,P＜0.01),intraoperatiVe blood Ioss(155.2 ± 42.7ml vs.213.3 ± 56.1ml,P＜0.01),volume of post operative drainage (517.4 ± 76.1ml vs.633.0 ± 80.5ml,P＜0.01),duration of postoperative analgesia (6.8 ± 1.2d vs.8.2 ± 1.3d,P＜0.01),time of chest tube removal(4.8 ± 0.8d vs.5.8 ± 1.0d,P＜0.01),length of stay(7.3 ± 0.8d vs.8.9 ± 1.0d,P＜0.01)between VATS group and VAMT group.There were no statistical difference in the number of dissected lymph nodes (14.2 ± 2.2 vs.13.9 ± 2.1,P ＞0.05) and incidence of postoperative complications (P ＞0.05) between two groups.Conclusion Video-assisted thoracoscopic Iobectomy plus mediastinal lymphadenectomy is a feasible and safe approach for treating early and middle stage non-small cell lung cancer.关键词
胸腔镜/非小细胞肺癌/肺叶切除/淋巴结清扫Key words
Video-assisted thoracoscopic surgery (VATS)/Non small cell lung cancer (NSCLC)/Lobectomy/Lymphadenectomy引用本文复制引用
吕振业,戈洁梦,冯锐,邹宗望,冯競..完全胸腔镜下肺叶切除加纵隔淋巴结清扫术在肺癌治疗中的应用研究[J].浙江医学,2017,39(3):204-207,4.基金项目
浙江省温州市科技计划基金项目(2014S0105) （2014S0105）
