完全胸腔镜下肺叶切除术治疗非小细胞肺癌54例临床分析
Thoracoscopic Lobectomy in the Treatment of 54 Patients with Non-small Cell Lung Cancer
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摘要: 目的总结用完全电视胸腔镜肺叶切除术下治疗非小细胞肺癌的经验.方法对54例非小细胞肺癌患者采用完全胸腔镜下肺叶切除术+系统淋巴结清扫术,均经术前或者术后病理检查确诊.结果 54例患者肿瘤均完整切除,术后病理报告肺叶切缘未见癌细胞;全组无围手术期死亡,无严重手术并发症.并行淋巴结系统性清扫,其中右胸清扫淋巴结(13.4±1.1)个,左胸清扫淋巴结(11.5±1.5)个;电视胸腔镜手术(video-assisted thoracoscopi surgery,VATS)时间(80～125)min,平均(98±15)min;术后平均住院时间(7.5±2.6)d,术后引流管留置时间(3.2±1.8)d.结论全胸腔镜下肺叶切除术手术是安全可行的,较传统开胸手术创伤小、并发症少、生理干扰小,具有明确的微创性.Abstract: Objective To summarize the experiences in the treatment of non-small cell lung cancer with full video-assisted thoracoscopic lobectomy.Methods 54 patients with non-small cell lung cancer were treated with complete thoracoscopic lobectomy and lymph node dissection.All patients were confirmed by preoperative or postoperative pathological examination.Results The tumors of 54 patients were completely resected,and postoperative pathology report showed no lung cancer cells in the resection margin.There were no pe...
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