单向式胸腔镜肺叶切除术早期周围型肺癌21例临床分析

《单向式胸腔镜肺叶切除术早期周围型肺癌21例临床分析》由会员上传分享，免费在线阅读，更多相关内容在工程资料-天天文库。

1、单向式胸腔镜肺叶切除术治疗早期周围型肺癌21例临床分析冯世军A郭伟(河南省驻马店市中心医院心胸外科，驻马店463000)【摘要】目的探讨单向式全胸腔镜(VATS)肺叶切除术在早期周围型肺癌治疗巾的临床应用价值。方法2010年2月〜2012年2月我院单项式肺叶治疗早期周围性肺癌患者21例，年龄32〜79岁，平均56岁。均在电视胸腔镜下行单项式肺叶切除。21例中行右肺上叶切除5例，右肺中叶切除1例，右肺下叶切除5例，左肺上叶切除3例,左肺下叶切除7例。结果全部手术顺利，未发生严重并发症及闱手术期死亡，手术时间平均166min(70〜265min),术中失血平均150mL(30〜75

2、0mL),术后总引流量平均650mL(100〜1500mL),术后引流管保留时间平均6d(4-16d),术后住院平均8d(4〜18d)术后均无手术并发症及死亡病例。结论单项式全胸腔镜(VATS)肺叶切除术治疗早期周围型肺癌创伤小，安全可靠，术后并发症少，且不易复发，值得临床推广应用。【关键词】电视胸腔镜；肺叶切除术；单项式；周围型肺癌TheclinicalanalysisintheTreatmentofEarlyPeripheralLungCancerof21casesbySingle-directionCompleteVideo-assistedThoracoscopicLo

3、bectomy1FENGshijunGUOwei(DepartmentofCardiothoracicSurgery,ZhumadianMunipicalCentralHospitalofHenanprovince，Zhumadian，463000,China)【Abstract】ObjectiveTodiscusstheclinicalapplicationvalueofsingle-directionvideo-assistedthoraeoseopiclobectomyinearlyforintheTreatmentofEarlyPeripheralLungCancer.

4、MethodsFromFeb2010toFeb2012，21caseofEarlyPeripheralLungCancerunderwentsingle-directionvideo-assistedthoraeoseopiclobectomy.Theiragesrangedfrom32to79years(56year).Inthe21patients,therewere5casesreceivedrightupperlobectomy,andrightmiddlelobectomyin1cases，rightlowerlobectomyin5cases，leftupperlo

5、bectomyin3cases,leftlowerlobectomyin7cases-Results:Allprocedureswerecarriedoutsafety.theaverageoperationtimewas166min(range.70-265min)，averagebloodlosswas150mL(range.30-700ml),averagedrainagewas650mL(range，100—1500mL)andaveragedurationofdrainagewas6days(range，4-16days).Theaveragepostoperativ

6、ehospitalstaywas8days(range，4-18days).withoutdeathandincidenceofpostoperativecomplications.Conclusionsingle-directionvideo-assistedthoraeoseopiclobectomy.forthetreatmentofearlyperipherallungcancerhadthestrongpointsofsmalltrauma,safe,reliable,andlesspostoperativecomplications,andnoteasilyrela

7、pse，andwasworthspreading.【Keywords】Video-assistedthoracoscope;Lobectomy；Single-direction；Peripherallungcancer.自2008年刘伦旭等［1_2_提出单向式全胸腔镜肺叶切除术这一概念，随着临床操作技术的不断改进、成熟，单向式全胸腔镜肺叶切除术凭借其创伤小、恢复快、操作要领容易掌握等优点，己经在肺癌的手术治疗中得以广泛推广，我院近年来采用该技术治疗21例早期周围型肺癌均取得了良好的治疗效果，