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1、DOI:10.3779/j.issn.1009-3419.2010.12.18・临床经验•电视胸腔镜微创手术与常规肺癌手术淋巴结清扫的对照研究李强何金涛庄翔杨晓军朱江谢天鹏肖平王祥荣昊［摘要】背景与目的通过比絞电视胸腔镜(video-assistedthoracoscopicsurgery,VATS)肺俯根治手术与常规石外侧切【I下的肺癌根治手术的淋巴结淸打悄况•评价VATS肺癌根治术中淋巴结清扌
2、的效果。方法将100例术浒临床诊断为閘型肺癌患者随机分为胶镜手术组和常规开胸手术组，分别进行VATS
3、微创根治杵肺癌切除、淋巴结淸扌IF术和传统厉外侧切口根治性肺癌切除、淋巴结淸扌I手术.分别统计两纽淸除淋巴结总数及阳性淋巴结数，并进行统汁学分析c结果腔镜F术组S0例患者均顺利完成根治性于•术，淸打N1淋巴结242个，N2淋巴结232个，N3淋巴结0个.阳件淋巴结数197个；开胸手术组清扫N1淋巴结243个，N2淋巴结238个.N3淋巴结1个，阳性淋巴结数】98个.两组淋巴结总数无统计学(x2=O.O16,P=O.815)・阳性淋巴结数比较也无统计学羞界(*0.034,P=0.9S6)。结论电视胸
4、腔镜微创手术在周附型肺癌患咅中町以达到肺癌根治性切除、淋巴结淸扫，其淋巴结的淸打数就和阳性淋巴结清除率与常规开胸孑术无异=【关键词】肺肿制；电视胸腔镜；淋巴结清扫(中图分类号JR734.2TheComparativeStudyofLymphNodeDissectionbyVideo-assistedThoracoscopicSurgery(VATS)andConventionalLateralIncisionSurgeryQiangLI,JintaoHE,XiangZHUANG,XiaojunYA
5、NG,JiangZHU,TianpcngXIE,PingXIAO,XiangWANG,HaoRONGDepartmentofChestSurgery,SichuanCancerHospital,Chengdu610041,ChinaCorrespondingauthor：QiangLI,E-mail:liqiangl907{3fvip.sina.com[Abstract]BackgroundandobjectiveAlthoughwidelyadopted,thereislackofcompara
6、tivedataforpatientsundergoinglymphnodedissectioninradicalsurgeryoflungcancerbyvideo-assistedthoracoscopicsurgery(VATS)vsconven・tionallateralincisionsurgery.TheaimofthisstudyistocomparetheeffectsoflymphnodedissectioninradicalsurgeryoflungcancerbyVATS.M
7、ethodsOnehundredpatientswithpreoperativediagnosisofperipherallungcancerwereassignedtolapa・roscopicsurgerygroup(VATS)andconventionalsurgerygroup(TH)randomly;ThenumberofremovedlymphnodesandrateofpositivelymphnodeswereanalyzedstatisticallyResultsThenumbe
8、rofremovedlymphnodesinVATSgroupwere:N1242,N2232,N30,197withpositivelymphnodes；conventionalsurgerygroup:Ni243,N2238,N31，198withpositivelymphnodes.Therewasnosignificantdifferenceforthetotalnumberoflymphnodesintwogroups(x'=0・016,P=0.815),norforthenumbero
9、fpositivenodese(X，=0.034,P=0.956).ConclusionPeripherallungcancermaygetradicalresectionandlymphnodeclearancebyVATS.TherearcnosignificantdifferenceforthenumberofremovedlymphnodesandpositiverateoflymphnodesinVATSandconventionalsurgery.【Keywords]L
