全胸腔镜下复杂肺叶切除术治疗早期非小细胞肺癌的安全性研究.pdf

《全胸腔镜下复杂肺叶切除术治疗早期非小细胞肺癌的安全性研究.pdf》由会员上传分享，免费在线阅读，更多相关内容在行业资料-天天文库。

1、结核病与胸部肿瘤2014年第2期Tuber&ThorTumor，June2014，No．295全胸腔镜下复杂肺叶切除术治疗早期非小细胞肺癌的安全性研究周世杰韩毅李云松刘志东【摘要】目的探讨全胸腔镜肺叶切除治疗非小细胞肺癌的可行性及安全性。方法选择2009年9月至2012年12月确诊的肺癌患者23例，男18例，女5例。年龄21～79岁，平均55．3岁。鳞癌l7例，类癌1例，腺鳞癌2例，腺癌3例。IB期13例。ⅡA期4例，ⅡB期6例。行袖式支气管肺叶切除l1例，复合肺叶切除3例，合并肺动脉成形7例。结果全组均手术顺利，无围手术期死亡。采用间断吻合5例。吻合时间为62～85mm，平均72．6m

2、in。连续吻合间断加固6例，吻合时间为33～42min，平均37．2rain。全组术中出血100～900ml，平均420ml。每例患者清扫淋巴结17～24个，平均19．4个。胸腔闭式引流3～7d，平均5．0d。术后病理：支气管断端均未查见癌残留。结论全胸腔镜复杂肺叶切除术治疗早期非小细胞肺癌具有可行性，但远期疗效需进一步临床试验证实。【关键词】肺肿瘤，胸腔镜；肺切除术，支气管袖式成形术，血管成形术ExperienceinCompletelyVideo—assistedThoracoscopicComplexLobectomyinEarly-—stageNon----smallCellLu

3、ngCancerZhouShijie，HanYi，LiYunsong，LiuZhidongDepartmentofThoracicSurgery，BeijingChestHospital，CapitalMedicalUniversity，Beijing101149[AbstractlObjectiveTosummarizetheoutcomesof23casesofnon—smallcelllungcancer(NSCLC)treatedwithcompletevideo-assistedthoracoscopiccomplexlobectomyinBeijingChestHospita

4、l，andtoevaluatetheFeasibilityandsafetyofthisprocedureinVATslobectomy．MethodsBetween2009and2012，23casesofnon-smallcelllungcancerthathasbetreatedwithcomplexprocedureinVATSlobectomywerereviewed．Eighteenpatientsweremale．5werefemale．Themedianagewas55．3years(21—79years)．Amongthesepatients，l1wereunderwe

5、ntsleevelobectomy(including3rightupperlobes，1rightmiddlelobe，3rightlowerlobes，3leftupperlobes，1leftlowerlobe)，5bilaterallobectomyand7angioplasty．Seventeenpatientshadsquamouscarcinoma，2caseswereadenosquamouscarcinoma，3caseswereadenocarcinoma，1casewascarcinoid．ThirteencaseswereinstageIB。4caseswerei

6、nstageIIA，6caseswereinstageofliB．TheoperationprocedurewascompleteVATSlobectomycombinedwithsystemiclymphnoderesection．ResultsAllprocedureswerecarriedoutsmoothlywithoutseriouscompications．Theaveragedurationofsutureininterruptedsuturegroupwas72．6minutes(62—85minutes)．Thedurationofoperationincontinuo

7、ussutureplusinterruptedsuturegroupwas37．2minutes(33～42minutes、．Theaveragebloodlosswas420ml(1O0—900m1．Themediannumberoflymphnodesdissectedwas16．9(17-24)．Themediandurationofpostoperativechesttubedrainageplacementwas5days