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目的探讨电视胸腔镜辅助小切口下肺叶切除术治疗非小细胞肺癌的可行性。方法 60例周围型非小细胞肺癌患者,依据手术方式不同分为电视胸腔镜辅助下小切口手术组(VAMT组)和传统开胸肺癌根治术组(传统开胸组),每组30例,比较2组手术时间、切口长度、清扫淋巴结数目、术后胸腔引流量、住院时间等临床指标。结果 2组均无死亡病例,未发生术中大出血等严重并发症;VAMT组切口长度、术后杜冷丁用量、胸腔引流时间和住院时间短于或少于传统开胸组(P<0.05);2组清扫淋巴结数目、术中出血量及术后胸腔引流量比较差异无统计学意义(P>0.0 5)。结论电视胸腔镜辅助下行肺叶切除、肺门纵膈淋巴结清扫术创伤小,安全、可行,术后并发症少。
Objective To investigate the feasibility of video-assisted thoracoscopic assisted small incision lobectomy in the treatment of non-small cell lung cancer. Methods Sixty patients with peripheral non-small cell lung cancer (NSCLC) were divided into three groups: VAMT group and conventional thoracotomy group (30 cases) The clinical indexes of operation time, incision length, number of lymph nodes dissected, postoperative chest drainage and hospital stay were compared. Results There were no deaths and no serious intraoperative hemorrhage occurred in the two groups. The length of incision, the amount of dolantin, the time of drainage and hospital stay in VAMT group were shorter or shorter than those in the conventional thoracotomy group (P <0.05). The number of lymph nodes dissection, intraoperative blood loss and postoperative chest drainage was no significant difference (P> 0.0 5). Conclusion Video-assisted thoracoscopic assisted lobectomy and hilar mediastinal lymphadenectomy are safe, feasible and less postoperative complications.