摘要
目的探讨单孔胸腔镜(singleportvideo－assistedthoracoscopicsurgery．singleportVATS)肺叶切除＋淋巴结清扫术治疗早期肺癌的临床效果.方法回顾分析我院２０１５年１月~２０１５年１１月单孔胸腔镜肺叶切除＋淋巴结清扫术１５例患者的手术时间、术中出血量、淋巴结清扫数、术后下床时间、拔除胸腔引流管时间及术后并发症等.结果１５例早期肺癌均在单孔操作全胸腔镜下完成肺叶切除＋淋巴结清扫手术,平均手术时间为１５０±３０min,平均出血量１００±５０ml,胸腔闲式引流时间３±２．３天,住院时间１０±２．１天,术后患者疼痛反应较轻,全部患者无严重术后并发症,无一例死亡,全部痊愈出院.结论单孔胸腔镜肺叶切除＋淋巴结清扫手术治疗早期肺癌具有创伤小、恢复快、安全可靠及符合肿瘤手术要求等优点,值得临床推广.关键词肺癌;肺叶切除术;电视胸腔镜ClincalAnalysisofSinglePortCompletevideo－assistedThoracicSurgeryLobectomyfor１５Patients．ZAhubstHraocntgO－bjjuenct,iCveaoJi－wei,LiuFeng．MedicalDepartmentofThoracicSurgery,TheFirstPeople??sHospitalofShangqiuHenan,Shangqiu,４７６１００,ChinaToevaluateclinicaloutcomesofsingleportcompletevideo－assistedthoracoscopicsurgery(VATS)LobectomyforpatientswithEarly－stageLungCancer．MethodsWeretrospectivelyanalyzedtheclinicaldataof１５consecutivepatientswithEarly－stageLungCancerwhounderwentsingleportcompleteVATSLobectomyfromJanuary２０１５toNovember２０１５inTheFirstPeople??sHospitalofShangqiuHenan．Theclinicaloutcomesincludingoperationtime,intraoperativebloodloss,chestdrainagedurationandpostoperativecomplicationsbeenanalysis．ResultsTheoperationtimewere１５０±３０min,theintraoperativebloodlosswere１００±５０ml,timetochestdrainagedurationwere３±２．３days,Thehospitalizationtimewere１０±２．１days．TherewasnoperioperativedeathandnoseriouspostoperativecomplicationswasobＧservedinthegroup．ConclusionSingleportcompleteVATSlobectomyandlymphnodedissectionaresafeandreliableforpatientswithEarly－stageLungcancerwithlessinjuryaKnedybweotrtdesrpostoperative,worthyofclinicalpromotion．Lungcancer;Video－assistedthoracicsurgery;Lobectomy中图分类号R７３４．２文献标识码B文章编号１００８－６３１５(２０１５)１２－０１７４－０２
出版日期
2015年12月22日（中国期刊网平台首次上网日期，不代表论文的发表时间）
