摘要
目的探讨单孔胸腔镜肺叶切除术治疗周围型肺癌的安全性和可行性。方法回顾性分析2014年10月—2017年5月行单孔胸腔镜肺叶切除术治疗的40例周围型肺癌患者的临床资料,切口选在腋前线第4或5肋间,长约4 cm。结果全组均在胸腔镜下完成手术,无增加辅助操作孔及中转开胸,无严重并发症,均顺利出院。手术时间(176.8±34.1)min,术中失血量(142.8±95.0)ml,淋巴结清扫数(17.6±3.4)个,术后第1天疼痛视觉模拟评分(3.6±0.9)分,术后拔除胸管时间(5.2±3.4)d,术后住院时间(6.5±3.8)d。结论单孔胸腔镜肺叶切除术治疗周围型肺癌是安全、有效的,值得推广应用。
引文
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