单孔胸腔镜肺叶切除术治疗周围型肺癌的疗效
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
[1] 卜梁,李运,王俊.胸腔镜下肺叶切除治疗早期非小细胞肺癌[J].中华胸心血管外科杂志, 2008, 24(2):142-144.
[2] Karasaki T, Nakajima J, Murakawa T,et al.Video-assisted thoracic surgery lobectomy preserves more latissimus dorsi muscle than conventional surgery[J]. Interact Cardiovasc Thorac Surg,2009,8(3):316-319.
[3] Jutley RS,Khalil MW,Rocco G.Uniportal VS standard three-port VATS technique for spontaneous pneumothorax:comparison of post-operative pain and residual paraesthesia[J].Eur J Cardiothorac Surg,2005,28(1):43-46.
[4] Gonzalez D, Paradela M, Garcia J, et al.Single-port video-assisted thoracoscopic lobectomy[J].Interact Cardiovasc Thorac Surg,2011,12(3):514-515.
[5] Gonzalez-Rivas D,Paradela M,Fernandez R,et al. Uniportal video-assisted thoracoscopic lobectomy:two years of experience[J].Ann Thorac Surg,2013,95(2):426-432.
[6] 鲍熠,周逸鸣,杨倍,等.单孔全胸腔镜下肺叶切除术5例[J].中华胸心血管外科杂志,2013,29(8):493-494.
[7] 朱勇,梁明强,吴维栋,等.单孔全胸腔镜下肺叶切除术治疗非小细胞肺癌的初步探索[J].福建医科大学学报,2014,48(6):382-384.
[8] Kim K, Kim HK, Park JS, et al. Video-assisted thoracic surgery lobectomy:single institutional experience with 704 cases[J].Ann Thorac Surg,2010,89(6):S2118-S2122.
[9] 蒋伟,奚俊杰,王群,等.全胸腔镜肺癌根治术淋巴结清扫的探讨[J].中国微创外科杂志,2012,12(11):969-972.
[10] 刘洪涛,姚杰,夏海峰,等.单孔全胸腔镜下肺癌根治术13例临床分析[J].江苏医药,2016,42(4):477-478.
[2] Karasaki T, Nakajima J, Murakawa T,et al.Video-assisted thoracic surgery lobectomy preserves more latissimus dorsi muscle than conventional surgery[J]. Interact Cardiovasc Thorac Surg,2009,8(3):316-319.
[3] Jutley RS,Khalil MW,Rocco G.Uniportal VS standard three-port VATS technique for spontaneous pneumothorax:comparison of post-operative pain and residual paraesthesia[J].Eur J Cardiothorac Surg,2005,28(1):43-46.
[4] Gonzalez D, Paradela M, Garcia J, et al.Single-port video-assisted thoracoscopic lobectomy[J].Interact Cardiovasc Thorac Surg,2011,12(3):514-515.
[5] Gonzalez-Rivas D,Paradela M,Fernandez R,et al. Uniportal video-assisted thoracoscopic lobectomy:two years of experience[J].Ann Thorac Surg,2013,95(2):426-432.
[6] 鲍熠,周逸鸣,杨倍,等.单孔全胸腔镜下肺叶切除术5例[J].中华胸心血管外科杂志,2013,29(8):493-494.
[7] 朱勇,梁明强,吴维栋,等.单孔全胸腔镜下肺叶切除术治疗非小细胞肺癌的初步探索[J].福建医科大学学报,2014,48(6):382-384.
[8] Kim K, Kim HK, Park JS, et al. Video-assisted thoracic surgery lobectomy:single institutional experience with 704 cases[J].Ann Thorac Surg,2010,89(6):S2118-S2122.
[9] 蒋伟,奚俊杰,王群,等.全胸腔镜肺癌根治术淋巴结清扫的探讨[J].中国微创外科杂志,2012,12(11):969-972.
[10] 刘洪涛,姚杰,夏海峰,等.单孔全胸腔镜下肺癌根治术13例临床分析[J].江苏医药,2016,42(4):477-478.