论文部分内容阅读
目的评价电视胸腔镜手术(VATS)辅助小切口治疗I期非小细胞型肺癌的可行性与临床价值。方法将86例需行肺叶切除术的I期非小细胞型肺癌病人按时间顺序平均分为两组:研究组(胸腔镜组)应用VATS辅助胸壁小切口对43例肺周围孤立小结节行肿物楔形切除术,术中快速冰冻病理切片检查,证实为非小细胞型肺癌(NSCLC),施行相应的肺叶切除,系统性的肺门及纵隔淋巴结清扫术;对照组(开胸组)43例I期非小细胞型肺癌采用后外侧切口进胸,其他处理与胸腔镜组相同,两组术后均未加辅助治疗。结果研究组病人创伤明显减轻,出血量少,术后恢复快(p<0.05),两组病人均无手术死亡及严重并发症。近期随访结果无1例复发与转移。结论VATS辅助胸壁小切口对I期非小细胞型肺癌行根治性切除是可行的。
Objective To evaluate the feasibility and clinical value of video-assisted thoracoscopic surgery (VATS) assisted small incision for stage I non-small cell lung cancer. Methods Totally 86 patients with stage I non-small cell lung cancer undergoing lobectomy were divided into two groups on a time-series basis: the study group (thoracoscopic group) VATS-assisted chest wall incision on 43 cases of isolated nodules around the lung Wedge resection of the tumor, intraoperative rapid frozen biopsy, confirmed as non-small cell lung cancer (NSCLC), the implementation of the corresponding lobectomy, systemic hilar and mediastinal lymph node dissection; control group (thoracotomy) 43 Cases of non-small cell lung cancer with posterior lateral thoracotomy into the chest, thoracoscopy and other treatment of the same group, no postoperative adjuvant therapy in both groups. Results In the study group, the patients’ trauma was significantly reduced, the amount of bleeding was less and the postoperative recovery was faster (p <0.05). There was no operative death and serious complications in both groups. No recent follow-up results of a recurrence and metastasis. Conclusions VATS-assisted thoracic incision is feasible for radical resection of stage I non-small cell lung cancer.