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目的:探讨胸腔镜肺叶切除术治疗肺癌的应用。方法:2009-03~2015-12内蒙古医科大学附属医院共行胸腔镜肺癌肺叶切除172例,男101例,女71例,平均年龄55.9(40~81)岁。完成胸腔镜单纯肺叶切除165例,右肺中、下叶切除5例,右肺上叶切除并下叶背段切除1例,右肺上叶袖状切除1例,同时行淋巴结清扫术。结果:围手术期死亡1例,无支气管胸膜瘘及二次手术者;5例病人中转开胸,余均在腔镜下顺利完成手术。结论:胸腔镜肺叶切除术治疗肺癌安全、可行。
Objective: To investigate the application of thoracoscopic lobectomy in the treatment of lung cancer. METHODS: From March 1993 to December 2015, 172 patients with lobectomy undergoing thoracoscopic lung cancer in our hospital affiliated to Inner Mongolia Medical University were male and 101 females, with an average age of 55.9 (40-81 years). Complete thoracoscopic simple lobectomy in 165 cases, right lung, lower lobe resection in 5 cases, right upper lobe resection and lower lobe resection in 1 case, right lung lobe sleeve resection in 1 case, while lymph node dissection. Results: Perioperative death in 1 case, no bronchial fistula and secondary surgery; 5 cases of patients transferred to the thoracotomy, the other were completed under endoscopic surgery. Conclusions: Thoracoscopic lobectomy is safe and feasible for the treatment of lung cancer.