单孔胸腔镜肺叶切除术１５例临床分析.docVIP

精品论文 参考文献 单孔胸腔镜肺叶切除术１５例临床分析 朱红军　曹纪伟　刘锋 河南省商丘市第一人民医院胸外科　河南　商丘　４７６１００ 作者简介:朱红军(１９７２,０１－),男,副主任医师,硕士研究生.【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１５０plusmn;３０min,平均出血量１００plusmn;５０ml,胸腔闲式引流时间３plusmn;２．３天,住院时间１０plusmn;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．Z【AhubstHraocntg】O－bjjuenct,iCveaoJi－wei,LiuFeng．MedicalDepartmentofThoracicSurgery,TheFirstPeople??sHospitalofShangqiuHenan,Shangqiu,４７６１００,China 　Toevaluateclinicaloutcomesofsingleportcompletevideo－assistedthoracoscopicsurgery(VATS)LobectomyforpatientswithEarly－stageLungCancer．Methods　Weretrospectivelyanalyzedtheclinicaldataof１５consecutivepatientswithEarly－stageLungCancerwhounderwentsingleportcompleteVATSLobectomyfromJanuary２０１５toNovember２０１５inTheFirstPeople??sHospitalofShangqiuHenan．Theclinicaloutcomesincludingoperationtime,intraoperativebloodloss,chestdrainagedurationandpostoperativecomplicationsbeenanalysis．Results　Theoperationtimewere１５０plusmn;３０min,theintraoperativebloodlosswere１００plusmn;５０ml,timetochestdrainagedurationwere３plusmn;２．３days,Thehospitalizationtimewere１０plusmn;２．１days．TherewasnoperioperativedeathandnoseriouspostoperativecomplicationswasobＧservedinthegroup．Conclusion　SingleportcompleteVATSlobectomyandlymphnodedissectionaresafeandreliableforpatientswithEarly－stageLungcancerwithlessinjury【aKnedybweotrtdesr】postoperative,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　　 　　电视胸腔镜手术(Video－assistedthoracoscopicsurgery,VATS)因其微创、美观、并发症少等优点愈来愈多的应用于临床,在早期肺癌手术中的应用已经得到了肯定,常规的胸腔镜肺叶切除术一般要作２个或３个孔,单孔胸腔镜手术对周围型早期肺癌治疗具有切口小、并发症少、术后恢复快等优点.我院２０１５年１月~２０１５年１１月对１５例早期周围性肺癌患者采用单孔完全胸腔镜手