非小细胞肺癌伴纵隔淋巴结肿大胸腔镜下纵隔淋巴结清扫的探讨

被引：9

作者：

朱军 ^{[1
]}

翁鸢 ^{[1
]}

蔡铭 ^{[1
]}

段超 ^{[1
]}

陈晓峰 ^{[2
]}

机构：

[1] 江南大学附属无锡市第四人民医院胸心外科

[2] 同济大学附属上海市肺科医院胸外科

来源：

临床肺科杂志 | 2013年 / 18卷 / 12期

关键词：

胸腔镜肺叶切除术; 纵隔淋巴结; 肺叶切除术; 非小细胞肺癌; 肺癌; PET-CT; 微创手术;

D O I：

暂无

中图分类号：

R734.2 [肺肿瘤];

学科分类号：

100214 ;

摘要：

目的探讨非小细胞肺癌胸腔镜肺叶切除术与常规开胸肺叶切除术的淋巴结清扫差异。方法收集我院确诊的非小细胞肺癌伴纵隔淋巴结肿大(直径≥0.5 cm)的患者98例,其中胸腔镜肺叶切除术40例,常规开胸肺叶切除术58例,术后两周均行PET-CT检查并明确纵隔淋巴结有无阳性。采用卡方检验分析两组术后淋巴结的清扫有无差异。结果 PET-CT检查结果提示胸腔镜肺叶切除术组术后的纵隔淋巴结阳性率为7.50%(3/40),常规开胸肺叶切除组术后的纵隔淋巴结阳性率为5.17%(3/58)。两组术后淋巴结清扫比较无统计学差异(P>0.05)。结论胸腔镜肺叶切除术能够让非小细胞肺癌伴纵隔淋巴结肿大的患者取得与常规开胸肺叶切除术同样的效果。同时胸腔镜手术具有微创,术后恢复快等优点。

引用

页码：2146 / 2148

页数：3

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