全胸腔镜下肺叶切除治疗早期非小细胞肺癌

被引：89

作者：

王俊

李运

刘军

李剑锋

姜冠潮

赵辉

杨帆

刘彦国

周足为

卜梁

机构：

[1] 北京大学人民医院胸外科暨胸部微创中心

来源：

中华胸心血管外科杂志 | 2008年 / 03期

关键词：

癌,非小细胞肺; 胸腔镜检查; 肺切除术; 肿瘤分期; 肺叶切除术;

D O I：

暂无

中图分类号：

R686 [筋腱、韧带、滑囊疾病及损伤];

学科分类号：

摘要：

目的探讨全胸腔镜下肺叶切除在早期非小细胞肺癌治疗中的安全性、有效性及适应证。方法 2006年11月至2007年11月共施行全胸腔镜下肺叶切除治疗早期非小细胞肺癌44例,其中男24例,女20例;平均年龄61.5岁。手术全部通过3个胸腔镜切口完成,肺叶解剖性切除和系统性淋巴结清扫的操作顺序与常规开胸手术基本相同。结果全部手术顺利,未发生严重并发症及围手术期死亡,中转开胸1例。平均手术202.6min,平均出血216.8 ml,无输血病例。术后平均带胸管7.4 d。术后病理:腺癌30例,鳞癌10例,肺泡细胞癌3例,肉瘤样癌1例。随访平均7.7个月,1例Ⅲa期腺癌病人术后3个月发生转移,其余无复发。结论全胸腔镜下肺叶切除在有效性、彻底性方面可以达到开胸手术相同的效果,对于早期非小细胞肺癌是一种安全、有效的手术方式。

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