单操作孔与三孔法胸腔镜肺叶切除术的比较

被引:9
作者
叶永强
王刚
叶华斌
机构
[1] 江西省赣州市肿瘤医院胸外科
关键词
电视辅助胸腔镜手术; 单操作孔; 肺叶切除术; 非小细胞肺癌;
D O I
暂无
中图分类号
R734.2 [肺肿瘤];
学科分类号
摘要
目的探讨单操作孔胸腔镜肺叶切除术治疗非小细胞肺癌的可行性以及应用价值。方法回顾性分析2011年9月至2013年9月接受胸腔镜肺叶切除术的49例临床分期Ⅰ、Ⅱ期非小细胞肺癌患者的临床资料,根据手术方式分为两组,前26例采用三孔法胸腔镜肺叶切除术,后23例采用单操作孔胸腔镜肺叶切除术,比较两组手术时间、术中出血量、淋巴结清扫数目、引流管留置时间、术后并发症、术后住院天数、术后疼痛视觉模糊评分(VAS)。结果两组手术时间、术中出血量、淋巴结清扫数目、引流管留置时间、术后并发症、术后住院天数比较差异无统计学意义(P>0.05);术后VAS疼痛评分单操作孔组较三孔法组低,差异有统计学意义(P<0.05)。结论单操作孔胸腔镜肺叶切除术治疗非小细胞肺癌是可行的、安全的,是一种更为微创的手术方式。
引用
收藏
页码:979 / 983
页数:5
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