胸腔镜下亚肺叶切除及纵隔淋巴结采样治疗早期非小细胞肺癌

被引：26

作者：

吴颖猛

黄伟钊

姜海明

机构：

[1] 广东省中山市人民医院心胸外科

来源：

广东医学 | 2013年 / 34卷 / 08期

关键词：

胸腔镜; 解剖性肺段切除术; 楔形切除; 淋巴结采样; 肺癌;

D O I：

10.13820/j.cnki.gdyx.2013.08.066

中图分类号：

R734.2 [肺肿瘤];

学科分类号：

100117 [系统生物医学];

摘要：

目的评估胸腔镜下亚肺叶切除及纵隔淋巴结采样治疗早期肺癌的安全性和近期疗效。方法回顾性分析选择性行胸腔镜下亚肺叶切除(解剖性肺段切除术或肺楔形切除术)+纵隔淋巴结采样术31例患者的临床资料,对手术安全性及近期效果进行分析。结果 31例患者成功施行了胸腔镜下肺楔形或解剖性肺段切除术,手术时间(133.0±42.7)min,出血量(85.0±44.5)mL。术后胸腔引流管留置时间(3.2±2.8)d,术后住院时间(5.7±4.3)d,无中转开胸及中转肺叶切除,无围术期死亡,无围术期严重并发症。获得1～43个月随访,中位随访时间18个月。1例患者于26个月后出现再发对侧肺浸润性腺癌,全组未发现肿瘤复发、转移。结论对于选择性的早期非小细胞肺癌患者,胸腔镜下亚肺叶切除术及纵隔淋巴结采样是一种安全、近期疗效良好的手术方式。

引用

页码：1203 / 1204

页数：2

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