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目的 探讨全胸腔镜下肺叶切除术的的应用效果。方法 全胸腔镜下行肺叶切除术的肺癌患者106例，随机选取同期按常规开胸手术者82例做对照，比较两组患者在手术时间、术中出血量、带胸管时间、术后住院时间及淋巴结清扫数量。结果 胸腔镜组中转开胸3例，其术中出血量、带胸管时间、术后住院时间明显少于常规开胸组（P＜0.05），手术时间则长于开胸组，而两组的淋巴结清扫数量差异无统计学意义（P＞0.05）。结论 全胸腔镜下肺叶切除术创伤小，恢复快，值得推广应用。
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更新时间：2015-07-27
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全胸腔镜下肺叶切除术的临床研究
Research of complete videoassisted thoracoscopic lung lobectomy
微创医学 201504期 页码：420-422
作者机构：（南京医科大学附属苏州市立医院胸外科、苏州市肿瘤诊疗中心，江苏省苏州市215001）
基金信息：作者简介：杨勇（1978～），男，硕士，主治医师，研究方向：胸部肿瘤的外科治疗。（收稿日期：20150406修回日期：20150607）
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- 英文简介
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Objective To explore the application efficacy of complete videoassisted thoracoscopic lung lobectomy. Methods A total of 106 patients with lung cancer underwent complete videoassisted thoracoscopic (CVATS) lobectomy. Eighty patients with lung cancer were enrolled in the control study and underwent conventional thoracotomy. Comparison of operative duration, intraoperative blood loss, preservation time of chest tube, postoperative hospital stay and number of removed lymph nodes was conducted between the two groups. Results Three cases in the CVATS lobectomy group were converted to thoracotomy. The intraoperative blood loss was less. The preservation time of chest tube and the postoperative hospital stay were remarkably shorter in the CVATS lobectomy group compared with the thoracotomy group (P＜0.05). The operative duration of the CVATS lobectomy group was longer than that of the thoracotomy group, and there was no statistical significance in the number of removed lymph nodes between the two groups (P＞0.05). Conclusions Complete videoassisted thoracoscopic lobectomy is minimally invasive and has the advantage of faster recovery. And it is worthy of clinical application and promotion.
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