目的探讨Ⅰ期肺癌患者行胸腔镜解剖性肺段切除术的临床应用效果。方法分析经胸腔镜解剖性肺段切除术治疗的52例Ⅰ期肺癌患者的临床资料,观察并记录手术时间、术中出血量、术后引流天数、术后住院时间及术后并发症情况。结果所有患者均顺利完成手术,无中转开胸,无围术期死亡,手术时间65~210 min,平均125 min,术中出血量150~200 mL,平均80 mL,术后引流天数2~10 d,平均4 d,术后住院时间4~14 d,平均6 d。术后恢复顺利,无严重并发症发生。结论胸腔镜解剖性肺段切除术的临床效果好,适用于Ⅰ期肺癌患者。
ObjectiveTo explore the clinical application value of thoracoscopic anatomic segmentectomy in stage I of lung cancer. MethodsThe clinical data of 52 patients with stage I of lung cancer who undergoing thoracoscopic anatomic segmentectomy were analyzed.Operative duration,intraoperative blood loss, duration for postoperative drainage, postoperative hospital stay, incidence of postoperative complications were observed and recorded. ResultsThe operation was successfully completed in all patients. No conversion to thoracotomy or perioperative death occurred.The median operative duration was125 min(range: 65-210 min). The median operative blood loss was 80 mL(range: 15-200 mL). The median duration for postoperative drainage was 4 days (range: 2-9 days). The median postoperative hospital stay time was 6 days (range: 3-8 days). After operation,good recovery was observed in all cases and no serious complications occurred. ConclusionThoracoscopic anatomic segmentectomy obtains a good clinical efficacy ,and is applicable for the patients with lung cancer ofstage I.