摘要
目的探讨全电视胸腔镜(VATS)下解剖性肺段切除术的可行性及安全性。方法回顾性分析2010年11月至2011年7月期间南京医科大学第一附属医院对26例肺部病变患者行全电视胸腔镜下解剖性肺段切除术的临床资料,其中男8例、女18例,年龄13～81(53.2±3.1)岁。23例肺部结节病变患者中13例直接手术,10例毛玻璃样改变患者术前定位3例,直接手术7例;3例非肺结节病变(支气管扩张、肺大泡、肺囊肿)患者均直接施行手术。结果顺利完成手术26例,手术时间150～250(193.7±7.3)min,术中出血量10～200(65.7±12.7)ml,肿瘤患者清扫淋巴结4～7(5.1±0.3)组,清扫淋巴结4～16(12.3±0.5)枚,无手术死亡及并发症,术后胸腔引流时间3～7(3.9±0.4)d。术后均顺利出院,对肿瘤患者术后随访3～6个月内暂无复发、转移。结论全电视胸腔镜下解剖性肺段切除术安全、可行。
Objective To evaluate the feasibility and safety of complete video-assisted thoracoscopic surgery （VATS） anatomic segmentectomy. Methods Clinical data of 26 patients with lung diseases who underwent complete VATS anatomic segmentectomy in the First Affiliated Hospital of Nanjing Medical University from November 2010 to July 2011 were retrospectively analyzed. There were 8 male and 18 female patients with their age of 13-81 （53.2±3.1 ）years. There were 23 patients with pulmonary nodules including 13 patients who underwent direct surgical resection and 10 patients with ground-glass opacity nodules （3 patients received preoperative localization and the other 7 patients received direct surgical resection）. All the 3 patients with non-nodule pulmonary diseases （bronchiectasis, pulmonary bulla and pulmonary cyst respectively） underwent direct surgical resection. Results All the 26 patients received complete VATS anatomic segme- ntectomy successfully. The operation time was 150-250 （ 193.7±7.3 ） min, and intraoperative blood loss was 10-200 （65.7 ±12.7 ） ml. Patients with lung cancer received 4-7 （5.1 ± 0.3 ） stations of lymph node dissection and the number of lymph node dissection was 4-16 （ 12.3±0.5） for each patient. There was no in-hospital death or postoperative complication. Postoperative thoracic drainage time was 3-7 （3.9±0.4）days. All the patients were discharge uneventfully. Lung cancer patients were followed up for 3-6 months without recurrence or metastasis. Conclusion Complete VATS anatomic segmentectomy is a safe and feasible surgical procedure.
出处
《中国胸心血管外科临床杂志》
CAS
2013年第3期317-319,共3页
Chinese Journal of Clinical Thoracic and Cardiovascular Surgery
关键词
电视胸腔镜
解剖性
肺段切除术
肿瘤
Video-assisted thoracoscopic surgery
Anatomy
Segmentectomy
Cancer
