摘要
目的：探讨电视胸腔镜技术在肺小结节诊治中的应用价值。方法分析电视胸腔镜下肺小结节手术89例，其中男性65例，女性24例，年龄19至76岁（53．82±13．62）。胸腔镜手术采用单操作孔，肺叶切除＋纵隔淋巴结清扫术41例，肺叶切除11例，肺楔形切除术37例。结果本组病例手术顺利，无中转开胸。围手术期无严重并发症及死亡病例。手术时间15~75（55．4±23．8） min。术中出血量10~450（98．3±94．8）ml。术后ICU监护时间2~3（2．83±0．38）天。术后胸腔闭式引流时间2~11（5．43±2．69）天。术后病理示：肺恶性肿瘤45例（50．6%），肺良性病变44例（49．4%）。结论电视胸腔镜技术是肺小结节诊治的重要组成部分，创伤小，有助于肺恶性肿瘤的早期诊治，具有良好的应用前景。
Objective To explore the value of video-assisted thoracoscopic surgery in the diagnosis and treatment of small pulmonary nodules. Methods 89 patients with small pulmonary nodules received video-assisted thoracoscopic surgery, including 65 male patients and 24 female patients. They aged from 19 to 76 years old （53. 82 ± 13. 62）. All patients received uniport video-assisted thoracoscopic surgery, 37 patients received palliative edged resection, 11 patients received loboctomy, and 41 patients received radical lung resection and lymphnodes dissection. Results All patients＇ surgery was successfully completed, and no patients converted to thoracotomy. There was no operative complications or deaths reported. 4 patients who received palliative edged resection were diagnosed as early stage and metastatic lung cancer. According to postoperative pathology, 45 out of 89 cases （ 50. 6%） were cancer and the other 44 （49. 4%） were benign tumor. Conclusion Video assisted thoracoscopy is an important part of the diagnosis and treatment of pulmonary nodules, which has the advantages of small trauma and good application pros-pect.
出处
《临床肺科杂志》
2015年第11期2002-2005,共4页
Journal of Clinical Pulmonary Medicine
关键词
电视胸腔镜
肺小结节
肺癌
video-assisted thoracoscopic surgery
small pulmonary nodules
lung cancer
