摘要
目的:探讨单孔胸腔镜左侧肺癌根治术中经前入路行隆突下淋巴结清扫的可行性及安全性。方法:回顾性分析行单孔胸腔镜手术治疗的左侧早期非小细胞肺癌病人62例临床资料,按隆突下淋巴结清扫入路的不同分为后入路组34例(传统后入路隆突下淋巴结清扫)和前入路组28例(前入路隆突下淋巴结清扫)。比较2组病人手术时间、手术出血量、纵隔淋巴结清扫数目,术后3 d胸管引流量、胸管留置时间和并发症发生率。结果:2组病人手术时间、手术出血量、纵隔淋巴结清扫数目及站数、并发症总发生率差异均无统计学意义(P>0.05),前入路组术后3 d胸管引流量、胸管留置时间均少于后入路组(P<0.05)。结论:单孔胸腔镜左侧肺癌根治术中经前入路进行隆突下淋巴结清扫可简化操作过程,减少术后胸管引流量及留置时间,是安全可行的方法。
Objective:To investigate the feasibility and safety of anterior subcarinal lymph node dissection in single-port thoracoscopic radical resection of left lung cancer.Methods:The clinical data of 62 left non-small cell lung cancer patients treated with single-port thoracosopic surgery were retrospectively analyzed.According to different methods for subcarinal lymph node dissection,the patients were divided into the posterior approach group(34 cases treated with traditional posterior approach for subcarinal lymph node dissection)and anterior approach group(28 cases treated with anterior approach for subcarinal lymph node dissection).The data of the operation time,intra-operative blood loss,number of mediastinal lymph node dissection,postoperative 3 d thoracic duct drainage volume,indwelling time of thoracic tube and incidence rate of complications were compared between two groups.Results:The differences of the operation time,intra-operative blood loss,number of mediastinal lymph nodes dissection and total incidence rate of complications between two groups were not statistically significant(P>0.05).The drainage volume and indwelling time of thoracic duct after 3 d of operation in anterior approach group were shorter than those in posterior approach group(P<0.05).Conclusions:The anterior subcarinal lymph node dissection in single-port thoracoscopic surgery for radical resection of left lung cancer is a safe and feasible method to simplify the operation process and reduce the postoperative thoracic duct drainage and indwelling time.
作者
单文
谢赛旗
刘宇
朱叶青
孙涛
陶立伟
曹冠亚
SHAN Wen;XIE Sai-qi;LIU Yu;ZHU Ye-qing;SUN Tao;TAO Li-wei;CAO Guan-ya(Department of Thoracic Surgery,Fuyang No.2 Hospital,Fuyang Anhui 236015,China)
出处
《蚌埠医学院学报》
CAS
2022年第1期74-77,共4页
Journal of Bengbu Medical College
关键词
非小细胞肺癌
单孔胸腔镜
淋巴结清扫
前入路
non-small cell lung cancer
single-port video-assisted thoracoscopic surgery
lymphnode dissection
anterior approach
