摘要
目的总结单操作孔胸腔镜下周围型肺癌根治术的手术经验。方法周围型肺癌根治术病人52例,均实施单操作孔胸腔镜下解剖性肺叶切除术+系统性纵隔淋巴结清扫术。记录病人手术时间、术中出血量、术后并发症发生情况、住院时间等数据。结果中转开胸2例,无围手术期死亡。剔除2例中转开胸病人,50例病人手术时间105～220分钟,平均(152. 6±33. 1)分钟,术中出血20～400 ml,平均(160. 4±81. 5) ml。术后无严重并发症,2例病人并发乳糜胸,经保守治疗痊愈。术后住院时间7～14天,平均(9. 7±1. 7)天。结论单操作孔胸腔镜肺癌根治术的手术流程仍在不断探讨和优化中,应根据病人的差异,选择个体化的手术路径。
Objective To explore the surgical experience of single utility port video-assisted thoracoscopic lobectomy on peripheral lung cancer. Methods Fifty-two patients with peripheral lung cancer underwent radical resection urder single utility port completely video-assisted thoracoscopy. Operation time,intraoperative occurrence,postoperative complications,length of stay and other data were recorded.Results All the procedures were carried out with no case of death. Conversions to thoracotomy were required in 2 cases. Except these converted to thoracotomy,the surgical duration of 50 cases was 105 ~ 220 min(mean,( 152. 6 ± 33. 1) min)The volume of intraoperative bleeding was 20 ~ 400 ml(mean,( 160. 4 ± 81. 5) ml)There was no serious postoperative complications,2 cases of patients with chylothorax cured by conservative treatment. The postoperative hospitalization time was 7 ~ 14 d(mean,( 9. 7 ±1. 7) d)Conclusion The operative procedure of radical resection of lung cancer urder single utility port video-assisted thoracoscopy is still being explored and optimized. Individualized operation path should be chosen according to the difference of patients.
作者
严四军
刘小珊
李伟
汪杨威
曹祥
YAN Sijun;LIU Xiaoshan;LI Wei(Department of Cardiothoracic Surgery,the 161st Hospital of PLA,Wuhan 430010,China)
出处
《临床外科杂志》
2019年第1期59-61,共3页
Journal of Clinical Surgery
关键词
单操作孔
电视胸腔镜
肺肿瘤
肺叶切除术
single utility port
video-assisted thoracoscopic surgery
lung cancer
lobectomy
