电视胸腔镜手术治疗非小细胞肺癌的效果分析

作者单位:117000 辽宁 本溪,本溪市中心医院心胸外科

 非小细胞肺癌;手术治疗;电视胸腔镜;肺叶切除;淋巴结清扫

Clinical Effects of Video-assisted Thoracoscopic Surgery for Non-small Cell Lung Cancer
MA Chuansheng, ZHOU Chuanjiang, CUI Jinmin, DUAN Chao

(Cardiothoracic Surgery, Benxi Central Hospital, Benxi 117000, Liaoning Province, China)

 Non-small Cell Lung Cancer; Surgery; Video-assisted Thoracoscopic; Lobectomy; Lymphadenectomy

DOI: 10.3969/j.issn.1672-7185.2019.11.028

备注

 目的  探讨电视胸腔镜手术(VATS)治疗非小细胞肺癌的效果。方法  选取2015年1月—2017年12月在 本溪市中心医院心胸外科,接受电视胸腔镜下肺叶切除及纵隔淋巴结清扫术治疗的60例非小细胞肺癌患者作为V A TS组,选择同期在我院接受常规开胸肺叶切除及纵隔淋巴结清扫术治疗的60例非小细胞肺癌患者作为传统手术组;比较两组手术时间、术中出血量、摘除淋巴结总数、留置引流管时间、平均引流量、围手术期死亡率、住院时间、术后并发症发生情况及术后1年生存率。结果  VATS组术中出血量、胸腔引流时间、平均引流量、住院时间及术后并发症发生率均优于传统手术组,差异均有统计学意义( P<0.05)。两组手术时间、摘除淋巴结总数、围手术期死亡率及术后1年生存率差异均无统计学意义(P>0.05)。结论  电视胸腔镜手术治疗非小细胞肺癌的近期疗效及淋巴结清扫效果与开放手术相当,而且电视胸腔镜手术的创伤小,患者术后恢复快、并发症少,可在 有条件的医疗机构推广开展。
Objective To explore the effect of video-assisted thoracoscopic surgery(VATS) in the treatment of non-small cell lung cancer. Methods  From January 2015 to December 2017, 60 patients with non-small cell lung cancer who underwent video-assisted thoracoscopic lobectomy and mediastinal lymphadenectomy in the cardiothoracic surgery of Benxi Central Hospital were selected as VATS group, and 60 patients with non-small cell lung cancer who underwent conventional thoracotomy and mediastinal lymphadenectomy in the same period were selected as the traditional operation group. The operation time, intraoperative bleeding volume, total lymph node removal, indwelling drainage tube time, average drainage volume, perioperative mortality, hospital stay, complications and 1-year survival rate were compared between the two groups. Results  The intraoperative bleeding volume, thoracic drainage time, average drainage volume, hospitalization time and the incidence of postoperative complications in VATS group were significantly less than those in traditional operation group(P<0.05). There was no significant difference in operative time, total lymph node removal, perioperative mortality and 1-year survival rate between the two groups (P>0.05). Conclusion  Video-assisted thoracoscopic surgery for the treatment of non-small cell lung cancer has the same short- term efficacy and lymphatic clearance ability as open surgery, and it has the advantages of less trauma, faster recovery and fewer complications. It can be promoted in qualified medical institutions.