单操作孔胸腔镜治疗早期肺癌临床体会

摘要

目的：探讨单操作孔胸腔镜肺叶切除术治疗早期肺癌的临床效果。方法：回顾性分析2011年1月至2013年12月我院应用 VATS 治疗的97例早期肺癌患者的病例资料，其中单操作孔 VATS 手术患者43例（单操作孔组），两操作孔 VATS 手术患者54例（两操作孔组）。比较手术时间、术中出血量、清扫淋巴结数、胸腔引流管时间及术后住院时间等参数。结果：两组患者均无围手术期死亡。单操作孔组术后引流管留置时间、术后住院时间、术后24小时疼痛评分等均低于两操作孔组（P ＜0.05）。而术中出血量、手术时间、清扫淋巴结数及术后并发症发生率无显著性差异（P ＞0.05）。结论：单操作孔 VATS 肺叶切除并淋巴结清扫术治疗早期肺癌是安全可行的，较两操作孔 VATS 可减少患者创伤。%Objective:To evaluate the clinical efficacy of single utility port video - assisted thoracoscopic surgery lobectomy for patients with early - stage lung cancer. Methods:A retrospective analysis was performed on 97 patients with early - stage lung cancer and 43 cases underwent single utility port VATS lobectomy(S - VATS group),the oth-er 54 patients underwent two utility ports VATS lobectomy in the same period(D - VATS group). The clinical out-comes including operation time,blood loss during the operation,number of dissected lymph nodes,chest drainage du-ration as well as hospital stay were compared between the two groups. Results:No perioperative death was observed in both groups. There was no surgery - related death. The chest drainage duration,hospital stay and postoperative pain score of the patients in S - VATS group were significantly lower than that of D - VATS group(P < 0. 05). However, there was no significant difference with regard to blood loss,operation time,number of dissected lymph nodes or post-operative complications(P > 0. 05). Conclusion:Single utility port VATS lobectomy and lymph node dissection is feasible and safe for patients with early - stage lung cancer which could decrease the operation - related injury.