[1]胡成广*,马殿松,郑康,等.单孔胸腔镜肺叶切除治疗肺癌192例报告[J].中国微创外科杂志,2018,18(5):394-396.
　Hu Chengguang,Ma Diansong,Zheng Kang,et al.Uniportal Thoracoscopic Lobectomy for Lung Cancer: Report of 192 Cases[J].Chinese Journal of Minimally Invasive Surgery,2018,18(5):394-396.
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单孔胸腔镜肺叶切除治疗肺癌192例报告()
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《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
18
期数:
2018年5期
页码:
394-396
栏目:
临床研究
出版日期:
2018-09-04

文章信息/Info

Title:
Uniportal Thoracoscopic Lobectomy for Lung Cancer: Report of 192 Cases
作者:
胡成广*; 马殿松; 郑康; 刘冠华; 李志龙; 马炎炎; 赵艳丽; 郭石平; 廉建红
山西省肿瘤医院山西医科大学附属肿瘤医院胸外科，太原030013
Author(s):
Hu Chengguang;  Ma Diansong;  Zheng Kang;  et al.
Department of Thoracic Surgery, Shanxi Cancer Hospital, Affiliated Cancer Hospital of Shanxi Medical University, Taiyuan 030013, China
关键词:
单孔; 胸腔镜肺叶切除术; 肺癌
Keywords:
Uniport; Thoracoscopic lobectomy; Lung cancer
文献标志码:
A
摘要:
目的探讨单孔胸腔镜肺叶切除治疗肺癌的可行性。方法回顾性分析2014年10月~2017年9月192例单孔胸腔镜肺叶切除治疗肺癌的临床资料。侧卧位，腋中线第5肋间3.5~5 cm切口，完成肺叶切除和纵隔淋巴结清扫。结果均痊愈出院，无围术期死亡，无二次手术，其中2例支气管袖式肺叶切除。中转开胸9例（4.7%），并发症11例(57%)。手术时间(112.4±37.2)min，术中出血量（103.4±53.8）ml，清扫淋巴结（13.8±6.3）枚，无肺漏气的186例胸管引流时间（1.9±1.3）d，住院时间（6.4±2.4）d。pTNM分期ⅠA期34例，ⅠB期51例，ⅡA期49例，ⅡB期34例，ⅢA期24例。192例随访1~35个月，平均10.3月，其中72例>24个月。17例术后15~34个月复发或转移。 结论单孔胸腔镜肺叶切除治疗肺癌安全、有效，近期效果满意。
Abstract:
ObjectiveTo evaluate the feasibility of uniportal thoracoscopic lobectomy for lung cancer.MethodsA total of 192 patients with lung cancer who underwent uniportal thoracoscopic lobectomy from October 2014 to September 2017 were retrospectively reviewed. Under general anesthesia, the patients were given a lateral position. One incision about 3.5-5 cm in length at the fifth intercostal space on the midaxillary line was made for thoracoscopic lobectomy and mediastinum lymph nodes dissection.ResultsAll the 192 patients were recovered and discharged without perioperative death or secondary operation. Bronchus sleeve lobectomy was performed in 2 patients. Conversions to thoracotomy was needed in 9 cases (4.7%). Postoperative complications were found in 11 cases (5.7%). The operative time and intraoperative bleeding were (112.4±37.2) min and (103.4±53.8) ml, respectively. The number of lymph nodes resected was 13.8±6.3. Among 186 cases without pulmonary leakage, the chest tube drainage duration and postoperative hospital stay were (1.9±1.3) days and (6.4±2.4) days, respectively. The pathological TNM stage showed 34 cases of stage ⅠA, 51 cases of stage ⅠB, 49 cases of stage ⅡA, 34 cases of stage ⅡB and 24 cases of stage ⅢA. Follow-ups for 1-35 months (mean, 10.3 months) in the 192 cases, including 72 cases longer than 24 months, showed recurrence or metastasis in 17 cases at 15-34 months after surgery.ConclusionThe uniportal thoracoscopic lobectomy is a safe and effective technology for lung cancer, with satisfactory short-term results.

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备注/Memo

备注/Memo:
*通讯作者，E-mail：635114176@qq.com
更新日期/Last Update: 2018-09-04