[1]江贤亮 徐美青* 徐世斌.全胸腔镜下全肺切除术10例近期结果[J].中国微创外科杂志,2019,01(1):19-21.
　Jiang Xianliang,Xu Meiqing,Xu Shibin..Thoracoscopic Pneumonectomy: Shortterm Outcome of 10 Cases[J].Chinese Journal of Minimally Invasive Surgery,2019,01(1):19-21.
点击复制

全胸腔镜下全肺切除术10例近期结果()
分享到：

《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
01
期数:
2019年1期
页码:
19-21
栏目:
临床研究
出版日期:
2019-01-25

文章信息/Info

Title:
Thoracoscopic Pneumonectomy: Shortterm Outcome of 10 Cases
作者:
江贤亮 徐美青* 徐世斌
（安徽省立医院胸外科，合肥230001）
Author(s):
Jiang Xianliang;  Xu Meiqing;  Xu Shibin.
Department of Thoracic Surgery, Anhui Provincial Hospital, Hefei 230001, China
关键词:
胸腔镜; 全肺切除; 肺癌
Keywords:
Videoassisted thoracoscopic surgery; Pneumonectomy; Lung cancer
文献标志码:
A
摘要:
目的探讨全胸腔镜下全肺切除术的近期效果。方法回顾性分析我院2015年9月~2017年12月全胸腔镜下全肺切除术10例资料。跨叶间裂生长中央型肺癌9例，支气管扩张伴右侧毁损肺1例。均因肺叶切除无法根治切除，故行全肺切除。采用两孔法或三孔法胸腔镜切口，使用腔镜下直线切割缝合器依次切断肺静脉-肺动脉-支气管，完整切除一侧全肺。结果10例手术均顺利完成，无围术期死亡。手术时间（246±52）min，术中出血量（110±42）ml，淋巴结清扫（8.4±2.7）枚，术后住院时间（11.2±3.8）d，术后并发症3例（心房纤颤2例，乳糜胸1例）。术后随访1~26个月，中位时间9个月。死亡1例，肿瘤转移带瘤生存1例，无病生存8例。结论全胸腔镜下全肺切除术安全可行，近期效果尚可，远期效果有待进一步观察。
Abstract:
ObjectiveTo evaluate the shortterm clinical value of thoracoscopic pneumonectomy.MethodsWe retrospectively analyzed the clinical data of 10 patients who underwent thoracoscopic pneumonectomy for pulmonary diseases from September 2015 to December 2017 in our hospital. There were 9 cases of lung cancer with interlobular fissure invasiveness, and 1 case of bronchiectasis with right destroyed lung. Pneumonectomy was performed because lobectomy could not be radical. Unilateral total lung resection was taken via two or three ports. We cut off the lung with vein-artery-bronchus in order by using a linear stapler.ResultsAll the 10 cases received operations successfully and no operative morality occurred. The operation time was (246±52) min, the intraoperative blood loss was (110±42) ml, the number of lymph node resected was (8.4±2.7) nodes, and the postoperative hospital stay was (11.2±3.8) d. Postoperative complications occurred in 3 cases, including 2 cases of atrial fibrillations and 1 case of chylothorax. All the complications were relieved after conservative medical therapy. The followup was taken for 1-26 months (median, 9 months). There were 1 fatal case, 1 case survived with tumor recurrence, and 8 cases of diseasefree survival.ConclusionsThoracoscopic pneumonectomy is safe and feasible. The longterm outcomes need further observation.

参考文献/References:

[1]Ettinger DS,Bepler G,Bueno R,et al.Nonsmall cell lung cancer clinical practice guidelines in oncology.J Natl Compr Canc Netw,2006,4（6）:548-582.
[2]支修益,石远凯,于金明.中国原发性肺癌诊疗规范(2015年版).中华肿瘤杂志,2015,37（1）:67-78.
[3]陆秀娟，沈咏芳.57例全肺切除术后并发症的观察与护理.临床肺科杂志，2011,16(12):1994.
[4]周本昊,杜成.49例老年全肺切除术后的监护与治疗.临床肺科杂志,2013,18(4):606-607.
[5]刘元奇，程远大，高阳，等.全胸腔镜下全肺切除术的临床分析.中国胸心血管外科临床杂志,2017,24（7）：538-542.
[6]王国勇,董祎楠,孙楠,等.全胸腔镜交互式左全肺切除及系统性淋巴结清扫流程.中国肿瘤,2015,24(3):250-252.
[7]Nagai S,Imanishi N,Matsuoka T,et al.Videoassisted thoracoscopic pneumonectomy:retrospective outcome analysis of 47 consecutive patients.Ann Thorac Surg,2014,97(6):1908-1913.
[8]Nwogu CE,Yendamuri S,Demmy TL.Does thoracoscopic pneumonectomy for lung cancer affect survival?Ann Thorac Surg,2010,89(6):S2102-S2106.
[9]王少东，李晓，隋锡朝，等.胸腔镜与开胸全肺切除治疗非小细胞肺癌的疗效比较.中国微创外科杂志,2017,17(10):882-886.
[10]邢军,周恕,陈崇伟,等.全肺切除术术前心肺功能评估及围术期处理.医学临床研究,2005,22（3）：375-377.

备注/Memo

备注/Memo:
*通讯作者，Email:xmqahslyy@163.com
更新日期/Last Update: 2019-04-09