[1]詹必成**郭昆亮陈大庆李鑫古明博.胸膜悬吊法隆突下淋巴结清扫在单孔胸腔镜右侧肺癌手术中的探索性研究[J].中国微创外科杂志,2026,01(5):291-295.
　Zhan Bicheng,Guo Kunliang,Chen Daqing,et al.Exploratory Study of Subcarinal Lymph Nodes Dissection Using Pleural Suspension Technique in Singleport Thoracoscopic Right Lung Cancer Surgery[J].Chinese Journal of Minimally Invasive Surgery,2026,01(5):291-295.
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胸膜悬吊法隆突下淋巴结清扫在单孔胸腔镜右侧肺癌手术中的探索性研究()

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

卷:
01
期数:
2026年5期
页码:
291-295
栏目:
临床研究
出版日期:
2026-05-21

文章信息/Info

Title:
Exploratory Study of Subcarinal Lymph Nodes Dissection Using Pleural Suspension Technique in Singleport Thoracoscopic Right Lung Cancer Surgery
作者:
詹必成**郭昆亮陈大庆李鑫古明博
（安庆医药高等专科学校临床研究中心(安庆市立医院)心胸外科，安庆246003）
Author(s):
Zhan Bicheng;  Guo Kunliang;  Chen Daqing;  et al.
Department of Cardiothoracic Surgery, Anqing Medical College Clinical Research Center, Anqing Municipal Hospital, Anqing 246003, China
关键词:
胸膜悬吊; 单孔; 胸腔镜; 隆突下淋巴结
Keywords:
Pleural suspension; Singleport; Thoracoscopy; Subcarinal lymph node
文献标志码:
A
摘要:
目的探讨单孔胸腔镜右侧肺癌手术使用胸膜悬吊法协助清扫隆突下淋巴结的可行性、安全性和近期效果。方法2025年2～12月我院完成38例单孔胸腔镜右肺癌手术。术中先沿迷走神经切开后纵隔胸膜，将其悬吊在后胸壁，然后整块清扫隆突下淋巴结。统计胸膜悬吊时间、隆突下淋巴结清扫时间、隆突下淋巴结清扫数量及完整性、术中出血量、手术时间等临床资料。结果38例均顺利完成隆突下淋巴结清扫术。33例整块切除，4例有破碎，1例有残留。胸膜悬吊时间(65.1±13.1)s，隆突下淋巴结清扫时间(9.7±4.1)min，清扫隆突下淋巴结(4.6±3.3)枚，手术时间(156.5±75.3)min，术中出血量(27.8±22.5)ml，术后胸管留置时间(2.8±1.1)d，术后住院时间(5.5±1.7)d。术后呼吸道感染1例，无支气管瘘、食管瘘、乳糜胸等并发症。结论单孔胸腔镜右肺癌手术中，胸膜悬吊法可充分显露隆突下区域，从而安全、整块地清扫隆突下淋巴结。
Abstract:
ObjectiveTo explore the feasibility, safety, and shortterm outcomes of using the pleural suspension technique to assist in the dissection of the subcarinal lymph nodes during singleport thoracoscopic right lung cancer surgery.MethodsFrom February to December 2025, 38 cases of singleport thoracoscopic right lung cancer surgery were completed. The posterior mediastinal pleura was incised along the vagus nerve and suspended on the posterior chest wall, followed by the en bloc dissection of the subcarinal lymph nodes. Clinical data, including pleural suspension time, subcarinal lymph nodes dissection time, number and integrity of subcarinal lymph nodes, intraoperative blood loss, and surgical duration were recorded.ResultsSubcarinal lymph nodes dissection was successfully completed in all the 38 cases. There were 33 cases of en bloc resection, 4 cases of destructive resection, and 1 case of residual resection. The time of pleural suspension was (65.1±13.1) s, the time of subcarinal lymph nodes dissection was (9.7±4.1) min, the number of subcarinal lymph nodes was 4.6±3.3, the operative time was (156.5±75.3) min, the intraoperative blood loss was (27.8±22.5) ml, the duration of postoperative drainage was (2.8±1.1) d, and the postoperative hospitalization was (5.5±1.7) d. There was 1 case of postoperative respiratory infection, and no complications such as bronchial fistula, esophageal fistula, or chylothorax were found.ConclusionIn singleport thoracoscopic right lung cancer surgery, the pleural suspension technique effectively exposes the subcarinal area, enabling a safe and en bloc resection of the subcarinal lymph nodes.

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备注/Memo

备注/Memo:
基金项目：安徽省高校自然科学研究重大项目(2024AH040180)**通讯作者，Email：zbcboy@126.com
更新日期/Last Update: 2026-05-21