[1]陆佳昊 谢骏* 唐佳 韩松 陈晓春 周开国.单孔胸腔镜复杂肺段切除术在直径≤2 cm磨玻璃结节中的应用[J].中国微创外科杂志,2023,01(2):103-107.
　Lu Jiahao,Xie Jun,Tang Jia,et al.Application of Uniportal Thoracoscopic Complex Pulmonary Segmentectomy in the Treatment of Groundglass Nodules With a Diameter ≤ 2 cm[J].Chinese Journal of Minimally Invasive Surgery,2023,01(2):103-107.
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单孔胸腔镜复杂肺段切除术在直径≤2 cm磨玻璃结节中的应用()
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《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
01
期数:
2023年2期
页码:
103-107
栏目:
临床研究
出版日期:
2023-02-25

文章信息/Info

Title:
Application of Uniportal Thoracoscopic Complex Pulmonary Segmentectomy in the Treatment of Groundglass Nodules With a Diameter ≤ 2 cm
作者:
陆佳昊 谢骏* 唐佳 韩松 陈晓春 周开国
(苏州科技城医院胸外科，苏州215153)
Author(s):
Lu Jiahao;  Xie Jun;  Tang Jia;  et al.
Department of Thoracic Surgery, Suzhou Science and Technology Town Hospital, Suzhou 215153, China
关键词:
磨玻璃结节; 复杂肺段切除; 单孔胸腔镜手术
Keywords:
Groundglass nodule; Complex pulmonary segmentectomy; Uniportal thoracoscopy
文献标志码:
A
摘要:
目的探讨单孔胸腔镜复杂肺段切除术治疗直径≤2 cm磨玻璃结节(groundglass nodule，GGN)的安全性。方法2019年1月~2021年12月，对58例直径≤2 cm的GGN行单孔胸腔镜复杂肺段切除术。结节位于除了双侧S6(背段)、左侧S1+2+3(固有段)和左侧S4+5(舌段)以外的肺段，或者结节切除的手术方式需要处理段间平面超过2个以上。结果均在单孔胸腔镜下行复杂肺段（21例)、联合肺段(24例)、肺亚段(2例)、联合肺亚段(11例)切除术，无重大并发症。病理诊断原位腺癌7例，微浸润腺癌38例，浸润性腺癌13例。结论对于直径≤2 cm的GGN，单孔胸腔镜复杂肺段切除术在围手术期具有安全性和可行性。
Abstract:
ObjectiveTo investigate the safety of uniportal thoracoscopic complex pulmonary segmentectomy in the treatment of groundglass nodules (GGN) with a diameter ≤ 2 cm.MethodsFrom January 2019 to December 2021, 58 cases of GGN with a diameter ≤ 2 cm were treated with uniportal thoracoscopic complex pulmonary segmentectomy. The nodules were located in lung segments other than bilateral S6 (dorsal segment), left S1+2+3 (intrinsic segment) and left S4+5 (lingual segment), or more than two intersegmental planes needed to be handled during surgery.ResultsThere were 21 cases of complicated lung segments, 24 cases of combined lung segments, 2 cases of lung subsegments, and 11 cases of combined lung subsegmental resection performed under uniportal thoracoscopy, without major complications. Pathological diagnosis included 7 cases of adenocarcinoma in situ, 38 cases of microinvasive adenocarcinoma, and 13 cases of invasive adenocarcinoma.ConclusionFor GGN with a diameter ≤ 2 cm, uniportal thoracoscopic complex pulmonary segmentectomy is safe and feasible in perioperative period.

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备注/Memo

备注/Memo:
*通讯作者，Email：xie9645216@163.com
更新日期/Last Update: 2023-05-17