[1]朱征 张明 王勇 童继春 钟斌 吴奇勇*.单孔全胸腔镜解剖性肺段切除术治疗早期非小细胞肺癌[J].中国微创外科杂志,2019,01(10):887-889893.
　Zhu Zheng,Zhang Ming,Wang Yong,et al.Uniportal Thoracoscopic Anatomic Segmentectomy in the Treatment of Early-stage Non-small-cell Lung Cancer[J].Chinese Journal of Minimally Invasive Surgery,2019,01(10):887-889893.
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单孔全胸腔镜解剖性肺段切除术治疗早期非小细胞肺癌()
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《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
01
期数:
2019年10期
页码:
887-889893
栏目:
临床研究
出版日期:
2019-10-25

文章信息/Info

Title:
Uniportal Thoracoscopic Anatomic Segmentectomy in the Treatment of Early-stage Non-small-cell Lung Cancer
作者:
朱征 张明 王勇 童继春 钟斌 吴奇勇*
（南京医科大学附属常州第二人民医院胸心外科，常州213003）
Author(s):
Zhu Zheng;  Zhang Ming;  Wang Yong;  et al.
Department of Cardiothoracic Surgery, Changzhou Second People’s Hosptial Affiliated to Nanjing Medical University, Changzhou 213003, China
关键词:
单孔; 电视胸腔镜手术; 肺段切除; 非小细胞肺癌
Keywords:
Uniport; Video-assisted thoracoscopic surgery; Segmentectomy; Non-small-cell lung cancer
文献标志码:
A
摘要:
目的探讨单孔全胸腔镜解剖性肺段切除术治疗早期非小细胞肺癌（non-small-cell lung cancer,NSCLC）的可行性和安全性。方法回顾性分析2017年1月~2018年12月单孔全胸腔镜解剖性肺段切除术治疗24例早期NSCLC的临床资料。在腋前线第5肋间做3 cm切口，置入胸腔镜及腔镜器械，行解剖性肺段切除术，术中常规行快速冰冻切片明确病理性质。结果均在单孔全胸腔镜下完成手术，无增加辅助腔镜切口，无中转开胸，无围术期死亡。并发症2例（8.3%）（肺部感染1例，气胸1例），均治愈。手术时间（125.8±46.9）min，术中出血量（31.9±20.8）ml，胸腔引流时间（3.2±1.1）d。术后第1天疼痛视觉模拟评分（Visual Analogue Scale，VAS）（3.8±1.6）分。每例淋巴结切除数（5.4±2.4）枚。术后住院时间（6.6±1.8）d。术后门诊随访3~13个月，中位数6个月，无复发转移。结论在有丰富腔镜手术经验的基础上，单孔全胸腔镜解剖性肺段切除术治疗早期NSCLC在技术上安全可行。
Abstract:
ObjectiveTo summarize the clinical experience of uniportal thoracoscopic anatomic segmentectomy for early-stage non-small-cell lung cancer (NSCLC). MethodsClinical data of 24 patients undergoing uniportal thoracoscopic anatomic segmentectomy for early-stage NSCLC between January 2017 and December 2018 were retrospectively analyzed. A 3 cm incision was made at the 5th intercostal space on the front axillary line, and thoracoscopic and endoscopic instruments were placed to perform anatomic pulmonary segmentectomy. Rapid freezing section was routinely performed to clarify the pathological properties.ResultsAll the cases of uniportal thoracoscopic surgery were completed, without auxiliary incision or converting to thoracotomy. There was no case of perioperative death. Complications were found in 2 cases, including 1 case of pulmonary infection and 1 case of pneumothorax, with a prevalence of complications being 8.3%. All the cases of complications were cured. The mean operative time was (125.8±46.9) min, the volume of blood loss was (31.9±20.8) ml, the duration of drainage was (3.2±1.1) d, the postoperative pain VAS score was (3.8±1.6) points, and the total number of lymph node dissection was (5.4±2.4) nodes. The length of postoperative hospital stay was (6.6±1.8) d. The patients were followed up for 3-13 months (median, 6 months). No recurrence or metastasis was found.ConclusionOn the basis of extensive experience in thoracoscopic surgery, uniportal thoracoscopic anatomic segmentectomy for early-stage NSCLC is technically safe and feasible.

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备注/Memo

备注/Memo:
*通讯作者，E-mail：wqyxycxy@aliyun.com
更新日期/Last Update: 2020-01-09