临床外科杂志 ›› 2019, Vol. 27 ›› Issue (1): 59-61.doi: 10.3969/j.issn.1005-6483.2019.01.017

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单操作孔胸腔镜行周围型肺癌根治术的临床体会

  

  1. 武汉,解放军第一六一医院心胸外科
  • 出版日期:2019-01-20 发布日期:2019-01-20

Analysis of clinical application of single utility port video-assisted thoracoscopic lobectomy on peripheral lung cancer

  1. Department of Cardiothoracic Surgery,the 161st Hospital of PLA,Wuhan 430010,China
  • Online:2019-01-20 Published:2019-01-20

摘要: 目的 总结单操作孔胸腔镜下周围型肺癌根治术的手术经验。方法 周围型肺癌根治术病人52例,均实施单操作孔胸腔镜下解剖性肺叶切除术+系统性纵隔淋巴结清扫术。记录病人手术时间、术中出血量、术后并发症发生情况、住院时间等数据。结果 中转开胸2例,无围手术期死亡。剔除2例中转开胸病人,50例病人手术时间105~220分钟,平均(152.6±33.1)分钟,术中出血20~400ml,平均(160.4±81.5)ml。术后无严重并发症,2例病人并发乳糜胸,经保守治疗痊愈。术后住院时间7~14天,平均(9.7±1.7)天。结论 单操作孔胸腔镜肺癌根治术的手术流程仍在不断探讨和优化中,应根据病人的差异,选择个体化的手术路径。

关键词: 单操作孔, 电视胸腔镜, 肺肿瘤, 肺叶切除术

Abstract: Objective To explore the surgical experience of single utility port video-assisted thoracoscopic lobectomy on peripheral lung cancer.Methods Fiftytwo patients with peripheral lung cancer underwent radical resection urder single utility port completely video-assisted thoracoscopy.Operation time,intraoperative occurrence,postoperative complications,length of stay and other data were recorded.Results All the procedures were carried out with no case of death.Conversions to thoracotomy were required in 2 cases.Except these converted to thoracotomy,the surgical duration of 50 cases was 105~220min[mean,(152.6±33.1)min].The volume of intraoperative bleeding was 20~400ml[mean,(160.4±81.5)ml].There was no serious postoperative complications,2 cases of patients with chylothorax cured by conservative treatment.The postoperative hospitalization time was 7~14d[mean,(9.7±1.7)d].Conclusion The operative procedure of radical resection of lung cancer urder single utility port video-assisted thoracoscopy is still being explored and optimized.Individualized operation path should be chosen according to the difference of patients.

Key words: single utility port, videoassisted thoracoscopic surgery, lung cancer, lobectomy

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