Yang Jian, Jiang Ge-ning, Gao Wen, Tong Wen-pu, Zhu Yu-ming, Wang Hao, Xie Bo-xiong
Department of Thoracic Surgery, Shanghai Pulmonary Hospital, Affiliated to Tongji University, Shanghai 200433, China.
Zhonghua Wai Ke Za Zhi. 2007 Apr 15;45(8):546-8.
To evaluate the early outcome of patients who underwent video-assisted thoracic surgery (VATS) lobectomy for primary lung carcinoma.
The records of 121 patients with lung cancer undergoing VATS lung resection from 1997 to 2004 were reviewed retrospectively, I stage: 101 cases, 34 cases underwent right upper lobectomy, 13 cases underwent right middle lobectomy, 17 cases underwent right down lobectomy, 21 cases underwent left upper lobectomy, 16 cases underwent left down lobectomy. Thirty-eight cases underwent VATS lobectomy without assisted mini-incision.
There were 18 cases of morbidities (15%) and no surgical mortality. The 1-year, 2-year and 3-year survival rates of primary non-small cell lung cancer with I stage is: 99% (76/77), 96% (49/51) and 79% (15/19), respectively. There are statistic difference (P < 0.01) between adenocarcinoma and the others. There are no statistic difference (P > 0.05) between the VATS lobectomy with assisted mini-incision (n = 38) and without (n = 63), also no statistic difference (P > 0.05) between the VATS lobectomy and the standard procedure.
Our findings suggest that VATS lobectomy is superior regarding its ability to achieve the same survival rates and little morbidities in comparison with the standard procedure.
评估接受电视辅助胸腔镜手术（VATS）肺叶切除术治疗原发性肺癌患者的早期疗效。
回顾性分析1997年至2004年期间121例行VATS肺切除术的肺癌患者的病历，I期：101例，其中34例行右上叶切除术，13例行右中叶切除术，17例行右下叶切除术，21例行左上叶切除术，16例行左下叶切除术。38例行无辅助小切口的VATS肺叶切除术。
有18例发生并发症（15%），无手术死亡。I期原发性非小细胞肺癌的1年、2年和3年生存率分别为：99%（76/77）、96%（49/51）和79%（15/19）。腺癌与其他类型之间存在统计学差异（P<0.01）。有辅助小切口的VATS肺叶切除术（n=38）与无辅助小切口的VATS肺叶切除术（n=63）之间无统计学差异（P>0.05），VATS肺叶切除术与标准手术之间也无统计学差异（P>0.05）。
我们的研究结果表明，与标准手术相比，VATS肺叶切除术在实现相同生存率和较少并发症方面更具优势。
