[京都城市医院的肺癌电视辅助胸腔镜手术]

[Video-assisted thoracic surgery for lung cancer at Kyoto City Hospital].

作者信息

Osako Tsutomu, Shiraishi I, Oorui H

机构信息

Department of Thoracic Surgery, Kyoto City Hospital, Kyoto, Japan.

出版信息

Kyobu Geka. 2009 Apr;62(4):271-6.

PMID:19348209

Abstract

From April 1994 to April 2008, we were started on 313 cases video-assisted thoracic surgery (VATS) operations for primary lung cancer at the thoracic surgical department of Kyoto City Hospital. Exclude cases such as conversion to open surgery, partial resection and double primary cancer, 212 cases were evaluated. Most common surgical approach was 111 lobectomy cases (90%) and pneumonectomy is 3 cases. Histopathologic diagnosis was adenocarcinoma was 74% and squamous cell carcinoma was 22%. There were no intraoperative and hospital death. Most common complications were prolonged air leak in 20 cases (9.4%). Five year survival rate were stage IA 87.8%, IB 71.8%, II 52.4%, III 47.8%, IV 33.3%. Our data demonstrate thoracoscopic lobectomy for lung cancer is a safe procedure and excellent prognosis.

摘要

1994年4月至2008年4月，京都城市医院胸外科对313例原发性肺癌患者实施了电视辅助胸腔镜手术（VATS）。排除中转开胸手术、部分切除术和双原发性癌等病例后，对212例患者进行了评估。最常见的手术方式是肺叶切除术111例（90%），全肺切除术3例。组织病理学诊断腺癌占74%，鳞状细胞癌占22%。无术中及住院死亡病例。最常见的并发症是20例（9.4%）持续性漏气。五年生存率分别为IA期87.8%，IB期71.8%，II期52.4%，III期47.8%，IV期33.3%。我们的数据表明，胸腔镜肺叶切除术治疗肺癌是一种安全的手术方式，预后良好。