Peng Zhongmin, Li Meng, Meng Long, Du Jiajun, Wang Lei, Zhang Lin, Wang Xiaohang, Chen Jinghan
Department of Thoracic surgery, Shandong Provincal Hospital, Jinan 250021, China.
Zhongguo Fei Ai Za Zhi. 2009 Nov 20;12(11):1139-42. doi: 10.3779/j.issn.1009-3419.2009.11.02.
To research the effect and practicalbility of lobectomy with bronchoplasty and reconstruction of pulmonary artery by minitrauma-technique for lung cancer.
We retrospectibely reviewed our experience on 61 cases being lobectomy with bronchoplasty and bronchoplasty with or without video assisted thoracic small incision surgery for lung cancer from July 2005 to June 2009 from Shandong Provincal Hospital and 46 cases simultaneously by routine posterolateral incision. All patients whose bronchus and/or pulmonary artery were involved underwent the operation and experienced the bronchial sleeve/wedge resection or reconstruction of the pulmonary artery.
All patients were done operation successfully and there were no operative mortality and no occurrence of anastomosis stenosis as well as fistula. The small incisions' length was from 8 cm-15 cm while the routine posterolateral incision's length was 25 cm-35 cm. The patients done the operation of small incision had less postoperative shoulder joint dysfunction and had better quality of life compaired to the patients done the routine posterolateral incision.
Lobectomy with bronchoplasty and reconstruction of pulmonary artery by minitrauma-technique for lung cancer could finished the same work with the traditional thoracic lateral incision and had less trauma, less pain, less recovery time.
研究肺癌微创技术下肺叶切除联合支气管成形及肺动脉重建的效果及实用性。
回顾性分析2005年7月至2009年6月山东省立医院61例行肺叶切除联合支气管成形术及部分联合电视胸腔小切口手术治疗肺癌患者的经验,并同期回顾46例行常规后外侧切口手术患者的经验。所有累及支气管和/或肺动脉的患者均接受手术,行支气管袖状/楔形切除或肺动脉重建。
所有患者手术均成功,无手术死亡,无吻合口狭窄及瘘发生。小切口长度为8 cm - 15 cm,常规后外侧切口长度为25 cm - 35 cm。与常规后外侧切口手术患者相比,小切口手术患者术后肩关节功能障碍较少,生活质量更好。
肺癌微创技术下肺叶切除联合支气管成形及肺动脉重建与传统胸后外侧切口手术效果相同,但创伤更小、疼痛更轻、恢复时间更短。