Wei Yi-ping, Wang Yi-ming, Yu Dong-liang, Jiang Han, Chen Xiang-lai, Xu Jian-jun, Peng Jin-hua
Department of Cardiothoracic Surgery, Second Affiliated Hospital of Nanchang University, Nanchang 330006, China.
Nan Fang Yi Ke Da Xue Xue Bao. 2010 Nov;30(11):2485-7.
To study the reliability and feasibility of video-assisted thoracoscopic surgery (VATS) for radical resection of early-stage non-small cell lung cancer (NSCLC).
Fifty-four patients with NSCLC treated between Jan. 2007 and Jun. 2010 at our institution were divided into VATS group (n=23) and video-assisted mini thoracotomy (VAMT) group (n=31). The operative time, intraoperative blood loss, number of dissected nodes, pleural effusion drainage, postoperative hospital stay, and visual analogue scales (VAS) were compared between the two groups.
No deaths or serious complications occurred perioperatively in the two groups. The operative time, intraoperative blood loss, number of dissected lymph nodes or pleural effusion drainage were all comparable between the two groups, but compared with VAMT, VATS was associated with significantly shortened postoperative hospital stay (10.54±1.21 days vs 7.92±0.86 days, P<0.05) and lowered VAS scores (4.26±1.28 vs 2.37±0.25, P<0.05).
VATS for pulmonary lobe resection with systematic node dissection is a feasible approach to the management of early-stage NSCLC.
研究电视胸腔镜手术（VATS）用于早期非小细胞肺癌（NSCLC）根治性切除的可靠性和可行性。
将2007年1月至2010年6月在我院接受治疗的54例NSCLC患者分为VATS组（n = 23）和电视辅助小切口开胸手术（VAMT）组（n = 31）。比较两组的手术时间、术中出血量、清扫淋巴结数目、胸腔积液引流量、术后住院时间和视觉模拟评分（VAS）。
两组围手术期均未发生死亡或严重并发症。两组的手术时间、术中出血量、清扫淋巴结数目或胸腔积液引流量均相当，但与VAMT相比，VATS术后住院时间明显缩短（10.54±1.21天 vs 7.92±0.86天，P<0.05），VAS评分降低（4.26±1.28 vs 2.37±0.25，P<0.05）。
VATS行肺叶切除并系统性淋巴结清扫是早期NSCLC治疗的一种可行方法。
