Zhang Yi, Li Yuan-bo, Liu Bao-dong, Chen Dong-hong, Wang Ruo-tian, Liu Lei, Qian Kun, Zhi Xiu-yi
Department of Thoracic Surgery,Xuanwu Hospital, Capital Medical University,Beijing 100053, China. Email:
Department of Thoracic Surgery,Xuanwu Hospital, Capital Medical University,Beijing 100053, China.
Zhonghua Yi Xue Za Zhi. 2013 Oct 8;93(37):2972-5.
To explore the clinical application value of complete video-assisted thoracoscopic (cVATS) lobectomy in the mini-invasive treatment of lung cancer.
90 patients with non-small cell lung cancer (NSCLC) who had undergone lobectomy were reviewed. According to surgical approach, complete video-assisted thoracoscopic lobectomy group (cVATS, n = 47) and video-assisted mini-thoracotomy group (VAMT, n = 43) were studied. Numbers of dissected lymph nodes, operation duration, volumes of intraoperative bleeding, duration of postoperative catheter drainage, length of postoperative hospital stay, incidence rates of postoperative complications, postoperative pain scores of patients were compared between the two groups retrospectively.
There were no significant differences in numbers of dissected lymph nodes, operation duration, bleeding during operation, incidence rates of postoperative complication between the two groups (P > 0.05). Duration of postoperative catheter drainage and length of postoperative hospital stay of patients in cVATS group were shorter than those in VAMT group (P < 0.05). Pain scores of patients in cVATS group were lower than those at the same time in VAMT group (P < 0.05).
Complete video-assisted thoracoscopic lobectomy is safe and effective surgical strategy for lung cancer patients with advantage of rapid recovery.
探讨全胸腔镜（cVATS）肺叶切除术在肺癌微创治疗中的临床应用价值。
回顾性分析90例行肺叶切除术的非小细胞肺癌（NSCLC）患者。根据手术方式，将患者分为全胸腔镜肺叶切除术组（cVATS，n = 47）和胸腔镜辅助小切口组（VAMT，n = 43）。回顾性比较两组患者的淋巴结清扫数目、手术时间、术中出血量、术后胸腔闭式引流时间、术后住院时间、术后并发症发生率及术后患者疼痛评分。
两组患者的淋巴结清扫数目、手术时间、术中出血、术后并发症发生率比较，差异均无统计学意义（P > 0.05）。cVATS组患者的术后胸腔闭式引流时间及术后住院时间均短于VAMT组（P < 0.05）。cVATS组患者的疼痛评分低于VAMT组同期患者（P < 0.05）。
全胸腔镜肺叶切除术治疗肺癌安全有效，具有恢复快的优点。
