Kaseda S, Aoki T, Hangai N
Department of Thoracic Surgery, Saiseikai Kanagawa-ken Hospital, Yokohama, Japan.
Semin Thorac Cardiovasc Surg. 1998 Oct;10(4):300-4. doi: 10.1016/s1043-0679(98)70031-0.
Between September 1992 and October 1997, we performed 128 video-assisted thoracic surgery (VATS) lobectomies. The indications for surgery were 103 cases of lung cancer, 11 cases of bronchiectasis, 8 cases of granuloma, 4 cases of benign lesions, and 2 cases of metastatic tumors. Of the 103 cases of lung cancer, 62 were treated by VATS lobectomy with extended lymph node dissection for clinical stage I lung cancer, and the 4-year survival rate of final stage I lung cancer was 94.4%. VATS lobectomy is far less invasive than open thoracotomy, and survival rates after VATS lobectomy with extended lymph node dissection are comparable with those after open thoracotomy. Thus, VATS lobectomy with extended lymph node dissection should be considered as a standard surgical alternative to open thoracotomy for stage I lung cancer.
1992年9月至1997年10月期间，我们实施了128例电视辅助胸腔镜手术（VATS）肺叶切除术。手术适应证包括103例肺癌、11例支气管扩张症、8例肉芽肿、4例良性病变以及2例转移性肿瘤。在103例肺癌患者中，62例因临床I期肺癌接受了VATS肺叶切除术并扩大淋巴结清扫术，最终I期肺癌的4年生存率为94.4%。VATS肺叶切除术的创伤远小于开胸手术，且扩大淋巴结清扫术后的VATS肺叶切除术的生存率与开胸手术相当。因此，对于I期肺癌，扩大淋巴结清扫的VATS肺叶切除术应被视为开胸手术的标准替代手术。
