McKenna R J, Fischel R J, Wolf R, Wurnig P
Cedars Sinai Medical Center, Los Angeles, CA, USA.
Semin Thorac Cardiovasc Surg. 1998 Oct;10(4):321-5. doi: 10.1016/s1043-0679(98)70034-6.
Video-assisted thoracic surgery (VATS) lobectomy remains controversial because surgeons have been concerned about the safety of the procedure and the adequacy of the cancer operation when it is performed for lung cancer. This review of a 4.5-year experience with 212 VATS lobectomies for primary lung cancer was undertaken to address these issues. All operations involved a standard anatomic dissection and lymph node sampling or dissection. The mean length of stay was 4.6 days. There were no serious problems of intraoperative bleeding. There was one death owing to mesenteric venous infarct. The 4.5-year survival for stage I lung cancer was 76%. The data suggest that a complete cancer operation for primary lung cancer can be safely performed with VATS, with survival that is comparable with operations performed with a thoracotomy.
电视辅助胸腔镜手术（VATS）肺叶切除术仍存在争议，因为外科医生一直担心该手术的安全性以及用于肺癌治疗时癌症手术的充分性。本文对212例原发性肺癌行VATS肺叶切除术的4.5年经验进行综述，以解决这些问题。所有手术均涉及标准的解剖性分离及淋巴结采样或清扫。平均住院时间为4.6天。术中无严重出血问题。有1例因肠系膜静脉梗死死亡。I期肺癌的4.5年生存率为76%。数据表明，VATS可安全地用于原发性肺癌的完整癌症手术，其生存率与开胸手术相当。
