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目的：探讨全胸腔镜下肺叶切除术的方法﹑安全性和疗效﹐并总结其临床应用经验。方法对78例患者进行全胸腔镜下肺叶切除术治疗。结果70例顺利完成全腔镜下肺叶切除术﹐8例中转开胸手术。手术时间(157±34)min﹐术中失血量(210±54)ml。全部病例无围术期死亡﹐术后住院时间(9.7±4.5)d。结论全胸腔镜下肺叶切除术具有创伤小﹑恢复快﹑安全可靠的特点﹐是治疗肺部疾病重要方法。“,”Objective Investigate the method,safety and efficacy of completely video-assisted thoracoscopic pulmonary lobectomy,and summarize the clinical experience.Methods 78 patients were underwent completely video-assisted thoracoscopic pulmonary lobectomy.Results 70 patients were carried out successfully,8 patients were forced to open thoracotomy.The average surgical duration was(157±34)min,and the average bleeding amount was (210±54)ml.There was no dead case during the operation period.The postoperative hospital stay was (10±14)days.Conclusion Completely video-assisted thoracoscopic pulmonary lobectomy with less trauma and quick recovery,safe and reliable characteristics,is an important method to treat lung diseases.