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目的探讨电视胸腔镜辅助小切口肺叶切除在肺癌根治术中的临床价值。方法 2008年1月—2009年12月本院收治48例I、Ⅱ期非小细胞肺癌,其中28例电视胸腔镜辅助小切口行肺叶切除术及肺门纵隔淋巴结清扫(VAMT组),并与20例常规开胸手术下完成肺叶切除术及淋巴结清扫(开胸组)的疗效进行比较分析。结果 2组手术时间差异无统计学意义(P>0.05),术中出血量、术后引流量、抗生素用量VAMT组比开胸组少,且住院时间比开胸组短。结论在肺癌根治术中,电视胸腔镜辅助小切口肺叶切除术疗效确切、安全,可以作为非小细胞肺癌的一种常规治疗手段。
Objective To investigate the clinical value of video-assisted thoracoscopic assisted small incision lobectomy in radical resection of lung cancer. Methods From January 2008 to December 2009, 48 patients with stage I and II non-small cell lung cancer were treated in our hospital. Twenty-eight cases underwent video-assisted thoracoscopic surgery for lobectomy and hilar mediastinal lymph node dissection (VAMT group) 20 cases of conventional thoracic surgery to complete lobectomy and lymph node dissection (thoracotomy group) the efficacy of comparative analysis. Results There was no significant difference in operative time between the two groups (P> 0.05). The blood loss, postoperative drainage and antibiotic dosage in VAMT group were less than those in thoracotomy group, and the hospitalization time was shorter than that in thoracotomy group. Conclusion In the radical operation of lung cancer, video-assisted thoracoscopic assisted small-incision lobectomy is effective and safe and can be used as a routine treatment for non-small cell lung cancer.