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[目的]分析单操作孔全胸腔镜手术治疗周围型肺癌的临床效果及价值。[方法]回顾性分析采用单操作孔全胸腔镜手术治疗286例周围型非小细胞肺癌患者的临床病例资料。[结果]中转3孔2例,中转开胸4例;总手术时间平均152.7±24.6 min,术中出血162.0±51.3ml;平均清扫淋巴结11.3±5.8枚。胸腔引流管拔出时间3.9±2.0d;总引流量686.2±142.7 ml;术后第24h疼痛评分3.7±1.3分,第48h疼痛评分2.4±1.2分;术后住院时间7.5±2.8d。术后早期并发症发生率为8.4%,无30d内死亡病例。术后全组随访时间平均为15.2月(6~31个月),成功随访264例,死亡2例,复发或转移12例。[结论]单操作孔全胸腔镜手术治疗周围型肺癌安全可行、有效。
[Objective] To analyze the clinical effect and value of thoracoscopic surgery for peripheral lung cancer with single-operation hole. [Method] The clinical data of 286 cases of peripheral non-small cell lung cancer treated by single operation hole thoracoscopic surgery were retrospectively analyzed. [Results] 2 cases were transfered to 3 holes and 4 cases were transferred to thoracotomy. The total operation time was 152.7 ± 24.6 min, the intraoperative bleeding was 162.0 ± 51.3 ml and the average dissection lymph node was 11.3 ± 5.8. Thoracic drainage tube extraction time 3.9 ± 2.0d; total drainage 686.2 ± 142.7 ml; postoperative 24h pain score 3.7 ± 1.3 points, 48h pain score 2.4 ± 1.2 points; postoperative hospital stay 7.5 ± 2.8d. The incidence of early postoperative complications was 8.4%, with no deaths within 30 days. The average follow-up time was 15.2 months (range, 6-31 months). A total of 264 cases were successfully followed up, 2 died and 12 cases relapsed or transferred. [Conclusion] Thoracic surgery with single operation hole is safe and effective in treating peripheral lung cancer.