|本期目录/Table of Contents|

[1]朱 勇,梁明强,吴维栋,等.单孔全胸腔镜肺叶切除术治疗非小细胞肺癌的初步探索[J].福建医科大学学报,2014,48(06):382-384.
 ZHU Yong,LIANG Mingqiang,WU Weidong,et al.Preliminary Exploration of Single-port Total ThoracoscopicLobectomy in Treating Non-small Cell Lung Cancer[J].Journal of Fujian Medical University,2014,48(06):382-384.
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《福建医科大学学报》[ISSN:1672-4194/CN:35-1192/R]

卷:
第48卷
期数:
2014年06期
页码:
382-384
栏目:
临床研究
出版日期:
2015-02-01

文章信息/Info

Title:
Preliminary Exploration of Single-port Total ThoracoscopicLobectomy in Treating Non-small Cell Lung Cancer
文章编号:
1672-4194(2014)06-0381-04
作者:
朱 勇 梁明强 吴维栋 郑剑滔 郑 炜 陈 椿
福建医科大学 附属协和医院胸外科,福州 350001
Author(s):
ZHU Yong LIANG Mingqiang WU Weidong ZHENG Jiantao ZHENG Wei CHEN Chun
Department of Thoracic Surgery, Fujian Medical University Union Hospital, Fuzhou 350001, China
关键词:
胸腔镜 肺切除术非小细胞肺
Keywords:
single-port total thoracoscopic lobectomy non-small cell lung cancer
分类号:
R443.8; R655;
DOI:
-
文献标志码:
A
摘要:
目的 探讨单孔全胸腔镜肺叶切除手术治疗非小细胞肺癌的安全性、可行性。 方法 回顾性分析行单孔全胸腔镜肺叶切除治疗的20例非小细胞肺癌患者的临床资料。 结果 全组均顺利手术,手术切口选在腋前线第4或第5肋间,长约3.5~4.5 cm,无增加切口或改开胸手术。术后出现肺部感染1例,经治疗后康复出院。全组手术时间(217.0±46.0)min,术中失血量(92.5±50.3)mL,术后总引流量(732.2±413.9)mL,术后胸管留置时间(4.3±1.7)d,术后第1 d疼痛视觉模拟评分(3.9±0.8)分,术后住院时间(6.8±3.6)d; 全组平均淋巴结清扫总数(24.3±11.7)枚,纵隔淋巴结清扫站数(4.5±1.0)站,纵隔淋巴结清扫数(16.3±9.5)枚。 结论 单孔全胸腔镜肺叶切除术治疗非小细胞肺癌安全可行,值得临床推广。
Abstract:
Objective To investigate the safety and feasibility of single-port total thoracoscopic lobectomy in treating non-small cell lung cancer. Methods A retrospective study was conducted on 20 patients with non-small cell lung cancer(NSCLC)from May 2014 to July 2014. There were 12 male patients and 8 female patients. The average age was(62.3±16.5)year old. All patients underwent lobectomy, including 5 cases left upper lobe, 4 cases left lower lobe, 4 cases right upper lobe, 3 cases right middle lobe, and 4 cases right lower lobe. Postoperative pathology demonstrated 17 cases of adenocarcinoma, 2 cases of squamous carcinoma, and 1 case of carcinoid tumor. Patients with TNM stages 0, Ⅰa, Ⅰb, Ⅱa, Ⅱb, and Ⅲa were 1, 7, 5, 1, 3, and 3 cases. Results All participants underwent surgeries successfully. The incision was located at the 4th or 5th intercostal space along the anterior axillrey line with a length of 3.5~4.5 cm. The average operative time was(217.0±46.0)min, and the average intraoperative blood loss was(92.5±50.3)mL. The average postoperative total volume of drainage was (732.2±413.9)mL, and the average chest drainage duration was(4.3±1.7)d. The average postoperative one-day pain visual analogue scale(POP-VAS)was(3.9±0.8), and the average postoperative hospital stay was(6.8±3.6)d. On the average, the total lymph node harvests were(24.3±11.7), the mediastinal lymph node harvests were(16.3±9.5), and the dissection of mediastinal lymph node groups were(4.5±1.0). All cases underwent single-port total thoracoscopic lobectomy without any other ports and conversion to open thoracotomy. There were no death cases during perioperative period, and one case with pulmonary infection was discharged after treatment. Conclusion Single-port total thoracoscopic lobectomy for treating NSCLC is feasible and it deserves clinical popularization.

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备注/Memo

备注/Memo:
收稿日期: 2014-09-24
作者单位: 福建医科大学 附属协和医院胸外科,福州 350001
作者简介: 朱 勇(1973-),男,副主任医师,医学博士通讯作者: 陈 椿. Email: chenchun0209@163.com
更新日期/Last Update: 2015-02-01