【摘要】 目的探讨单操作孔胸腔镜下肺叶切除、淋巴结清扫治疗早中期肺癌的临床疗效和价值。方法回顾性分析2011年6月至2014年12月山东省济宁医学院附属医院开展的192例全胸腔镜肺叶切除患者的临床资料。结果 192例患者均顺利行肺叶或全肺切除和淋巴结清扫;均无支气管胸膜瘘、切口感染,术中常规支气管切端的快速病理检查提示切缘无癌残留。手术时间50~240 min,术中出血50~260 ml;术后引流100~370 ml,平均190 ml/d;术后3~5 d拔除胸腔引流管,患者拔管后即能自行下床活动,切口疼痛轻微;术后住院时间5~9 d。结论单操作孔胸腔镜下行肺癌根治手术安全可行、创伤小,符合肺癌手术原则,可作为部分肺癌患者的推荐治疗方式。更多还原

【Abstract】 Objectives Explore a single operation hole thoracoscopic lobectomy and lymph node dissection for treatment of early and middle stage lung cancer clinical efficacy and value. Methods Retrospective analysis of the clinical data of 192 cases of thoracoscopic lobectomy carried out by this group in Apr. 2011 to Dec. 2014. Results 192 patients were successfully performend lobectomy or pneumonectomy and lymph node dissection. The whole group of patients without bronchial pleural repeated,wound infection,normal bronchial cut ends intraoperative rapid pathological not to mention cutting edge no residual cancer.The operative time for 50 to 240 min,blood loss 50 to 260 ml,postoperative drainage flow rate of 100 to370 ml,an average of 190 ml,3 to 5 days after chest drain removal,extubation after their own get out of bed, incision pain. Postoperative hospital stay 5-9 days. Conclusions The single operation hole thoracoscopic radical resection of lung cancer is feasible and safe,less invasive,in line with the principles of lung cancer surgery,the recommended treatment as part of the lung cancer patients.更多还原