| 摘要: |
| 目的总结单孔胸腔镜肺叶切除术的临床经验。方法回顾性分析111例单孔胸腔镜肺叶切除术，统计手术时间、出血量、淋巴结清扫个数和站数、术后并发症等数据并进行分析。结果手术时间为49~350（158.0±52.8）min，术中出血量50~400（125.8±84.4）ml，清扫淋巴结3~38（19.7±7.4）个，清扫淋巴结站数1~11（6.9±1.6）站。有2例患者中转开胸。术后无患者发生支气管胸膜瘘以及大片肺不张，拔管后出现胸腔积液11例，房颤9例，气胸8例，肺部感染7例，切口延迟愈合5例，乳糜瘘1例。有2例术后死亡。结论单孔胸腔镜肺叶切除术手术风险基本等同于一般肺叶切除术，是一种安全可行的手术方式，可顺利完成肺叶切除术，彻底清扫淋巴结，患者术后疼痛减轻，切口美观，容易接受，值得推广。 |
| 关键词: 单孔胸腔镜手术 肺叶切除 术后并发症 |
| DOI：10.12056/j.issn.1006-2785.2018.40.9.2016-1513 |
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| Uniportal video-assisted thoracoscopic lobectomy for patients with lung cancer: a clinical analysis of 111 cases |
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Zhejiang Carcer Hospital
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| Abstract: |
| Objective To analyze the application of uniportal complete video-assisted thoracoscopic lobectomy for patients with lung cancer. Methods Clinical data of 111 patients with lung cancer undergoing pulmonary lobectomy by uniportal complete video-assisted thoracoscopic surgery were reviewed retrospectively. Results The mean operation time was 49~350 (158.0±52.8) min. The mean intraoperation blood loss was 50~400(125.8±84.4) ml. Average 3~38(19.7±7.4) lymph nodes were removed and 1~11 (6.9 ±1.6) lymph node stations were examined. Two patients were converted to thraocotomy during the operation. No bronchopleural fistula and atelectasis were observed. There were 11 cases of hydrothorax, 9 cases of atrial fibrillation, 8 cases of pneumothorax,7 cases of pulmonary infection, 5 cases of delayed healing of operative incision, and 1 case of chylous fistula postoperatively. Two postoperative deaths occurred. Conclusion The pulmonary lobectomy can be smoothly performed by uniportal complete video-assisted thoracoscopic surgery, the systemic dissection of lymph node can be achieved and the postoperative pain can be reduced remarkably. The risk of uniportal complete video-assisted thoracoscopic surgery is
almost equal with routine pulmonary lobectomy. |
| Key words: Uniportal complete video-assisted thoracoscopicsurgery Pulmonary lobectomy Postoperative com- plications |
