肺癌外科治疗进展.ppt

肺癌治疗必须是多学科综合治疗，外科手术站重要地位 手术对象更广泛，N2、T4、单发转移、高龄等 手术方法更先进，做小更微创，做大更需安全有效 循证外科更推崇，是21世纪的外科的发展方向 综合治疗更强调，多种模式，更多期待 谢谢 手术对象更广泛 手术方法更先进 循证外科更强调 综合治疗更有效 Systematic review and meta-analysis of randomized and nonrandomized trials on safety and efficacy of video-assisted thoracic surgery lobectomy for early-stage non-small-cell lung cancer. Technical improvements have led to the development of lung resection with video-assisted thoracoscopic access (VATS lung resection). Of the 21 comparative studies (two of which were randomised), a systematic review concluded that there were no diff erences in air leaks, arrhythmia, pneumonia, mortality, or local recurrence between resections done open or using VATS, but there were lower systemic recurrences and improved 5-year survival with VATS. Systematic review and meta-analysis of randomized and nonrandomized trials on safety and efficacy of video-assisted thoracic surgery lobectomy for early-stage non-small-cell lung cancer. Technical improvements have led to the development of lung resection with video-assisted thoracoscopic access (VATS lung resection). Of the 21 comparative studies (two of which were randomised), a systematic review concluded that there were no diff erences in air leaks, arrhythmia, pneumonia, mortality, or local recurrence between resections done open or using VATS, but there were lower systemic recurrences and improved 5-year survival with VATS. Systematic review and meta-analysis of randomized and nonrandomized trials on safety and efficacy of video-assisted thoracic surgery lobectomy for early-stage non-small-cell lung cancer. Technical improvements have led to the development of lung resection with video-assisted thoracoscopic access (VATS lung resection). Of the 21 comparative studies (two of which were randomised), a systematic review concluded that there were no diff erences in air leaks, arrhythmia, pneumonia, mortality, or local recurrence between resections done open or using VATS, but there were low