单操作孔全胸腔镜肺叶切除术治疗肺癌临床分析.docVIP

单操作孔全胸腔镜肺叶切除术治疗肺癌临床分析 　　【摘要】 目的：探讨单操作孔全胸腔镜肺叶切除术（（single utility port VATS lobectomy）治疗早期肺癌的临床效果。方法：回顾性分析本院2012年1月-2016年6月采用全胸腔镜肺叶切除术治疗99例早期肺癌患者的临床资料，其中三孔组78例，单操作孔组21例，比较两组围术期的相关指标。结果：全部患者均顺利完成手术，6例改为辅助小切口，无围术期死亡病例。单操作孔组手术时间为（199.0±46.4）min，略长于三孔组的（176.1±38.0）min，差异有统计学意义（P=0.021）；两组的术中出血量、淋巴结清扫个数、术后引流量、引流天数、并发症发生率比较，差异均无统计学意义（P0.05）。结论：单操作孔肺叶切除术治疗早期肺癌是一种安全、可行的手术方式，由于切口减少，术后患者疼痛减轻，可能有利于病情的恢复，具有一定的临床优势。 　　【关键词】 单操作孔； 全腔镜肺叶切除术； 肺癌； 治疗 　　Clinical Analysis of Single Utility Port Complete VATS Lobectomy for Patients with Lung Cancer/WU Yi-gen，XIONG Wei，LI Zhan-qing，et al.//Medical Innovation of China，2016，13（33）：048-051 　　【Abstract】 Objective：To evaluate the clinical effect of single utility port complete VATS lobectomy for patients with early-stage lung cancer.Method：The clinical data of 99 patients with early-stage lung cancer who underwent complete VATS lobectomy from January 2012 to June 2016 in our hospital were retrospectively analyzed.The 3-portal group of 78 cases，21 cases of single utility port group，perioperative related indicators of two groups were compared.Result：All patients were successfully completed surgery，6 cases with assisted small incision，there was no perioperative death.The operation time of single utility port group was （199.0±46.4）min，which a little longer than （176.1±38.0） min in 3-portal group，the difference was statistically significant（P=0.021）.The intraoperative bleeding，lymph node dissection，postoperative drainage，drainage time，complication rate were no significant differences between the two groups（P0.05）.Conclusion：Single utility port complete VATS lobectomy is a safe，feasible way of treatment for patients with early stage lung cancer，and the postoperative pain is lightly，may be conducive to the recovery of the disease，has certain clinical advantages. 　　【Key words】 Single utility port； Complete VATS lobectomy； Lung cancer； Treatment 　　First-author’s address：The Second Hospital of Xiamen，Xiamen 361021，China 　　doi：10.3969/j.issn.1674