摘要
目的 探讨电视胸腔镜辅助小切口肺癌根治术的 5年疗效。 方法 应用胸腔镜辅助小切口对肺癌患者行肺叶或全肺切除、肺癌根治术 2 2 0 0例 ,取其中 1995年完成的 130例作 5年生存率统计 ,术式包括单肺叶切除术 110例 ,双肺叶切除术 11例 ,全肺切除术 9例。所有数据作 Cox回归生存分析。 结果 术后住院时间 3～ 15天 ,平均住院时间 8天 ,恢复生活自理时间 7～ 13天 ; 期肺癌 5年生存率 87.8% , 期 5年生存率 42 .8% ; a期 5年生存率 2 7.3%。 结论 胸腔镜辅助小切口行肺叶或全肺切除、肺癌根治术具有创伤小 ,恢复快 ,出血、输血少 ,对心肺功能损伤小 ,开、关胸时间短的优点 ,5年生存率与传统开胸术差别无显著性意义。
Objective To research the 5 year results of the video assisted small thoracoscopic operation in lung cancer. Methods From July 1994 to May 2001, the authors had treated 2 200 cases of lung cancer patients, 130 cases treated in 1995 have been followed up, including 110 cases of lobectomy and 11 cases of bilobular lobectomy as well as 9 cases of pneumonectomy. All data were analyzed by Cox. Results The mean hospitalization was 8 days (3-15 days), the 5 year survival rate of stage Ⅰ was 87.8%, stage Ⅱ was 42.8%, and stage Ⅲa was 27.3%. Conclusion The lobectomy and pneumonectomy for lung cancer by video assisted small incision thoracic operation has minimal damage, short recovery, less bleeding and less damage to lung and heart function. Its 5 year survival rate is the same as the traditional incision. Both thoracoscopic and traditional thoracotomy experiences is required for the surgeon.
出处
《中国胸心血管外科临床杂志》
CAS
2002年第1期29-31,共3页
Chinese Journal of Clinical Thoracic and Cardiovascular Surgery
关键词
肺癌
胸腔镜手术
微创胸部手术
Lung cancer
Thoracoscopy
Minimal invasive thoracic surgery
