摘要
目的探讨全胸腔镜肺叶切除术治疗早期肺癌的可行性及应用价值。方法回顾性分析2011年12月—2015年6月北流市人民医院胸外科实行全胸腔镜下及传统开胸肺叶切除术的肺癌患者共为68例,其中施行全胸腔镜下肺叶切除术35例(试验组),传统开胸肺叶切除术33例(对照组),比较2组的手术时间、术中出血量、淋巴结清扫枚数、住院时间、术后并发症和手术费用等。结果所有患者均顺利完成手术,无严重并发症及围手术期死亡病例发生。试验组患者平均切口长度、术中失血量均短于/少于对照组,差异均有统计学意义(P<0.05);试验组的术后拔管时间、术后切口拆线时间和术后住院时间短于对照组,差异均有统计学意义(P<0.05),但试验组的手术时间显著长于对照组(P<0.05);试验组患者术后胸腔总引流量低于对照组,但差异无统计学意义(P>0.05);2组在清扫淋巴结站数和淋巴结清扫枚数方面比较,差异均无统计学意义(P>0.05);2组的手术费用比较接近,差异无统计学意义(P>0.05)。结论与传统开胸肺叶切除术相比,全胸腔镜下手术能够缩短住院时间、减少手术创伤,值得在基层医院临床推广应用。
Objective To compare the clinical indicators of patients undergoing complete total thoracoscopy lobecto -my and conventional lobectomy , and to explore the feasibility and application value of thoracoscopic operation .Methods To-tally 68 patients with lung cancer in this study from December 2011 to June 2015 were enrolled , 35 cases undergoing complete total thoracoscopy lobectomy （ study group ） , and 33 cases undergoing complete conventional lobectomy （ control group ） . Differences of numbers of lymph nodes removal , operation duration , volumes of intraoperative bleeding , length of postoperative hospital stay, surgery cost, and incidence rates of postoperative complication were compared .Patients of study group＇ s total pleural drainage was lower than that in control group , but the difference was not statistically significant （ P 〉0.05）;compari-son of the 2group ＇ s lymph node dissection station and number of lymph node dissection showed that the difference was not sta -tistically significant （ P 〉0.05）; two groups of operation cost is close to the same , no significant differences were found （P 〉0.05）.Results All procedures were carried out smoothly without serious complications .Postoperative extubating time, the length of the incision , blood loss, the average length of stay of study group were significantly lower than those of the control group （ P 〈0.05）, while there was no significant differences between the two groups in lymph nodes dissection number , postoperative drainage and surgery cost （ P 〉0.05）.However, the operation time of the control group were significantly shor-ter than that of the study group （ P 〈0.05）.Conclusion Compared with traditional thoracotomy lobectomy , total thoraco-scopic surgery can shorten hospital stays , reduce surgical trauma ,which is worthy of clinical application .
出处
《疑难病杂志》
CAS
2016年第9期885-888,共4页
Chinese Journal of Difficult and Complicated Cases
基金
广西壮族自治区卫生厅计划课题项目(Z2013120)
关键词
全胸腔镜肺叶切除术
开胸肺叶切除术
肺癌
基层医院
Total thoracoscopy lobectomy
Thoracotomy lobectomy
Early lung cancer
Primary hospital
作者简介
通信作者：植华德，E-mail：l．i．u．212@163．com
