文章摘要
孙振宇,赵永,顾敏威,陈晓峰,孙琦,张卫民.3种手术方式治疗非小细胞肺癌的临床研究[J].南京医科大学学报,2011,(3):427~430
3种手术方式治疗非小细胞肺癌的临床研究
The clinical research on the treatment of non-small cell lung cancer by three different surgery ways
投稿时间:2010-09-01  
DOI:10.7655
中文关键词: 全胸腔镜  肺癌
英文关键词: video-thoractomy  lung cancer
基金项目:
作者单位
孙振宇 南通大学第三附属医院胸心外科,江苏 无锡 214041 
赵永 南通大学第三附属医院胸心外科,江苏 无锡 214041 
顾敏威 南通大学第三附属医院胸心外科,江苏 无锡 214041 
陈晓峰 同济大学附属上海市肺科医院胸外科,上海 200433 
孙琦 南通大学第三附属医院胸心外科,江苏 无锡 214041 
张卫民 南通大学第三附属医院胸心外科,江苏 无锡 214041 
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中文摘要:
      目的:探讨非小细胞肺癌全胸腔镜下根治术与胸腔镜辅助小切口?常规进胸根治术的治疗方法和效果?方法:本组1 035例研究对象均为I~II期非小细胞肺癌患者,分别以3种不同手术方式行肺癌根治术,并对其临床资料进行回顾性分析?1 035例肺癌根治术中,637例常规进胸,256例胸腔镜辅助小切口,142例全胸腔镜下手术?结果:本组1 035例均获成功, 93例出现术后肺部并发症,37例出现心血管并发症,905例均未出现术后并发症?全组3种手术方法淋巴结均分组规范清扫,预后均无显著差异;全胸腔镜肺癌根治术中?术后出血少,术后并发症少,住院时间短,免疫力恢复较快?结论:全胸腔镜肺癌根治术对肺癌是一种完全可行并且安全的手术方法,具有创伤小?出血少?恢复快?切口美观等优点,全胸腔镜手还具有术后并发症少?免疫力恢复较快的优点,因此全胸腔镜手术有可能在肺癌手术中得到更广泛的应用?
英文摘要:
      Objective: To evaluate the treatment effect of radical resection of pulmonary carcinoma by video-thoractomy,video-assisted mini-thoractomy(VAMT) and conventional thoracotomy on non-small cell lung cancer(NSCLC). Methods:The clinical material of 1 035 cases with Ⅰ~Ⅱ stage NSCLC underwent,radical resection by three different surgery ways were reviewed. six hundred thirty -seven patients were taken by conventional thoracotomy, 256 patients were taken by video-assisted mini-thoractomy and 142 patients were taken by video-thoractomy. Results:All 1 035 operations were successful. Pulmonary complication occurred in 93 cases,and cardiovascular complication occurred in 37 cases. No significant post-operative complication was found in other 905 cases. All the cases were undergone grouping standard lymph node cleaning, and the prognosis had no significant difference. The radical resection of pulmonary carcinoma by video-thoractomy had the advantages of trauma, less complication, shorter in-hospital time, rapid immunity recovery. Conclusion:The radical resection of pulmonary carcinoma by video-thoractomy is completely feasible and safe. It has the advantages of less trauma and hemorrhage, rapid recovery, artistic margin and so on. It also has less complication and rapid immunity recovery. Therefore the video-thoractomy has the possibility to obtain a more widespread application in the lung cancer surgery.
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