【摘要】：目的 分析胸腔鏡下肺段切除術(shù)在治療早期外周型非小細(xì)胞肺癌的可行性及安全性。 方法 回顧性分析浙江大學(xué)附屬第二醫(yī)院2010年1月至2013年1月10例行胸腔鏡下肺段切除術(shù)的患者臨床資料,其中男6例,女4例；平均年齡71.3(55-77)歲,術(shù)前患者肺功能FEV1實測值/預(yù)計值平均為61.18%(41%-81.8%),術(shù)前胸部CT示腫瘤直徑≤2.0cm。 結(jié)果 10例肺癌患者成功施行了胸腔鏡下肺段切除術(shù),無中轉(zhuǎn)開胸,無中轉(zhuǎn)行肺葉切除,無術(shù)后并發(fā)癥及無圍手術(shù)期死亡。術(shù)后常規(guī)病理診斷示腺癌10例。平均手術(shù)時間115.7(100-132)min,手術(shù)平均出血量73(50-100)ml,術(shù)后胸腔引流管平均留置時間5.6(3-8)d,術(shù)后平均住院時間8.5(5-12)d,術(shù)中清掃淋巴結(jié)平均數(shù)19.8(11-36)顆,10例患者平均隨訪時間20.7(2-39)月,10例患者皆為無瘤生存,未發(fā)生轉(zhuǎn)移或復(fù)發(fā)。 結(jié)論 胸腔鏡下肺段切除術(shù)在治療早期外周型非小細(xì)胞肺癌是可行性的且安全的。
[Abstract]:Objective to analyze the feasibility and safety of thoracoscopic segmental resection in the treatment of early peripheral non-small cell lung cancer. Methods the clinical data of 10 patients undergoing thoracoscopic pneumonectomy in the second affiliated Hospital of Zhejiang University from January 2010 to January 2013 were retrospectively analyzed, including 6 males and 4 females. The mean age was 71.3 (55-77) years. The mean FEV1 / predicted value of lung function was 61.18% (41-81.8%). Preoperative CT showed that the diameter of tumor was 鈮，

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