摘要
目的 观察胸腔镜手术 (VATS)在诊治肺肿瘤和肺部微小结节中的作用和地位。 方法 应用VATS诊治肺肿瘤和肺部微小结节 39例 ,其中肺癌 34例。行肺楔形切除 8例 ,肺叶切除 2 5例 ,胸膜粘连固定术 2例 ,肺癌分期 5例 ,肺活检手术 5例。 结果 本组手术顺利 ,无手术死亡和术后并发症。手术创伤小 ,出血少 ,术后恢复快 ,住院时间短。 结论 VATS对早期和晚期肺癌的诊断治疗 ,尤其对肺部微小结节的确诊和晚期肺癌分期十分有用 ,可显著提高早期肺癌的确诊率 ,避免肺部微小结节的误诊误治 ,还可使一些疑为晚期的患者获得手术根治机会。VATS对于心肺功能差与年龄大的高危人群的肺癌手术、恶性胸水的治疗已成为其它方法难以取代的安全有效的手段。
Objective To investigate the effect and role of video assisted thoracoscopic surgery (VATS) in the diagnosis and treatment of tumor and mini nodules of the lung. Methods Thirty nine cases of tumor and mini nodules of the lung were diagnosed and treated by VATS, including 34 cases of lung cancer. Pulmonary wedge resection was performed in 8 patients, pulmonary lobectomy in 25, pleuroparietopexy in 2, staging of lung cancer in 5, and lung biopsy in 5. Results These operations were successful. There was no operative mortality and morbidity. It reduced operative injury and bleeding, and helped patients avoid imported xenogenous blood, so post operative convalescence was improved and the time in hospital was greatly shortened. Conclusion VATS is very effective in the diagnosis and treatment of early and late lung cancer, especially in lung mini nodules and the stages of late lung caner. It can sharply elevate the rate of diagnosis of early lung cancer, and avoid the error of diagnosis and treatment of lung mini nodules. The patients who suffer late lung cancer in doubt have the opportunity to receive radical pneumonectomy. VATS is a safe and effective method to deal with the operation of lung cancer and the treatment of cancerous hydrothorax of high risk people who are old and whose cardiopulmonary functions are feeble. In this sense, it is superior to other methods.
出处
《中国现代手术学杂志》
2000年第4期267-268,共2页
Chinese Journal of Modern Operative Surgery
