CAJ | 학술논문

目的比较完全胸腔镜下解剖性肺段切除术与肺叶切除术两种手术方式的近期疗效.方法 2011年11月回顾性选取完全胸腔镜下的肺部手术治疗肺部小结节89例,其中肺段切除26例,肺叶切除术63例.比较两组手术时间、术中出血量、清扫淋巴结数目、所用腔镜直线切割缝合器钉仓数目、术后引流量及引流时间、住院时间、住院费用、术后并发症及死亡率.结果两组比较,肺段切除术组相比于肺叶切除术组,术中出血量少、术后引流天数少、术后引流量少、术后平均住院时间短、术中使用钉仓数多(P均＜0.05)；两组手术时间、清扫淋巴结数目、住院费用无统计学差异(P＞0.05)；两组患者术后均未出现并发症、复发及死亡.结论胸腔镜肺段切除术与肺叶切除术一样安全有效,但术后恢复更快.
목적 비교완전흉강경하해부성폐단절제술여폐협절제술량충수술방식적근기료효.방법 2011년11월회고성선취완전흉강경하적폐부수술치료폐부소결절89례,기중폐단절제26례,폐협절제술63례.비교량조수술시간、술중출혈량、청소림파결수목、소용강경직선절할봉합기정창수목、술후인류량급인류시간、주원시간、주원비용、술후병발증급사망솔.결과 량조비교,폐단절제술조상비우폐협절제술조,술중출혈량소、술후인류천수소、술후인류량소、술후평균주원시간단、술중사용정창수다(P균＜0.05)；량조수술시간、청소림파결수목、주원비용무통계학차이(P＞0.05)；량조환자술후균미출현병발증、복발급사망.결론 흉강경폐단절제술여폐협절제술일양안전유효,단술후회복경쾌.
Objective To compare the safety and efficacy of videio-assisted thoracoscopic surgery (VATS) segmentectomy and VATS lobectomy.Methods From Nov 2010 to Jul 2011,26 patients underwent VATS segmentectomy and 63 underwent VATS lobectomy.Intraoperative blood loss and the numbers of staplers used,the numbers of lymph nodes dissected,postoperative drainage time,hospital stay,costs,local recurrence and survial were compared between two groups.Results The intraoperative blood loss,postoperative drainage amount and time,and hospital stay were fewer in segmentectomy group than those in lobectomy group( P ＜ 0.05 ).The numbers of staplers used were more in segmentectomy group than those in lobectomy group ( P ＞ 0.05 ).There were no significant differences in the operating time,blood loss,numbers of lymph nodes dissected and costs in two groups.No postoperative complications,death and local recurrence occurred in two groups up to now.Conclusions VATS segmentectomy is as safe and effective as VATS lobectomy.Patients underwent VATS segmentectomy recoverd faster.