CAJ | 학술논문

目的探讨电视胸腔镜手术(VATS)诊治肺部小结节的价值.方法 2004年2月至2010年12月对68例肺小结节应用电视胸腔镜手术行肺小结节病灶切除,术中快速冰冻切片,对恶性病变按恶性肿瘤手术原则进一步手术,良性病变则结束手术.结果诊断恶性病变37例,其中31例原发性肺癌行胸腔镜肺癌根治术及楔形切除术,1例双侧肺癌和5例肺转移癌行胸腔镜肺叶楔形切除术；31例术中病理诊断为肺良性病变,仅行病灶切除术.结论电视胸腔镜诊治肺部小结节,创伤小,诊断准确,具有很大优势.
목적 탐토전시흉강경수술(VATS)진치폐부소결절적개치.방법 2004년2월지2010년12월대68례폐소결절응용전시흉강경수술행폐소결절병조절제,술중쾌속빙동절편,대악성병변안악성종류수술원칙진일보수술,량성병변칙결속수술.결과 진단악성병변37례,기중31례원발성폐암행흉강경폐암근치술급설형절제술,1례쌍측폐암화5례폐전이암행흉강경폐협설형절제술；31례술중병리진단위폐량성병변,부행병조절제술.결론 전시흉강경진치폐부소결절,창상소,진단준학,구유흔대우세.
Objective To investigate the efficacy of video-assisted thoracoscopic surgery(VATS) in diagnosis and treatment of small pulmonary nodules.Methods From February 2004 to December 2010,68 patients with small solitary pulmonary nodules were treated by video-assisted thoracoscopic surgery.The nodules were removed during the operation,and then based on the results of quick pathological examination,malignant cases received further surgeries.Results Totally 37 patients were diagnosed with malignant disease.Thirty-one of them received VATS lobectomy for primary lung cancer,VATS resection of the lesions were performed on 6 patients who had bilateral( 1case)or metastatic lung cancer(5 cases).Benignlesions were confirmed in 31patients during the operation,and were removed by local resection.Conclusion VATS is effective in the diagnose and treatment of small pulmonary nodules.