CAJ | 학술논문

回顾性分析45例孤立性肺结节患者在针型胸腔镜下完成肺楔形切除的临床资料,其中22例为良性病变,23例为肺癌.手术时间平均为98 min,平均出血量82 ml,平均住院时间9.9 d.无死亡,无严重并发症.说明该手术在鉴别孤立性肺结节性质及治疗方面安全有效,具有明显的微创优势.
회고성분석45례고립성폐결절환자재침형흉강경하완성폐설형절제적림상자료,기중22례위량성병변,23례위폐암.수술시간평균위98 min,평균출혈량82 ml,평균주원시간9.9 d.무사망,무엄중병발증.설명해수술재감별고립성폐결절성질급치료방면안전유효,구유명현적미창우세.
Lung wedge resections under needle video-assisted thoracoscopy were performed in 45 casesof SPIN. Those in whom lung cancer was confirmed received pneumonectomy subsequently. Needle video-assisted thoracoscopic surgery was performed successfully in all patients. Pathological examination showedbenign tumors in 22 cases and malignant lesions in 23 cases. For malignant cases radical resection of lunglobe was performed with assisted small auxiliary incision. The operation time was 25 - 180 min; the meanblood lose was less than 200 ml; the length of hospital stay was 3 - 20 d. There were no serious post-operational complications and fatal cases. Needle video-assisted thoracoscopic surgery is of value in diagnosisand treatment of solitary pulmonary nodule with satisfactory therapeutic effects.