CAJ | 학술논문

目的探讨全胸腔镜下肺癌根治术的手术效果。方法选择2009-01-2013-10住院治疗的周围型肺癌患者，按照治疗方法分为全胸腔镜下肺癌根治术组（简称胸腔镜组）和常规开胸肺癌根治术组（对照组），比较两组患者术中、术后情况以及并发症发生率。结果两组患者手术均顺利完成，胸腔镜组患者中无一例中转开胸。两组患者的淋巴结清扫数及阳性淋巴结数无统计学差异（均P＞0.05）。胸腔镜组术后胸管引流时间、术后引流量、术后住院时间以及并发症发生率均低于对照组（均P＜0.05）。结论全胸腔镜下肺癌根治术淋巴结清扫对患者造成的创伤较小、术后恢复时间较短，对淋巴组织的清扫彻底，具有临床推广应用的价值。
목적탐토전흉강경하폐암근치술적수술효과。방법선택2009-01-2013-10주원치료적주위형폐암환자，안조치료방법분위전흉강경하폐암근치술조（간칭흉강경조）화상규개흉폐암근치술조（대조조），비교량조환자술중、술후정황이급병발증발생솔。결과량조환자수술균순리완성，흉강경조환자중무일례중전개흉。량조환자적림파결청소수급양성림파결수무통계학차이（균P＞0.05）。흉강경조술후흉관인류시간、술후인류량、술후주원시간이급병발증발생솔균저우대조조（균P＜0.05）。결론전흉강경하폐암근치술림파결청소대환자조성적창상교소、술후회복시간교단，대림파조직적청소철저，구유림상추엄응용적개치。
Objective To compare the efficacy of video- assisted thoracoscopic resection with open thoracotomy in treat-ment of lung cancer. Methods Five hundred patients with lung cancer were admitted in hospital from 2009 January to 2013 Oc-tober, among whom 300 patients were treated with video- assisted thoracoscopic resection and lymphadenectomy (thorascopic group) and another 200 underwent conventional open thoracotomy (control group). The clinical results were compared between two groups. Results Operations were successful y completed in al patients;no patients in thoracoscopic group were conversed to open thoracotomy. There were no significant differences in number of dissected lymph nodes and positive rate of removed nodes. The intraoperative drainage time, postoperative drainage volume, postoperative hospitalization time, complication rate in thorascopic group were lower than those of control group (P<0.05). Conclusion Video- assisted thoracoscopic resection has less trauma, short postoperative recovery time and thorough dissection of lymph nodes;it can be widely applied for treatment of lung cancer.