CAJ | 학술논문

目的探讨胸腔镜下中央型肺癌心包探查的安全和可靠性,评价其手术的应用价值.方法 2008年6月至2011年12月,对41例中心型肺癌患者,实施术前电视辅助胸腔镜心包探查术.结果胸腔镜心包探查后行肺切除术并心包内处理肺动脉8例(合并心包部分切除2例)、肺静脉10例,心包外全肺切除术9例；螺旋CT手术预测符合率仅为65.8％,平均心包探查(23±10) min.结论胸腔镜技术除可广泛应用于肺楔形切除、肺叶切除等手术方式外,为提高中晚期局部中央型肺癌手术切除率和生存率,电视辅助胸腔镜心包探查可减少剖胸探查术的必要.
목적 탐토흉강경하중앙형폐암심포탐사적안전화가고성,평개기수술적응용개치.방법 2008년6월지2011년12월,대41례중심형폐암환자,실시술전전시보조흉강경심포탐사술.결과 흉강경심포탐사후행폐절제술병심포내처리폐동맥8례(합병심포부분절제2례)、폐정맥10례,심포외전폐절제술9례；라선CT수술예측부합솔부위65.8％,평균심포탐사(23±10) min.결론 흉강경기술제가엄범응용우폐설형절제、폐협절제등수술방식외,위제고중만기국부중앙형폐암수술절제솔화생존솔,전시보조흉강경심포탐사가감소부흉탐사술적필요.
Objective To discuss the security and reliability of preoperative thoracoscopic pericardial exploratory and to evaluate of the surgical indications.Methods Video full-assisted thoracoscopic pericardioscopy has been implemented in 41 central type lung cancer cases before radical resection.Results Video assisted pericardioscopy group underwent thoracotomy lung resection with procession of intrapericardial pulmonary artery in 8 cases (partial pericardial resection in 2 cases),with pulmonary vein in 10 cases,and out-pericardial lung resection in 9 cases.Spiral CT projections were consistent with surgery was only 65.8 ％.The average time of explorationa was (23±10) min.Conclusion Except for widely used in pulmonary wedge resection and lobectomy,video-assisted thoracoscopic pericardial exploration can improve resection rate and survival rate in central type lung cancer patients which can reduce the need for exploratory thoracotomy.