CAJ | 학술논문

目的：探讨电视胸腔镜下肺叶切除术在早期非小细胞肺癌及良性病变治疗中的适应证、安全性及手术方法。方法：回顾性分析2010年8月～2013年12月全电视胸腔镜肺叶切除的47例临床资料。结果：47例患者均顺利在全电视胸腔镜下完成手术，另有3例中转开胸，手术时间85～270 min，平均（165±32）min；术中出血30～150 ml，平均（65±27）ml；胸腔闭式引流时间3～12 d，平均（6±2）d。术中1例误切中叶肺，术后1例发生血胸，1例中叶肺实变，无死亡病例。结论：严格掌握适应证，电视胸腔镜下肺叶切除及淋巴结清扫是安全可行的。
목적：탐토전시흉강경하폐협절제술재조기비소세포폐암급량성병변치료중적괄응증、안전성급수술방법。방법：회고성분석2010년8월～2013년12월전전시흉강경폐협절제적47례림상자료。결과：47례환자균순리재전전시흉강경하완성수술，령유3례중전개흉，수술시간85～270 min，평균（165±32）min；술중출혈30～150 ml，평균（65±27）ml；흉강폐식인류시간3～12 d，평균（6±2）d。술중1례오절중협폐，술후1례발생혈흉，1례중협폐실변，무사망병례。결론：엄격장악괄응증，전시흉강경하폐협절제급림파결청소시안전가행적。
Objective:To investigate the indications,safety and surgical modality of complete video-assisted thoracoscopic(c-VATS) lobectomy in treat-ment of early stage non-small-cell lung carcinoma in its early stage and such benign lesions.Methods:The clinical data were retrospectively examined in 47 cases undergone the c-VATS lobectomy between August 2010 and December 2013 in our hospital.Results:The c-VATS lobectomy was successfully com-pleted in the total 47 patients,and another 3 required conversion to thoracotomy.The operative time ranged from 85 to 270 min,mean (165 ±32) min,the intraoperative blood loss was 30~150 ml,mean(65 ±27)ml,and the extubation time was from 3 to 12 days,mean (6 ±2)d.Accidental cut of the right middle lobe occurred in one case,postoperative hemothorax in one,and right middle lobe consolidation in another one.No death occurred.Conclusion:c-VATS lobectomy and lymph node dissection are safe and feasible,given that the indications are strictly controlled.