CAJ | 학술논문

目的：探讨全胸腔镜下肺叶切除术对非小细胞肺癌（ NSCLC ）的疗效。方法根据手术方式将103例NSCLC患者分为观察组（59例）与对照组（44例），观察组在全胸腔镜下行肺叶切除术，对照组在胸腔镜辅助小切口直视下行肺叶切除术，现回顾分析两组患者的临床资料。结果观察组术中出血量显著低于对照组（P＜0．05），两组患者淋巴结清扫数目比较差异无统计学意义（P＞0．05）。两组患者术后并发症发生率相比差异无统计学意义（P＞0．05）。观察组术后止痛药物使用时间、术后引流管放置时间、术后住院时间显著短于对照组（P＜0．05）。结论全胸腔镜下肺叶切除术与胸腔镜辅助小切口直视下肺叶切除术治疗NSCLC的疗效相当，但是前者创伤更小、术后恢复更快，是临床治疗NSCLC的理想术式。
목적：탐토전흉강경하폐협절제술대비소세포폐암（ NSCLC ）적료효。방법근거수술방식장103례NSCLC환자분위관찰조（59례）여대조조（44례），관찰조재전흉강경하행폐협절제술，대조조재흉강경보조소절구직시하행폐협절제술，현회고분석량조환자적림상자료。결과관찰조술중출혈량현저저우대조조（P＜0．05），량조환자림파결청소수목비교차이무통계학의의（P＞0．05）。량조환자술후병발증발생솔상비차이무통계학의의（P＞0．05）。관찰조술후지통약물사용시간、술후인류관방치시간、술후주원시간현저단우대조조（P＜0．05）。결론전흉강경하폐협절제술여흉강경보조소절구직시하폐협절제술치료NSCLC적료효상당，단시전자창상경소、술후회복경쾌，시림상치료NSCLC적이상술식。
Objective To explore the efficacy of complete video-assisted thoracoscopic lobectomy in the treatment of non-small cell lung cancer(NSCLC).Methods 103 cases of NSCLC were divided into the observation group (59 cases) and the control group(44 cases) according to operation method .The observation group received complete video-assisted thoracoscopic lo-bectomy ,and the control group received video-assisted thoracoscopic mini-incision lobectomy ,and the clinical data of the 2 groups were analyzed retrospectively .Results The intra-operative blood loss in the observation group was significantly lower than that of the control group(P<0.05),there was no significant difference in the number of lymph node dissection between the 2 groups(P>0.05).There was no significant difference in incidence of postoperative complications between the 2 groups(P>0.05).The postoperative anesthesia period , postoperative drainage period and postoperative hospitalization period in the observation group were significantly lower than those of the control group (P<0.05).Conclusion The complete video-assisted thoracoscopic lo-bectomy and video-assisted thoracoscopic mini-incision lobectomy have similar efficacy in the treatment of NSCLC ,but the former is of smaller trauma and more rapid recovery ,which is an ideal operation method for NSCLC .