CAJ | 학술논문

目的：探讨全胸腔镜下肺癌根治术淋巴结清扫的效果。方法回顾性分析2010年2月至2014年2月来本院治疗肺癌的患者150例，其中75例(研究组)采用全胸腔镜下肺叶切除术和纵膈淋巴结清扫术，利用三孔法，在不撑开患者肋骨的情况下实施手术；另外75例(对照组)采用传统开胸手术的方式。比较两组的手术情况、住院时间、治疗情况(清扫淋巴结站数、清扫淋巴结数)、并发症发生情况及死亡率。结果两组患者的手术时间、术中出血量、住院时间、治疗情况差异无统计学意义(P跃0.05)；研究组的并发症发生率和死亡率低于对照组(P<0.05)。结论全胸腔镜下肺癌根治术治疗非小细胞肺癌是安全可行的，淋巴结清扫不亚于开胸手术，值得临床推广。
목적：탐토전흉강경하폐암근치술림파결청소적효과。방법회고성분석2010년2월지2014년2월래본원치료폐암적환자150례，기중75례(연구조)채용전흉강경하폐협절제술화종격림파결청소술，이용삼공법，재불탱개환자륵골적정황하실시수술；령외75례(대조조)채용전통개흉수술적방식。비교량조적수술정황、주원시간、치료정황(청소림파결참수、청소림파결수)、병발증발생정황급사망솔。결과량조환자적수술시간、술중출혈량、주원시간、치료정황차이무통계학의의(P약0.05)；연구조적병발증발생솔화사망솔저우대조조(P<0.05)。결론전흉강경하폐암근치술치료비소세포폐암시안전가행적，림파결청소불아우개흉수술，치득림상추엄。
Objective To explore the effect of lymph node dissection for radical resection of lung cancer under total thoracoscopy. Methods 150 patients with lung cancer treated in our hospital from February 2010 to February 2014 were retrospectively analyzed.75 patients (research group) were given lobectomy and lymph node dissection of medi-astinum under total thoracoscopy and the surgery was performed via three holes method without expanding patients’ribs,while the other 75 patients (control group) were given conventional open thoracotomy. Operation situation,hospital stay,treatment situation,the incidence rate of complication and death rate between two groups was compared respective-ly. Results There was no statistical difference of operation time,amount of bleeding during operation,hospital stay,num-ber of station and number of lymph node dissection between two groups (P>0.05).The incidence rate of complication and death rate of study group was lower than that of control group respectively (P<0.05). Conclusion Radical resection of lung cancer under total thoracoscopy treating non-small cell lung cancer is safe and feasible,its lymph node dissec-tion is nothing less than thoracotomy.It is worthy of clinical promotion.