摘要
在世界范围内,胸腔镜(Video-assistedthoracoscopicsurgeryVATS)下行肺叶切除术治疗肺癌的相关经验正在逐步积累。尽管大多数肺叶切除术可在胸腔镜下完成,但目前只有不到5%的肺叶切除术通过胸腔镜完成。一些胸外科医生很关注胸腔镜手术的益处与安全性,但有些外科医生不了解如何完成胸腔镜手术方法。世界上有很多医学中心都可在胸腔镜下完成解剖学上彻底的肺叶切除术及淋巴结清扫。在我们完成的1100例胸腔镜肺叶切除术中,中位术后住院时间为3天,84.7%的患者无并发症出现。比较胸腔镜手术和开胸手术的各项研究显示微创外科治疗可减少疼痛,对术后肺功能影响较小,患者术后可较快恢复日常活动,对癌症患者而言术后生存率至少与开胸手术相当。现有数据显示多数肺癌手术可在胸腔镜下完成;胸腔镜肺叶切除术与开胸手术相比具有某些优势。
The experience around the world with VATS lobectomies for lung cancer is growing.Although most lobectomies could be performed with VATS, less than 5% are currently performed that way.Some thoracic surgeons are concerned regarding the safety or benefit of the operation.Other surgeons do not know how to perform the procedure.Complete anatomic resections and node dissections are routinely being performed at many centers around the world.For our 1100 VATS lobectomies, the median LOS was 3 days, and 84.7% had no complications. Studies comparing VATS and thoracotomy suggest that minimally invasive surgery causes less pain, has a smaller impact on postoperative pulmonary function, provides, a quicker return to regular activity, with at least comparable survival for cancer patients.Current data suggests that most lung cancer operations could be performed with VATS and that, compared to a thoracotomy, VATS operations have advantages for anatomic pulmonary resections.
出处
《中国癌症杂志》
CAS
CSCD
2005年第3期209-212,共4页
China Oncology
