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目的观察胸腔镜下非小细胞癌根治术中区域淋巴结清扫的效果。方法对到本院救治的周围型非小细胞癌患者行全胸腔镜(VATS)和胸腔镜辅助小切口(VAMT)手术治疗。比较两组患者术中转移的阳性淋巴结数、清扫淋巴结数和术后随访情况。结果两组患者围手术期无死亡和严重并发症发生。在手术时间和术中出血量方面比较差异无统计学意义(P>0.05);在每例患者清扫淋巴结数目和术后1年内复发、转移方面差异也无统计学意义(P>0.05)。结论全胸腔镜下肺癌根治术可以非小细胞肺癌淋巴结清扫,取得和附加小切口同样的疗效。
Objective To observe the effect of regional lymph node dissection in thoracoscopic radical resection of non-small cell carcinoma. Methods Thoracoscopic surgery (VATS) and thoracoscope-assisted small incision (VAMT) surgery were performed on patients with peripheral non-small cell carcinoma who were treated in our hospital. The number of positive lymph nodes, the number of lymph nodes and postoperative follow-up in the two groups were compared. Results There were no perioperative deaths and serious complications in both groups. There was no significant difference in operative time and intraoperative blood loss (P> 0.05). There was no significant difference in the number of lymph nodes dissected between patients and recurrence and metastasis within 1 year after operation (P> 0.05). Conclusions Thoracoscopic radical resection of lung cancer can lymphadenectasis of non-small cell lung cancer and obtain the same effect as small incision.