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目的探讨电视胸腔镜辅助小切口在非小细胞肺癌根治术中的应用价值。方法 2007年1月至2011年6月,采用电视胸腔镜辅助小切口对32例非小细胞肺癌患者行肺叶切除加系统性肺门纵膈淋巴结清扫术。结果 32例均获得成功,胸腔闭式引流时间3～6 d,平均4.5 d;术后住院8～12 d,平均10 d;随访6～48个月,IIIa期有1例术后18月转移死亡。结论电视胸腔镜辅助小切口行非小细胞肺癌根治术具有创伤小、出血少、恢复快、疗效确切等优点,安全可靠,对术后化疗有更好的顺应性,值得临床推广。
Objective To investigate the value of video-assisted thoracoscopic assisted small incision in the treatment of non-small cell lung cancer. Methods From January 2007 to June 2011, a total of 32 patients with non-small cell lung cancer underwent lobectomy and systemic hilar mediastinal lymphadenectomy with video-assisted thoracoscopic assisted small incision. Results 32 cases were successful, the closed drainage time of thoracic cavity was 3 to 6 days (average 4.5 days), and the average hospital stay was 8 to 12 days (average 10 days). The follow-up ranged from 6 to 48 months death. Conclusion Video-assisted thoracoscopic assisted small incision in non-small cell lung cancer radical surgery with less trauma, less bleeding, rapid recovery, the exact effect, safe, reliable, postoperative chemotherapy has better compliance, is worthy of clinical promotion.