该文分析电视胸腔镜术在老年人肺转移瘤治疗中的作用。 18例老年人接受了电视胸腔镜辅助下肺叶部分切除术。 15例术中出血为 3 0～ 2 0 0ml,2例出血 4 0 0ml,1例出血 60 0ml,13例无需输血 ,无手术死亡 ,无需术后呼吸机辅助呼吸。电视胸腔镜手术对老年人、特别是心肺功能一定程度障碍的肺转移患者作肺部分切除术是值得推荐的方法。 This article analyzes the role of video-assisted thoracoscopic surgery in the treatment of elderly patients with pulmonary metastases. Eighteen elderly patients underwent partial lobectomy with video-assisted thoracoscopy. 15 cases had intraoperative bleeding of 30 to 200 ml, 2 cases of 400 ml of bleeding, 1 case of bleeding of 60 ml, 13 cases required no blood transfusion, no operative death, and no need for postoperative ventilator-assisted breathing. Video-assisted thoracoscopic surgery for elderly patients, especially patients with lung metastases with a certain degree of impairment of heart and lung function, is a method worthy of partial resection.