電視胸腔鏡肺癌根治術(shù)的臨床研究.pdf

1、福建醫(yī)科大學碩士學位論文電視胸腔鏡肺癌根治術(shù)的臨床研究姓名：江文壇申請學位級別：碩士專業(yè)：外科學（胸外科學）指導(dǎo)教師：林若柏20090301CLINICALSTUDYOFPULMoNARYLoBECToMYBYVIDEOASSISTEDTHoRACoSCOPICSURGERYFoRI!ATIENTSWITHLUNGCANCERABSTRACTOBJECTIVEOurstudyistomakeaClinicalSummaryofvideo

2、—assistedthoracicsurgerypulmonaryresectioninourhospitalduringthepast3yearsandevaluatethefeasibilitySecurityandClinicalsignificance0fvideoassistedthoracicsurgerypulmonaryresectionforpatientswithstageIandIInon—smallcelllun

3、gcancerMETHODSFromJanuary2006toJanuary2009，Ourhospitalhadtreated68caseswithstageIandIInonsmallcelllungcancerbyVATS，amongwhich63casessuccessfullyachievedVATSsurgeryTheclinicmaterialswerereviewedandcomparedwithother48cases

4、receivingpulmonarylobectomythroughconventionalthoracicsurgeryinthesameperiodRESULTSInVATSgroup，5cases(74％)wereconvertedtoopensurgerythenumberandrangeoflymphnodesdissectedintheVATSgroupwascomparabletothosedissectedintheco

5、nventionalthoracicsurgerygroupNosignificantdifferencesweredecectedbetweentwogroupsinhilumoflunglymphnodesdissected[(275士228)vs(283士236)，PO051，mediastinallymphnodesdissected[(1030士738)vs(1342士623)，P0051Intwogroupstheincid

6、enceratesofpostoperativecomplicationwererespectively143％and375％andtherewassignificantdifference(P005)Operativebleeding，themeanfrequencyofanalgesictreatment，theaveragedurationofchesttubedrainage，ChessdrainageandPostoperat

7、iVelengthofstayinhospitalintheVATSgroupweresignificantlyloweKP005)thanthoseintheconventionalthoracicsurgerygroupTherewasnoonewhohadChronicpainandupperlimbmovementdisorderafter2monthsintheVATSgroup：while7patientshadChroni