[关键词]
[摘要]
目的: 探讨胸腔镜肺叶切除术治疗肺癌的应用。方法: 2009 － 03 ～ 2015 － 12 内蒙古医科大学附属医
院共行胸腔镜肺癌肺叶切除172 例，男101 例，女71 例，平均年龄55． 9( 40 ～ 81) 岁。完成胸腔镜单纯肺叶切除
165 例，右肺中、下叶切除5 例，右肺上叶切除并下叶背段切除1 例，右肺上叶袖状切除1 例，同时行淋巴结清扫
术。结果: 围手术期死亡1 例，无支气管胸膜瘘及二次手术者; 5 例病人中转开胸，余均在腔镜下顺利完成手术。
结论: 胸腔镜肺叶切除术治疗肺癌安全、可行。
[Key word]
[Abstract]
Objective: To discuss the feasibility and safety of video － assisted thoracoscopic surgery
( VATS) lobectomy in the treatment of lung cancer． Methods: From March 2009 to December 2015，we
performed 172 VATS lobectomies in 71 women and 101 men，with a mean age of 55． 9 years． The clinical
data of all patients were analyzed． Results: There were 1 postoperative death，others were discharged
without severe complications． VATS was successfully performed in 167 patients，while a conversion to
open thoracotomy was made in 5 patients． Conclusion: VATS lobectomy is a safe and feasible method
in the treatment of lung cancer．
[中图分类号]
R655． 3
[基金项目]
收稿日期: 2016 － 01 － 06; 修回日期: 2016 － 06 － 01
基金项目: 内蒙古自治区科技计划项目( kjt15sf02) ; 内蒙古自治区卫生和计划生育委员会医疗卫生科研计划项目
( 201301057)
作者简介: 田燕( 1976 － ) ，女，内蒙古医科大学附属医院技师。
通讯作者: 郭占林，教授，硕士研究生导师，E － mail:
nmggzl@163． com 内蒙古医科大学附属医院胸外科， 010050
