王国勇,董祎楠,孙 楠.全胸腔镜交互式左全肺切除及系统性淋巴结清扫流程[J].中国肿瘤,2015,24(3):250-252.
全胸腔镜交互式左全肺切除及系统性淋巴结清扫流程
Total Thoracoscopic Interactive Pneumonectomy with Systematic Lymph Nodes Dissection
投稿时间:2015-01-07  
DOI:10.11735/j.issn.1004-0242.2015.03.A017
中文关键词:  胸腔镜  非小细胞肺癌  交互式  全肺切除术
英文关键词:thoracoscopic  non-small cell lung cancer  interactive  pneumonectomy
基金项目:
作者单位
王国勇 调兵山市铁法煤业集团总医院 
董祎楠 辽宁省肿瘤医院大连医科大学临床肿瘤学院 
孙 楠 辽宁省肿瘤医院大连医科大学临床肿瘤学院 
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中文摘要:
      摘 要:[目的] 介绍全胸腔镜交互式左全肺切除及系统性淋巴结清扫的手术路径及流程。[方法] 2014年4~11月采用全胸腔镜交互式左全肺切除及系统性淋巴结清扫5例左肺中心型肺癌患者,此手术方式的特点是将左肺大血管的解剖和淋巴结的清扫穿插交合在一起,使两个独立的手术步骤合为一体。[结果] 5例患者均取得手术成功,无术后支气管胸膜瘘,无围手术期死亡,无术后肺内感染。[结论] 全胸腔镜交互式左全肺切除及系统性淋巴结清扫的手术方式使复杂的胸腔镜下左全肺切除的过程更加趋于简捷,便于学习和掌握。
英文摘要:
      Abstract:[Purpose] TO introduce a novel surgical approach and process for the total thoracoscopic left pneumonectomy with systematic lymph nodes dissection. [Methods] The unique feature of this technique was the integration of the left main pulmonary vessels mobilization and systematic lymph nodes dissection,by alternating these two traditional separate surgical steps. From April to November 2014,5 patients with central lung carcinoma underwent this procedure. [Reslults] All the operations completed successfully,without any postoperative bronchopleural fistula,perioperative death,and postoperative lung infection. [Conclusions] This integrated surgical technique with systematic lymph nodes dissection simplifies and speeds up the complicated total thoracoscopic pneumonectomy,and makes easy to learn and master.
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