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三种胸腔镜下肺叶切除术的手术方法及结果比较
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Journal Article
三种胸腔镜下肺叶切除术的手术方法及结果比较
2013
Overview
目的比较胸腔镜辅助肺叶切除术、全胸腔镜肺叶切除术、单操作孔肺叶切除术的手术方法及效果，为手术方式的选择提供借鉴。方法收集2007年5月-2012年5月在解放军总医院行胸腔镜下肺叶切除术的374例患者的临床资料，并进行回顾性分析。结果374例患者按照手术方法不同分为3组。A组行胸腔镜辅助肺叶切除术，共完成40例；B组行全胸腔镜肺叶切除术，共完成280例；C组为单操作孔肺叶切除术，共完成54例。3组患者的一般情况差异无统计学意义。A组的手术时间（180．4±43．5min）长于B组和C组（分别为153．2±28．6、162．5±32．3min，P〈0．05），B、C组的手术时间差异无统计学意义。术中出血量、中转开胸率、术后并发症发生率、术后拔管、出院时间及淋巴结清扫结果3组比较差异无统计学意义。结论三种胸腔镜下肺叶切除术的结果无明显差异。术者可根据自身的手术熟练程度及手术难度选择不同的手术方法。
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