Application of preoperative thoracoscopic pericardial exploration in local central lung cancer
10.3760/cma.j.issn.1006-9801.2012.12.013
- VernacularTitle:胸腔镜下局部中央型肺癌术前心包探查的应用探讨
- Author:
Xuguang PENG
;
Mengjiao QIAN
;
Jinming XU
;
Jing WANG
;
Jun LI
;
Jinwei TANG
;
Xiaopeng CHEN
;
Chi LIN
;
Jiaxiong WANG
;
Xitao ZONG
- Publication Type:Journal Article
- Keywords:
Thoracoscopes;
Pericardioscopy;
Indications
- From:
Cancer Research and Clinic
2012;(12):835-837
- CountryChina
- Language:Chinese
-
Abstract:
Objective To discuss the security and reliability of preoperative thoracoscopic pericardial exploratory and to evaluate of the surgical indications.Methods Video full-assisted thoracoscopic pericardioscopy has been implemented in 41 central type lung cancer cases before radical resection.Results Video assisted pericardioscopy group underwent thoracotomy lung resection with procession of intrapericardial pulmonary artery in 8 cases (partial pericardial resection in 2 cases),with pulmonary vein in 10 cases,and out-pericardial lung resection in 9 cases.Spiral CT projections were consistent with surgery was only 65.8 %.The average time of explorationa was (23±10) min.Conclusion Except for widely used in pulmonary wedge resection and lobectomy,video-assisted thoracoscopic pericardial exploration can improve resection rate and survival rate in central type lung cancer patients which can reduce the need for exploratory thoracotomy.