首页|解剖性肺亚段和联合亚段切除术治疗早期非小细胞肺癌的研究进展

解剖性肺亚段和联合亚段切除术治疗早期非小细胞肺癌的研究进展

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肺癌是死亡率最高和发病率增长最快的恶性肿瘤之一,严重威胁着人类的生命健康.随着低剂量螺旋CT检查的普及和大众体检意识的增强,越来越多的毛玻璃结节被检出.研究表明,对于直径≤2 cm,毛玻璃成分≥50%的结节患者,在保证切缘的情况下,胸腔镜亚肺叶或者肺段亚肺段切除术能更加有效地保留患者肺功能,逐渐成为被推荐的手术方式.近年来,胸腔镜外科手术技术不断提高,胸腔镜亚段和联合亚段切除术逐渐开展.相对于肺叶肺段切除术,在保证安全切缘的前提下,亚段切除可以保留更多的正常肺组织,肺功能损失更少.但是胸腔镜亚段切除术对于术者的手术技术和解剖知识要求更高,在相关文献中报道较少,因此本文对于解剖性肺亚段和联合亚段切除术治疗早期非小细胞肺癌的进展进行综述.
Research progress of anatomical subsegmentectomy and combined subsegmentectomy in the treatment of early non-small cell lung cancer
Lung cancer is one of the malignant tumors with the highest mortality and the fastest growing incidence,which seriously threatens human life and health.With the popularization of low-dose spiral CT and the enhancement of public awareness of physical examination,more and more ground-glass nodules have been detected.Accumulating studies have shown that for patients with nodules diameter≤2 cm and ground-glass opacity≥50% ,under the condition of ensuring the cutting edge,thoracoscopic sublobectomy or subsegmentectomy can more effectively preserve the lung function of patients,and has gradually become the recommended surgical method.In recent years,with the continuous improvement of thoracoscopic surgery technology,thoracoscopic subsegmentectomy and combined subsegmentectomy have been gradually carried out.Compared with lobectomy and segmentectomy,subsegmental resection can retain more normal lung tissue and reduce the loss of lung function under the condition of ensuring the safe cutting edge.However,thoracoscopic subsegmental resection requires a higher level of surgical technique and anatomical knowledge for the operator,and is rarely reported in relevant literature.Therefore,this article reviews the progress of anatomical subsegmentectomy and combined subsegmentectomy in the treatment of early non-small cell lung cancer.

anatomical subsegmentectomycombined subsegmentectomypulmonary nodulesearly lung cancerintersegmental plane

周少、朱潇、杏福宝、王伟、唐震、张雷

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蚌埠医学院第一附属医院胸外科,安徽 蚌埠 233000

解剖性肺亚段切除术 联合亚段切除术 肺结节 早期肺癌 段间平面

安徽省教育厅重点项目蚌埠医学院重点项目

KJ2019A03402021byzd075

2024

沈阳医学院学报
沈阳医学院

沈阳医学院学报

影响因子:0.591
ISSN:1008-2344
年,卷(期):2024.26(1)
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