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- W2372164104 abstract "Objective To investigate the role of curative and palliative surgical treatment of lung cancer with video-assisted thoracoscopic surgery(VATS).MethodsTwenty-seven patients with lung cancer were prescribed operations with VATS.which included 5 cases of stage ⅠA,8 cases of IB,2 cases of ⅡA,4 cases of ⅡB,2 cases of ⅢA,3 cases of T4-ⅢB and 3 cases of Ⅳ.The 2 patients of stage Ⅲ A were previously staged as N0 before operation,and reevaluated as N2-ⅢA after operation.There were 2 cases of malignant pleural effusion and 1 case of pleural implantation in stage ⅢB cases.There was 1 case of solitary brain metastasis,and 2 cases of ipsilateral or contralateral solitary lung metastasis in cases of stage IV.The main methods of operation performed included lobectomy in 23 cases,wedge resection in 4 cases.Concurrent contralateral pulmonary wedge resections were performed in 2 cases of contralateral solitary lung metastasis.Malignant pleural effusions were prescribed resection of implantation nodules,electrocautery and pleurodesis.Systemly mediastinal lymph node dissections were performed in 20 cases.ResultsThere was no perioperative death or bronchial leak.One case suffered lung infection,and 1 case occurred with incision infection.Malignant pleural effusion in the 2 cases were controlled satisfactorily,died in 6 months and 8 months after operation respectively.The other patients were alive till present.Postoperative hospital stat was 8-15 days with average of 9.6 days.ConclusionVATS is an alternative way for complete resection of early stage lung cancer.It is technically feasible to dissect mediastinal lymph node for accidental N2 lung cancer.VATS has significant advantage in concurrent bilateral pulmonary resection.The palliative operation of malignant pleural effusion by VATS can markedly improve the quality of life of patients." @default.
- W2372164104 created "2016-06-24" @default.
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- W2372164104 date "2008-01-01" @default.
- W2372164104 modified "2023-09-25" @default.
- W2372164104 title "Surgical treatment of 27 cases of lung cancer by video-assisted thoracoscopic surgery" @default.
- W2372164104 hasPublicationYear "2008" @default.
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