右后纵隔胸膜悬吊法清扫第7组淋巴结的临床应用

doi:10.13418/j.issn.1001-165x.2021.02.018

中国临床解剖学杂志 ›› 2021, Vol. 39 ›› Issue (2): 211-215.doi: 10.13418/j.issn.1001-165x.2021.02.018

右后纵隔胸膜悬吊法清扫第7组淋巴结的临床应用

鲍峰¹，　吴宗阳¹，　袁云锋²

1.武警安徽省总队医院胸外科，合肥 230000； 2.复旦大学附属中山医院胸外科，上海 200032

收稿日期:2020-03-31 出版日期:2021-03-25 发布日期:2021-04-08
通讯作者: 袁云锋，副主任医师，E-mail：yyf5000@126.com
作者简介:鲍峰（1977-），男，安徽歙县人，主治医师，医学硕士，主要从事胸外科工作，E-mail：doctorbf@hotmail.com

Clinical application of right posterior mediastinal pleura suspension in the cleaning of group 7 lymph nodes

Bao Feng¹, Wu Zongyang¹, Yuan Yunfeng²

1.Department of Thoracic Surgery，Anhui Provincial Armed Police Corps Hospital， Hefei 230000，China; 2. Department of Thoracic Surgery，Zhongshan Hospital, Fudan University, Shanghai 200032, China

Received:2020-03-31 Online:2021-03-25 Published:2021-04-08

摘要/Abstract

摘要： 目的　分析微创肺癌手术中右后纵隔胸膜悬吊法对第7组淋巴结清扫情况、手术时间、相关并发症的影响。方法　回顾分析2018年3月~2019年12月58例胸腔镜手术治疗右肺肺癌患者的临床资料，其中31例术中应用右后纵隔胸膜悬吊法清扫第7组淋巴结，27 例常规方法清扫第7组淋巴结。结果　与常规方法组相比，纵隔胸膜悬吊组第7组淋巴结清扫数量显著增加，（3.35±0.20）枚vs.（2.46±0.47）枚，P＜0.05；清扫淋巴结用时（9.25±3.85）min vs.（9.71±3.21）min，无明显差异；相关并发症如气管损伤，食管损伤，术中引流量无明显差异。结论　右肺肺癌胸腔镜手术中采用后纵隔胸膜悬吊法可以更安全彻底地清扫第7组淋巴结，并不增加手术时间和围手术期并发症。

关键词: 非小细胞肺癌, 　右后纵隔胸膜悬吊, 　第7组淋巴结清扫, 　临床应用

Abstract: Objective　To analyze the effect of right posterior mediastinal pleura suspension on lymph node dissection, operation time and related complications in group 7 of minimally invasive lung cancer operation.　Methods　A retrospective analysis of 58 patients with right lung cancer treated by thoracoscopic surgery in our hospital from March 2018 to December 2019, among them, 31 patients were treated with right posterior mediastinal pleura suspension to clean the group 7 lymph nodes, and 27 patients were treated with conventional methods to clean the group 7 lymph nodes.　Results　Compared with the routine method group, the number of lymph nodes in the 7th group of mediastinal pleural suspension group increased significantly [(3.35 ± 0.20)piece vs. (2.46±0.47)piece]. There was no significant difference in the time of lymph node dissection [(9.25±3.85) min vs. (9.71±3.21) min], and no significant difference in the related complications, such as air duct injury, esophageal injury and intraoperative drainage.　Conclusions　In the thoracoscopic operation of right lung cancer, the method of posterior mediastinal pleura suspension can clean the group 7 lymph nodes safely and thoroughly without increasing the operation time and perioperative complications.

Key words: Non-small cell lung cancer (NSCLC), 　Right posterior mediastinal pleura suspension, 　The group 7 lymph node dissection, 　Clinical application

中图分类号:

R655.3
R615

鲍峰, 吴宗阳, 袁云锋. 右后纵隔胸膜悬吊法清扫第7组淋巴结的临床应用[J]. 中国临床解剖学杂志, 2021, 39(2): 211-215.

Bao Feng, Wu Zongyang, Yuan Yunfeng. Clinical application of right posterior mediastinal pleura suspension in the cleaning of group 7 lymph nodes[J]. Chinese Journal of Clinical Anatomy, 2021, 39(2): 211-215.

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右后纵隔胸膜悬吊法清扫第7组淋巴结的临床应用

Clinical application of right posterior mediastinal pleura suspension in the cleaning of group 7 lymph nodes

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