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。
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.
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