郑正 宋长山

    【摘要】肺癌已成为世界上发病率和死亡率最高的常见恶性肿瘤之一，其中非小细胞肺癌(non-small cell lung cancer，NSCLC)占肺癌的大多数。目前，手术治疗仍是早期非小细胞肺癌的首选治疗方法。据相关文献报道，肺结节检出率明显增多，且有年轻化趋势[1]。目前我国以中国临床肿瘤学会(CSCO)推荐的VATS解剖性肺叶切除+肺门纵膈淋巴结的清扫为标准术式，但随着计算机断层扫描(Computed Tomography，CT)的普及，肺结节逐年增多，也为早期手术治疗打下了良好的基础。近年来，亚肺叶切除能否在临床中普及，甚至取代肺叶切除成为早期肺癌的标准术式，成为了未来发展的重点之一。

    【关键词】非小细胞肺癌；肺叶切除；亚肺叶切除

    Evolution of surgical methods for lung cancer and feasibility of sublobectomy

    ZHENG Zheng1， SONG Changshan2

    1.The First Clinical Medical College of Guangdong Medical University， Zhanjiang， Guangdong 524023， China 2.Department of Thoracic Surgery， Affiliated Foshan Foxing Chancheng Hospital of Guangdong Medical University， Foshan， Guangdong 528000， China

    【Abstract】Lung cancer has become one of the most common malignant tumors with the highest incidence rate and mortality in the world， among which non-small cell lung cancer (NSCLC) accounts for the majority of lung cancer. Currently， surgical treatment is still the preferred treatment for early non-small cell lung cancer. According to relevant literature reports ......