目的 :探讨肺癌外科治疗的微创术式。方法 :对 72例肺癌患者 ,采用电视胸腔镜监视 ,经小切口 ,不切断斜方肌、背阔肌及前锯肌 ,不切除或切断肋骨 ,直视下应用常规手术器械切除有肿瘤的肺叶 ,清除肺门及纵隔肿大的淋巴结。结果 :72例手术顺利 ,患者恢复快 ,治愈出院。结论 :本术式是肺癌治疗的一种安全、有效、微创的方法。 Objective: To investigate the minimally invasive surgical treatment of lung cancer. Methods: Thirty-two patients with lung cancer underwent video-assisted thoracoscopic monitoring. Small incisions were made without cutting off the trapezius, latissimus dorsi and anterior serratus muscle. The ribs were removed or severed. The tumor was removed with conventional surgical instruments under direct vision , Remove the hilar and mediastinal lymph nodes. Results: 72 cases of surgery were successful and the patients recovered quickly and were discharged. Conclusion: This procedure is a safe, effective and minimally invasive method for the treatment of lung cancer.