Clinical Analysis of Thoracoscopic Lobectomy in the Treatment of Peripheral Lung Cancer with Single Utility Port
10.3779/j.issn.1009-3419.2013.09.09
- VernacularTitle:单操作孔肺叶切除术治疗周围型肺癌的临床研究
- Author:
LI CHANG
1
;
MA HAITAO
;
HE JINGKANG
;
NI BIN
;
XU CHUN
;
ZHAO JUN
Author Information
1. 苏州大学附属第一医院心胸外科
- Keywords:
Single utility port;
Lobectomy;
Lung neoplasms
- From:
Chinese Journal of Lung Cancer
2013;(9):487-491
- CountryChina
- Language:Chinese
-
Abstract:
Background and objective Video-assisted thoracoscopic surgery (VATS) lobectomy is now generally accepted for patients with lung cancer. hTe aim of this study is to review the technology of thoracoscopic lobectomy with single utility port in the treatment of peripheral lung cancer. Methods We retrospectively analyzed the clinical data of 87 patients with peripheral lung cancer who underwent single utility port complete VATS lobectomy from February 2011 to January 2013 in the First Affliated Hospital of Soochow University (single utility port group), and compared them with 75 patients with peripheral lung cancer who underwent conventional, 3-port VATS lobectomy in the same period (3-port group). hTe clinical outcomes including operation time, time to ifrst activity out of bed, postoperative hospital stay, intraoperative blood loss, post-operative drainage volume, chest drainage duration, lymph node dissection number, postoperative complications and degree of chest pain were compared between the two groups. Results No perioperative death was observed in both groups. hTere was no statistical difference in operation time (151.03±25.97 min vs 156.27±26.49 min), lymph node dissection number (13.06± 1.36 vs 12.61±1.56), intraoperative blood loss (188.62±47.03 mL vs 179.60±28.96 mL) and incidence of serious postoperative complications (18/87 vs 21/75) between the two groups. hTere were statistical differences in time to ifrst activity out of bed (11.17±8.69 h vs 13.76±7.43 h), postoperative hospital stay (7.18±1.95 d vs 7.92±2.03 d), chest drainage duration (3.85±1.21 d vs 4.43±1.43 d) and total postoperative drainage volume (671.49±178.31 mL vs 736.93±170.39 mL) between the two groups (P<0.05). hTe change of vision analogue score (VAS) score between the two groups atfer operation was also statistically sig-niifcant (P<0.01). Conclusion hTe completely thoracoscopic lobectomy with single utility port is a safe and feasible surgical procedure compared with conventional 3-port VATS lobectomy for selected patients.
