Application of single-port thoracoscopic surgery for non-small cell lung cancer in the elderly
- VernacularTitle:单孔胸腔镜手术在老年非小细胞肺癌中的应用
- Author:
Zhi-Qiang WU
1
;
Yong-Qiang WEI
;
Hong-Li WAN
;
Xiao-Fei ZENG
;
Hong WANG
;
Xian-Bo WANG
Author Information
- Keywords: non-small cell lung cancer; single-port thoracoscope; segmentectomy; lobectomy; elderly
- From: Journal of Regional Anatomy and Operative Surgery 2024;33(12):1089-1092
- CountryChina
- Language:Chinese
- Abstract: Objective To investigate the clinical efficacy and safety of single-port thoracoscopic surgery for elderly patients with non-small cell lung cancer(NSCLC).Methods The clinical data of 93 patients with NSCLC who underwent thoracoscopic lobectomy or segmentectomy was collected,the patients were divided into uniportal operation group(40 cases,received single-port thoracoscopic surgery)and single-operation port operation group(53 cases,received single-operation port thoracoscopic surgery)according to the operation methods.The operation time,the amount of blood loss,the number of lymph node dissection,chest drainage volume 3 days after surgery,duration of indwelling drainage tube,postoperative hospital stay,visual analogue scale(VAS)score of postoperative pain,and incidence of postoperative complications of patients between the two groups were compared.The cumulative survival rate between the two groups was compared.Results The operation were successfully completed in both groups.There was no statistically significant difference in terms of operation time,the amount of blood loss,the number of lymph node dissection,chest drainage volume 3 days after surgery,duration of indwelling drainage tube,or postoperative hospital stay of patients between the two groups(P>0.05).There was significant difference in VAS score of postoperative pain of patients between the two groups(P<0.05).There was no early death within 1 months after surgery in both groups.There was no significant difference in the incidence of complications between the two groups(P>0.05).After 4 to 30 months of follow-up,there was no significant difference in the cumulative survival rate between the two groups(P>0.05).Conclusion Single-port thoracoscopic lobectomy or segmentectomy for elderly patients with NSCLC has high safety and feasibility,with less trauma,faster recovery and less postoperative pain.
