Clinical analysis of video-assisted mini-thoracotomy lobectomy for radical resection of lung cancer
10.3760/cma.j.issn.1673 -4904.2012.05.009
- VernacularTitle:电视胸腔镜辅助小切口肺叶切除术用于肺癌根治术的临床分析
- Author:
Jingui ZHANG
;
Ling YAN
;
Xiaojun CHEN
;
Daoquan ZHANG
- Publication Type:Journal Article
- Keywords:
Thoracic surgery,video-assisted;
Lung neoplasms;
Pneumonectomy;
Surgical procedures,operative
- From:
Chinese Journal of Postgraduates of Medicine
2012;35(5):27-29
- CountryChina
- Language:Chinese
-
Abstract:
ObjectiveTo explore the clinical application of video-assisted mini-thoracotomy lobectomy for radical resection of lung cancer.MethodsThirty-five patients with lung cancer treated with video-assisted mini-thoracotomy lobectomy as experiment group,40 patients with lung cancer treated with open thoracic operation as control group.The length of incision,operation time,lymph node number,peri-operative bleeding,drainage time,postoperative analgesia time,length of hospital stay were observed and compared between two groups.ResultsThe length of incision,operation time,lymph node number,peri-operative bleeding,drainage time,postoperative analgesia time,length of hospital stay were(5.8 ± 1.5) cm,( 146.5 ± 26.4) min,7.8 ± 0.6,(257.5 ± 79.5) ml,(3.2 ± 0.6) d,(2.0 ± 0.4) d,(9.5 ± 2.6) d in experiment group,and (28.7 ± 3.1 ) cm,( 142.3 ± 28.6) min,8.2 ± 0.7,(495.3 ± 97.6) ml,(5.7 ± 1.0) d,(3.6 ± 0.8) d,(16.3 ± 2.7) d in control group.There was no significant difference in the operation time,lymph node number between two groups(P ＞ 0.05).There were significant differences in the length of incision,peri-operative bleeding,drainage time,postoperative analgesia time,length of hospital stay between two groups (P ＜ 0.01 or ＜ 0.05).ConclusionsThe radical resection of lung cancer under video-assisted mini-thoracotomy lobectomy is safe,effective,microinvasive.It can achieve the better efficacy under the similar operation time as open thoracic operation,thus it is worthy of being widely used in the clinic and promotion.
