Effective analysis of lobectomy by single utility port video-assisted thoracoscopic surgery and video-assisted mini-thoracotomy for treating early-stage non-small cell lung cancer
10.3969/j.issn.1671-8348.2014.12.008
- VernacularTitle:单操作孔胸腔镜与辅助小切口肺叶切除治疗早期 NSCLC的疗效分析
- Author:
Yuan YUAN
;
Qunyou TAN
;
Ruwen WANG
;
Jinghai ZHOU
;
Bo DENG
;
Poming KANG
;
Kun LI
- Publication Type:Journal Article
- Keywords:
thoracoscopy;
pneumonectomy;
carcinoma,non-small-cell lung
- From:
Chongqing Medicine
2014;(12):1431-1433
- CountryChina
- Language:Chinese
-
Abstract:
Objective To compare the clinical effects of lobectomy by single utility port video-assisted thoracoscopic surgery (SP-VATS) and video-assisted mini-thoracotomy(VAMT) for treating early-stage non-small cell lung cancer(NSCLC) .Methods 286 patients with early-stage NSCLC in our hospital from October 2010 to October 2012 were randomly divided into the SP-VATS group(n=150) and the VAMT group(n=136) ,and received lobectomy and lymph node dissection by SP-VATS and VAMT re-spectively .The operative time ,intraoperative blood loss ,chest drainage duration ,postoperative total drainage volume ,lymph node dissection number ,postoperative complications and postoperative pain were compared between the two groups .Results The two groups were smoothly performed the operation .There was no perioperative death .The operative time ,lymph node dissection num-ber and postoperative complications showed no statistically significant difference between the two groups (P>0 .05) .However ,intr-aoperative blood loss ,postoperative total drainage volume ,chest drainage duration and postoperative pain scores (postoperative 1 -3 d) in the SP-VATS group were less than those in the VAMT group ,the differences showed statistical significance (P<0 .05) . The incidence of complications in the two groups showed no statistically significant difference (P>0 .05) .Conclusion SP-VATS lo-bectomy for treating NSCLC is safe and reliable with less injury and rapid postoperative recovery compared with VAMT .SP-VATS lobectomy may be as a preferred surgical mode for early-stage NSCLC .
