Comparison of the effect of full thoracoscopic lobectomy and thoracotomy in the treatment of non -small cell lung cancer
10.3760/cma.j.issn.1008-6706.2016.01.005
- VernacularTitle:全胸腔镜下肺叶切除术与小切口开胸术治疗非小细胞肺癌的疗效比较
- Author:
Haofeng CEN
;
Yong MAO
;
Sheng ZHAO
- Publication Type:Journal Article
- Keywords:
Carcinoma,Non -small -cell lung;
Thoracoscopy;
Pneumonectomy;
Treatment outcome
- From:
Chinese Journal of Primary Medicine and Pharmacy
2016;(1):15-17
- CountryChina
- Language:Chinese
-
Abstract:
Objective To study the clinical efficacy of full thoracoscopic lobectomy and thoracotomy in treat-ment of non -small cell lung cancer.Methods 200 patients with non -small cell lung cancer were divided into group A and group B according to the different surgical methods,with 100 cases in each group.Group A was given the full treatment thoracoscopic lobectomy,group B was received treatment thoracotomy.Pain situation were evaluated in visual analog scale(VAS)method,clinical efficacy and adverse reactions of the two groups were compared.Results The intraoperative blood loss,operative time,drainage,VAS scores and hospital stay of group A were (253.4 ± 1.9)mL,(181.3 ±9.3)min,(174.6 ±4.2)mL,(4.2 ±1.4)points and (7.2 ±0.6)d respectively,which were significantly better than (409.3 ±2.4)mL,(232.2 ±3.2)min,(312.9 ±2.5)mL,(6.3 ±0.9)points and (13.5 ± 0.6)d of group B,the differences were statistically significant(t =8.928,9.028,8.232,9.701,10.906,all P <0.05).The lymph node metastasis number and the number of lymph node dissection of the two groups had no statistically significant differences(t =2.098,3.092,2.983,all P >0.05).The incidence of complications of group A were significantly lower than those of group B,the difference was statistically significant(χ2 =9.033,P =0.002). Conclusion Full thoracoscopic lobectomy in the treatment of non -small cell lung cancer has better effect compared with thoracotomy,its harm to patients is small,and has fewer postoperative complications.
