Efficacy of video-assisted thoracoscopic surgery in the treatment of lung cancer
10.3760/cma.j.issn.1008-6706.2016.20.034
- VernacularTitle:胸腔镜肺叶切除术治疗肺癌的临床效果观察
- Author:
Wei YANG
- Publication Type:Journal Article
- Keywords:
Lung cancer;
Lobectomy;
Video -assisted thoracoscopic surgery;
Open -thoracotomy
- From:
Chinese Journal of Primary Medicine and Pharmacy
2016;23(20):3171-3174
- CountryChina
- Language:Chinese
-
Abstract:
Objective To compare the efficacy of video -assisted thoracoscopic surgery and open -thoracot-omy in the treatment of lung cancer.Methods 77 patients with lung cancer were chose as study objects,all the patients were divided into two groups,43 cases of video -assisted thoracoscopic surgery group (VATS)and 34 cases of open -thoracotomy group (OT)The operative time,blood loss,postoperative chest tube indwelling time and hospi-tal stay and postoperative complication rate were compared.The VAS postoperative 1d,3d,5d after operation were calculated,and the serum CRP preoperative and postoperative 1d,postoperative 5d were detected.Results The oper-ative time,postoperative chest tube indwelling time,hospital stay,the blood loss,the complication rate in VATS group and OT group were (134 ±52)min and (167 ±45)min,(2.50 ±0.30)d and (4.68 ±0.66)d,(4.77 ±0.54)d and (7.20 ±0.68)d,103 ±26)mL and (248 ±43)mL,11.63% and 38.24%,the differences were statistically signifi-cant (t =3.563,3.725,9.621,3.402 and χ2 =7.504,all P <0.05).The VAS postoperative 1d,3d in VATS group and OT group were (6.22 ±0.82)score and (8.13 ±0.72)score,(4.46 ±0.48)score and (6.31 ±0.54)score,the differences were statistically significant,t =3.927,3.742,all P <0.05;the serum CRP after 1d,5d postoperative in VATS group and OT group were (38.32 ±9.59)μg/L and (58.43 ±10.62)μg/L,(17.71 ±5.42)μg/L and (36.65 ±8.25)μg/L,which were all higher than those of before surgery,but the serum CRP after 1d,5d postopera-tive in VATS group were lower than those of OT group,the differences were statistically significant(t =5.541,6.662, all P <0.05).Conclusion VATS lobectomy is a trauma,quicker recovery,less postoperative pain surgical methods, and can reduce postoperative acute phase reaction,which should be recommended as a treatment for lung cancer.
