Comparative analysis of the effect of lymph node dissection by VATS lung resection surgery and conventional lung cancer surgery
10.3760/cma.j.issn.1008-6706.2017.09.012
- VernacularTitle:电视胸腔镜肺癌根治术与常规肺癌根治术淋巴结清扫效果对比分析
- Author:
Guohai WANG
;
Lixiang HE
;
Shengcong GUO
- Keywords:
Thoracoscopy;
Routine resection of lung cancer;
Lymphadenectomy;
Thoracic surgery,Video-assisted
- From:
Chinese Journal of Primary Medicine and Pharmacy
2017;24(9):1329-1332
- CountryChina
- Language:Chinese
-
Abstract:
Objective To compare the effect of lymph node dissection by VATS lung cancer resection surgery and conventional lung cancer surgery.Metnods 120 patients with non-small cell lung cancer were selected and randomly divided into observation group (n =60) and control group (n =60) according to the digital table.The control group was given conventional resection of lung cancer treatment,the observation group was assisted thoracoscopic lung resection treatment.The postoperative drainage,postoperative ambulation time,postoperative hospital stay,the number of lymph node metastasis and incidence rate of postoperative complications were observed.Results The time of postoperative drainage,get out of bed and postoperative hospital stay of the observation group were all shorter than those of the control group [(2.43 ± 0.54) d vs.(5.82 ± 1.35) d,(1.23 ± 0.29) d vs.(3.87 ± 0.75) d,(2.59 ± 0.63) d vs.(6.92 ± 1.27) d;t =18.059,25.430,23.658,all P ＜ 0.05)].The lymph node dissection number of the two groups had no statistically significant difference(x2 =1.008,P ＞ 0.05).The positive rate of lymph node metastasis in the observation group was lower than that in the control group(x2 =7.033,P ＜ 0.05).The incidence rate of postoperative complication of the observation group was lower than that of the control group (x2 =6.708,P ＜ 0.05).Conclusion Video-assisted thoracoscopic lung resection for non-small cell lung cancer patients with lymph node dissection is better than conventional lung surgery,and it is worthy of studying.
