Clinical comparative study of two kinds of VATS in the treatment of old age patients with non small cell lung cancer for stage Ⅰ
10.3969/j.issn.1005-6483.2017.07.010
- VernacularTitle:两种胸腔镜切除术式治疗老年Ⅰ期非小细胞肺癌患者临床疗效观察
- Author:
Yu LIU
;
Min LI
- Keywords:
thoracoscopic;
lobectomy;
segmentectomy;
lung cancer
- From:
Journal of Clinical Surgery
2017;25(7):509-511
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the clinical effects of VATS lobectomy and VATS segmentectomy in the treatment of old age patients with non small cell lung cancer for stage Ⅰ.Methods 140 patients with non small cell lung cancer for stage Ⅰ were chosen and randomly divided into two group including group A(70 patients)with VATS lobectomy and group B(70 patients)with VATS segmentectomy;and the perioperative clinical indicators,level of lung function and CRP before and after operation and survival rate with follow-up of both groups were compared.Results The operation time,intraoperative blood loss amount,chest drainage volume and time and hospitalization staying time of group B[(118.15±33.61)min,(59.25±10.61)ml,(641.56±135.17)ml,(3.42±0.77)d and(5.08±1.32)d] were significantly better than group A[(135.33±40.10)min,(83.33±14.15)ml,(783.89±180.61)ml、(4.38±0.94)d和(6.52±1.58)d](P<0.05).There was no significant difference in the number of lymph node dissection between group A(12.67±2.64)and group B(12.38±2.58)(P<0.05).The levels of FVC and FEV1 after operation of group B was significantly higher than group A(P<0.05).The levels of CRP after operation of group B was significantly lower than group A(P<0.05).There was no significant difference in the 1 year survival rate with follow-up between group A(94.29%)and group B(94.29%)(P>0.05).Conclusion Compared with VATS lobectomy,VATS segmentectomy in the treatment of old age patients with non small cell lung cancer for stage Ⅰ can efficiently reduce surgical trauma degree,accelerate the recovery process of body,protect the lung ventilation function and be helpful to reduce the inflammatory response levels.
