Comparison of short-term perioperative outcomes of different thoracoscopic surgery in treatment of early stage non-small cell lung cancer
10.3969/j.issn.1005-6483.2017.07.007
- VernacularTitle:不同胸腔镜手术治疗早期非小细胞肺癌的近期疗效比较
- Author:
Lei NIU
- Keywords:
non-small cell lung cancer;
single utility port video-assisted thoracoscopic surgery;
multiple port-video-assisted thoracoscopic surgery;
video-assisted mini-thoracotomy
- From:
Journal of Clinical Surgery
2017;25(7):500-504
- CountryChina
- Language:Chinese
-
Abstract:
Objective To compare the short-term perioperative outcomes of video-assisted mini-thoracotomy(VAMT),multiple port-video-assisted thoracoscopic surgery(MP-VATS)and single utility port-VATS(SP-VATS)in treatment of early stage non-small cell lung cancer(NSCLC).Methods A total of 157 cases of early stage NSCLC patients were collected and divided into three groups:66 cases received VAMT treatment as group VAMT;45 cases received MP-VATS treatment as group MP-VATS;46 cases received SP-VATS treatment as group SP-VATS.The intraoperative and postoperative conditions,lung function indexes including forced expiratory volume in one second(FEV1),forced vital capacity(FVC)and maximal voluntary ventilation(MVV)among the groups were compared.Results There were no significant differences in the operation time and the number of lymph node dissection among the SP-VATS group,MP-VATS group and group VAMT[(154.89±32.34)min vs(158.43±36.78)min vs(161.21±40.02)min,(12.34±4.55)pieces vs(12.47±3.81)pieces vs(11.78±3.32)pieces,P>0.05];the incision length,blood loss,amount and time of postoperative drainage and the postoperative ambulation in groupSP-VATS were significantly lower than group MP-VATS and VAMT[(4.11±0.65)cm vs(6.42±0.65)cm vs(12.14±2.23)cm;(170.31±45.68)ml vs(166.23±43.21)ml vs(228.96±63.21)ml;(623.42±231.56)ml vs(681.23±278.54)ml vs(924.54±324.51)ml;(5.27±1.32)d vs(7.43±2.27)d vs(7.66±2.89)d;(3.36±0.78)d vs(4.62±1.26)d vs(4.78±1.43)d,all P<0.05].The time of postoperative drainage and postoperative ambulation in group SP-VATS was significantly lower than group MP-VATS(P<0.05);The rate of postoperative complications in group SP-VATS was 2.17%,significantlylower than 15.15% in group VAMT(P<0.05);The postoperative recurrence rate within 6 months among the group SP-VATS, group MP-VATS and group VAMT were no significant difference(6.67% vs 4.44% vs 3.03%,P>0.05);After surgery,the lung function(FEV1,FVC,MVV)among the three groups were significantly decreased,and the group SP-VATS was significantly higher than VAMT group(P<0.05),but there was no significant difference with group MP-VATS(P>0.05).Conclusion The SP-VATS for early stage NSCLC has similar short-term efficacy with VAMT and MP-VATS,but SP-VATS has faster recovery and maller postoperative pulmonary dysfunction.
