Comparison of the effect of two different surgical approaches for thymoma under thoracoscopy
10.3760/cma.j.issn.1008-6706.2018.17.003
- VernacularTitle: 胸腔镜下两种不同手术入路治疗胸腺瘤的疗效比较
- Author:
Shaoxian CHENG
1
;
Wenli XU
1
;
Ruihua AI
1
;
Jinhua HU
1
;
Yongde LIAO
2
Author Information
1. Department of General Surgery, the People's Hospital of Jingshan County, Hubei 431800, China
2. Department of Thoracic Surgery, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei 430030, China
- Publication Type:Journal Article
- Keywords:
Thoracoscopy;
Thoracic surgery, video-assisted;
Thymoma
- From:
Chinese Journal of Primary Medicine and Pharmacy
2018;25(17):2184-2188
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To compare the effects of video assisted thoracoscopic surgery(VATS) of intercostal surgery and by subxiphoid surgical treatment for early thymoma, to investigate the feasibility and clinical application value of VATS subxiphoid surgical treatment for thymoma.
Methods:From January 2014 to January 2017, 30 thymoma patients who met the diagnostic criteria of the Masaoka stageⅠ~Ⅱ in the People's Hospital of Jingshan County were selected, and were divided into two groups according to the different surgical methods.The observation group (12 patients) received VATS underwent subxiphoid surgery, 18 patients in the control group were treated with VATS intercostal surgery.The operation time, blood loss, drainage time, length of stay, degree of pain, antibacterial time, incidence rate of complication and patients' satisfaction were compared between the two groups.
Results:The preoperative general data between the two groups had no statistically significant differences(all P>0.05). The operation time, intraoperative bleeding volume, postoperative drainage time, antibacterial time, postoperative hospitalization time in the observation group were (102.2±26.6)min, (105.9±29.4)mL, (3.8±1.4)d, (6.8±0.3)d, (8.5±1.6)d, respectively, which in the control group were (124.6±35.1)min, (255.6±82.8)mL, (5.2±1.2)d, (9.3±0.8)d, (14.4±1.8)d, respectively, there were statistically significant differences between the two groups(t=1.516, 2.517, 2.857, 4.462, 3.327, all P<0.05). The incidence rate of complications (8.33% vs.16.67%), satisfaction(82% vs.59%) between the two groups had statistically significant differences(χ2=4.013, 4.427, all P<0.05). During the follow-up period, there was no recurrence or metastasis in the two groups.
Conclusion:Compared with VATS intercostal surgery, VATS subxiphoid approach for surgical treatment of thymoma can reduce surgical trauma and reduce the incidence of complications, reduce the pain of patients, shorten the hospitalization time, its curative effect is more significant.
