Applicaiton effect of blunt dissection for myotomy of incision in single-port thoracoscopic lung wedge resection
- VernacularTitle:单孔胸腔镜肺楔形切除术中钝性分离切口肌层的应用效果
- Author:
Yi-fei GONG
1
;
Jian-bin ZHAI
1
;
Xue-lei LU
1
;
Liang ZHAO
1
Author Information
- Publication Type:Journal Article
- Keywords: single-port thoracoscopic surgery; visual analogue scale; lung wedge resection; blunt dissection; postoperative pain
- From: Journal of Regional Anatomy and Operative Surgery 2025;34(5):440-443
- CountryChina
- Language:Chinese
- Abstract: Objective To analyze the application effect of blunt dissection for myotomy of incision in single-port thoracoscopic lung wedge resection.Methods Patients who underwent single-port thoracoscopic lung wedge resection in our hospital from January to June 2024 were selected and divided into the observation group(32 cases,received blunt dissection for myotomy of incision during the surgery)and the control group(35 cases,received electrosurgical knife for myotomy of incision during the surgery)according to random number table method.The anesthesia time,operation time,intraoperative blood loss,the earliest time to get out of bed after the operation,the dosage of dezocine,and the resting and cough visual analogue scale(VAS)scores in each postoperative period of patients in the two groups were compared.Results There was no significant difference in terms of anesthesia time,operation time,intraoperative blood loss,or dosage of dezocine of patients between the two groups(P>0.05).The earliest time to get out of bed after operation of patients in the observation group was shorter than that in the control group,with significant difference(P<0.05).No significant difference was observed in resting VAS scores 6 hours or 12 hours after operation of patients in both two groups(P>0.05),but significant differences were found in resting VAS scores 24 hours and 48 hours after operation between the two groups(P<0.05).No significant difference was found in cough VAS scores 6 hours after operation of patients between the two groups(P>0.05),but significant differences were observed in cough VAS scores 12 hours,24 hours,and 48 hours after operation between the two groups(P<0.05).Conclusion Compared with electrosurgical knife for myotomy of incision,blunt dissection for myotomy of incision in single-port thoracoscopic lung wedge resection can reduce postoperative pain,promote postoperative ambulation for patients,which is beneficial to postoperative recovery.
