Title: [Clinical analysis of thoracoscopic lobectomy in the treatment of peripheral lung cancer with single utility port].
Abstract: Video-assisted thoracoscopic surgery (VATS) lobectomy is now generally accepted for patients with lung cancer. The aim of this study is to review the technology of thoracoscopic lobectomy with single utility port in the treatment of peripheral lung cancer.We retrospectively analyzed the clinical data of 87 patients with peripheral lung cancer who underwent single utility port complete VATS lobectomy from February 2011 to January 2013 in the First Affiliated Hospital of Soochow University (single utility port group), and compared them with 75 patients with peripheral lung cancer who underwent conventional, 3-port VATS lobectomy in the same period (3-port group). The clinical outcomes including operation time, time to first activity out of bed, postoperative hospital stay, intraoperative blood loss, postoperative drainage volume, chest drainage duration, lymph node dissection number, postoperative complications and degree of chest pain were compared between the two groups.No perioperative death was observed in both groups. There was no statistical difference in operation time (151.03±25.97 min vs 156.27±26.49 min), lymph node dissection number (13.06±1.36 vs 12.61±1.56), intraoperative blood loss (188.62±47.03 mL vs 179.60±28.96 mL) and incidence of serious postoperative complications (18/87 vs 21/75) between the two groups. There were statistical differences in time to first activity out of bed (11.17±8.69 h vs 13.76±7.43 h), postoperative hospital stay (7.18±1.95 d vs 7.92±2.03 d), chest drainage duration (3.85±1.21 d vs 4.43±1.43 d) and total postoperative drainage volume (671.49±178.31 mL vs 736.93±170.39 mL) between the two groups (P<0.05). The change of vision analogue score (VAS) score between the two groups after operation was also statistically significant (P<0.01).The completely thoracoscopic lobectomy with single utility port is a safe and feasible surgical procedure compared with conventional 3-port VATS lobectomy for selected patients.背景与目的 胸腔镜肺叶切除术在肺癌治疗领域的价值与可行性已被广泛接受。本研究探讨单操作孔肺叶切除术治疗周围型肺癌的临床效果。方法 回顾性分析2011年2月-2013年1月苏州大学附属第一医院心胸外科经单操作孔胸腔镜肺叶切除术治疗的周围型肺癌患者87例(单操作孔组),用同期经传统“三孔法”肺叶切除术治疗的周围型肺癌作为对照(“三孔法”组)。比较两组患者的手术时间、术后下床活动时间及住院时间、术中出血量、术后总引流量、术后拔管时间、清扫淋巴结数量及术后并发症、术后疼痛的发生情况。 结果 两组患者手术过程顺利,单操作孔组与三孔法组手术时间(151.03±25.97)min vs (156.27±26.49)min、淋巴结清扫数目(13.06±1.36)枚 vs(12.61±1.56)枚、术中出血量(188.62±47.03)mL vs(179.60±28.96)mL及术后并发症发生率(18/87) vs (21/75)差异无统计学意义(P>0.05);术后下床活动时间(11.17±8.69) vs(13.76±7.43)h、术后住院天数(7.18±1.95)天 vs (7.92±2.03)天、拔除引流管时间(3.85±1.21)天 vs (4.43±1.43)天及总引流量(671.49±178.31)mL vs (736.93±170.39)mL的差异有统计学意义(P<0.05),两组患者术后视觉模拟评分法(vision analogue score, VAS)评分变化差异有统计学意义(P<0.01)。结论 单操作孔肺叶切除术治疗周围型肺癌可以达到与传统“三孔法”全腔镜肺叶切除术相同的效果,是一种有发展前途的手术方式。
Publication Year: 2013
Publication Date: 2013-09-01
Language: en
Type: article
Indexed In: ['doaj', 'pubmed']
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Cited By Count: 14
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