Title: Comparison of the Efficacy Between Video Assisted Thoracoscopic Resection and Open Resection for Early Lung Cancer
Abstract: Objective To compare and analyze the clinical effect and complications between thoracotomy and video assisted thoracoscopic surgery(VATS) in the treatment of early lung cancer. Methods 147 patients underwent lobectomia pulmonalis for early lung cancer from January 1st, 2005 to October 1st, 2012 were reviewed. 88 cases in the control group were given traditional thoracotomy for the resection of lung cancer, while 59 cases in the observation group were given VATS. Results The difference in basic diseases such as hypertension, chronic renal insufficiency and the incidence of malignant tumors between the VATS group and the control group was statistically significant(P=0.01). Compared with the control group, the duration in the ICU of the VATS group was shorter(P=0.02), the incidence of postoperative pneumonia of VATS group was lower(P=0.00), the time of chest tube placing was shorter, but the total length of stay was longer. There were no statistically significant differences in operation time, blood loss,atrial fibrillation and ventilator use time between the two groups. The median of survival rate between the two groups had no statistical difference, which was respectively: thoracotomy group(7.9 years), group VATS group(4.6 years). Conclusion For patients with early lung cancer, the postoperative survival rate of VATS was similar to that of thoracotomy, but VATS can reduce the operation bleeding and the duration in the ICU after operation with smaller trauma, which is conducive to the postoperative recovery of the patients with lower incidence of postoperative pneumonia.
Publication Year: 2014
Publication Date: 2014-01-01
Language: en
Type: article
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