Title: Clinical research on VATS assisted small incision surgery in lung cancer
Abstract: Objective: To evaluate video-assisted thoracoscopic surgery(VATS) lobectomy in perioperative management.Methods: 78 patients with lung cancer in our hospital from February 2000 to October 2009 were randomly divided into VATS group(39 cases) and thoracotomy group(39 cases),VATS group was given video-assisted small rift(VAMT),and thoracotomy group was given traditional open-chest surgery,the number of harvested lymph nodes,dissection,operative time,intraoperative blood loss,postoperative time with the tube,thoracic fluid volume,length of hospital stay of two groups were compared.Results: Incision of 4 cases in VATS group extended to 11 cm due to pleural adhesions,others surgery went smoothly.Two groups of patients recovered well without complications and death.In thoracotomy group,thoracotomy time,closed chest time,operative time,postoperative catheterization time,postoperative recovery time,postoperative hospital stay were(20.4±6.4)min,(37.3±6.7)min,(98.4±20.2)min,(6.3±1.5)d、(11.5±2.1)d,(17.6±3.8)d respectively,and(10.2±5.3)min,(20.7±6.2)min,(73.2±9.4)min,(3.4±1.8)d,(6.8±1.9)d,(10.6±2.5)d in VAMT group respectively(t=4.27,6.23,5.92,2.364,3.28,3.341,P0.05);In thoracotomy group,intraoperative blood loss,postoperative drainage,postoperative pain per capita number,postoperative blood transfusion,hospital costs were(235.6±65.8)ml,(792.4±246.5)ml,(2.78±1.27)time,(378.3±68.5)ml,(2.8±0.5) million yuan,VATS group were(152.6±63.4)ml,(413.5±136.9)ml,(1.41±0.81)time,(121.3±60.0)ml,(3.4±0.6) million yuan(t= 3.264,2.643,6.12,12.392,3.014,P0.05);7 cases with chest pain in 2 months after surgery and 5 cases of upper limb dyskinesia in the thoracotomy group,no abnormal csae in VAMT group.6 cases(15.38%) with postoperative complications in VATS group,and 14 cases in thoracotomy group,the difference was statistically significant(P0.05).Conclusion: Advantages of VATS surgical are slight chest wall trauma,good thoracic stability,small influence of heart and lung function,surgery is safe,reliable,and clean lymph nodes consistent with the principles of cancer surgery.
Publication Year: 2011
Publication Date: 2011-01-01
Language: en
Type: article
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