Abstract：Objective To compare the single hole thoracoscopic lobectomy with the traditional three hole thoracoscopic surgery in minimally invasive surgery for non-small cell lung cancer(NSCLC). Methods Clinical data on 127 cases of non-small cell lung cancer patients treated from January 2013 to October 2016 at the Department of Thoracic Surgery of Jiaxing Hospital of Zhejiang Armed Police Corps was retrospectively analyzed. According to the type of surgery, these patients were divided into the observation group (single hole thoracoscopic lobectomy in 64 cases) and control group (three hole thoracoscopic surgery in 63 cases). The duration of surgery, intraoperative bleeding volume, thoracotomy, number of lymph nodes dissected, postoperative drainage time, ambulation time, postoperative hospital stay, complication rate, postoperative pain and pain medication were compared between the two groups. Results There was no significant difference in the duration of surgery, intraoperative blood loss, number of lymph nodes dissected, postoperative drainage time, ambulation time or postoperative complications between the two groups (P>0.05). The number of patients who underwent thoracotomy was eight in the observation group, but was three in the control group (P<0.05). The postoperative hospital stay was 8.2 days in the observation group, compared with 10.3 days in the control group. The pain score was 1.5 points in the observation group,but was 3.3 points in the control group. The analgesic time of the observation group (2.8 days) was shorter than that of the control group (4.6 days) (P<0.05).Conclusions Single hole thoracoscopic surgery can achieve the same effect as three hole thoracoscopic radical resection, and is safe, feasible and conducive to postoperative recovery, but is more demanding and risky. It is recommended that beginners use three hole thoracoscopic surgery before single hole thoracoscopic surgery.
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