单孔胸腔镜与多孔胸腔镜肺癌手术的临床疗效比较

Abstract
Figure/Table
References
Related Citation (15)

Download: PDF (629 KB) HTML (1 KB)
Export: BibTeX | EndNote (RIS)

Abstract Objective To compare the clinical outcomes between uniportal video-assisted thoracoscopic surgery (VATS) and multiportal VATS for NSCLC.Methods The clinical data on 132 patients with NSCLC treated between August 2015 and October 2017 was retrospectively analyzed. All the patients were divided into two groups: the uniportal VATS group and multiportal VATS group. In the first group, a single incision was completed through the fifth intercostal space in the axillary midline while the second group had a number of incisions as required. Postoperative pain was compared using the visual analogue pain scale (VAS). The clinical effects were compared with reference to the duration of surgery, the amount of perioperative bleeding, thoracic drainage volume, postoperative hospital stay and postoperative complications.Results All the operations were successful in 132 cases and no one died perioperatively. The duration of surgery of the uniportal VATS group was longer than that of the latter (P<0.05). There was no significant difference in the postoperative drainage volume, duration of drainage, postoperative hospital stay, operative blood loss or lymph node dissection. The VAS on the first postoperative day was not significantly different between the two groups, but was lower in the uniportal group on postoperative third, fifth, seventh days (3.91±0.39,3.04±0.13,1.53±0.09) than in the multiportal group(5.78±0.48,4.41±0.19,2.72±0.15) (P<0.05). There was no significant difference in postoperative complications between the two groups (22.2% versus 21.7%).Conclusions Uniportal VATS can help alleviate postoperative pain and recovery. Uniportal VATS is as effective as multiportal VATS for managing complications and removing lymph nodes.

Key words： uniportal video-assisted thoracoscopic surgery visual analogue scale non-small-cell lung cancer visual analogue pain scale

Received: 10 January 2018

ZTFLH:

R826

	Service

	E-mail this article
	Add to my bookshelf
	Add to citation manager
	E-mail Alert
	RSS
	Articles by authors
	ZHANG Hongguang

Cite this article:

ZHANG Hongguang. Comparison of clinical efficacy between uniportal VATS and multiportal VATS for NSCLC[J]. Med. J. Chin. Peop. Armed Poli. Forc., 2018, 29(5): 441-444.

URL:

http://journal08.magtechjournal.com/Jwk_wjyx/EN/ OR http://journal08.magtechjournal.com/Jwk_wjyx/EN/Y2018/V29/I5/441

[1]	Gonzalez-Rivas D,Paradela M,Garcia J,et al. Single-port video-assisted thoracoscopic lobectomy [J]. Interact Cardiovasc Thorac Surg, 2011, 12(3):514-518.
[2]	Feng M, Lin M, Shen Y, et al. Uniportal video-assisted thoracic surgery for left upper lobe: single-direction lobectomy with systematic lymphadenectomy [J] J Thorac Dis, 2016, 8(8):2281-2283.
[3]	Pastina M, Menna C, Andreetti C, et al. The era of uniportal video-assisted thoracoscopic surgery.[J] J Thorac Dis, 2017, 9(3): 462-465.
[4]	Bedetti B, Bertolaccini L, Solli P, et al. Learning curve and established phase for uniportal VATS lobectomies: the Papworth experience [J] J Thorac Dis, 2017, 9(1):138-142.
[5]	Han D P, Chen K, Zhang Y J, et al. Uniportal video-assisted thoracoscopic combined segmentectomy for lung cancer with incomplete fissure [J] J Thorac Dis, 2017, 9(4):1140-1143.
[6]	Nardini M,Bilancia R,Dunning J.Perspective on uniportal thoracic surgery:where do we stand and what is the future[J].Vis Surg,2017,11(3):164-166.
[7]	Liu R, Tan Q, Huang J, et al. Uniportal video assisted thoracic surgery with 2 cm skin incision for right middle lobectomy with systematic lymphadenectomy[J]. J Thorac Dis, 2017, 9(11): 4592-4596.
[8]	Mineo T C, Ambrogi V. A glance at the history of uniportal video-assisted thoracic surgery [J]. Vis Surg, 2017, 7(3):157-162.
[9]	Delgado Roel M, Fieira Costa E M, Gonzalez-Rivas D, et al. Uniportal video-assisted thoracoscopic lymph node dissection [J]. J Thoracic Dis, 2014, 6(6):S665-668.
[10]	Liu C Y,Lin C S,Shih C H,et al. Single-port video-assisted thoracoscopic surgery for lung cancer [J].J Thoracic Dis, 2014, 6(1):14-16
[11]	车国卫, 刘伦旭.单孔电视胸腔镜手术临床应用的现状与进展[J].中国胸心血管外科临床杂志, 2012, 19(2):181-182.
[12]	Gonzalez-Rivas D, Fieira E, Mendez L, et al. Single-port video-assisted thoracoscopic anatomic segmentectomy and right upper lobectomy[J].Eur J Cardio-thoracic Surg, 2012, 42(6):e169-171.
[13]	Stamenovic D, Messerschmidt A.Uniportal video-assisted thoracoscopic resection of anterior segment of the left upper lobe[J]. Multimed Man Cardiothorac Surg, 2018,11: 2018-2022.
[14]	Rocco G. One-port(uniportaI)video-assisted thoraclc surgical resections-a clear advance [J].Thorac Cardiovasc Surg, 2012, 144(3): S27-S31.
[15]	Caron ia F P, Arrigo E, Fiorelli A. Uniportal video-assisted lobectomy through a posterior approach [J]. J Thorac Dis, 2017, 9(10):4057-4063.
[16]	Ng C S, Gonzalez-Rivas D, D’ Amico T A, et al. Uniportal VATS-a new era in lung cancer surgery [J]. J Thorac Dis, 2015, 7(8):1489-1494.
[17]	Nachira D, Meacci E, Congedo M T, et al. eComment. Uniportal VATS: the great potential of the technique [J]. Interact Cardiovasc Thorac Surg, 2017, 25(1):163-165.
[18]	Wang B Y,Liu C Y,Hsu P K,et al. Single-incision versus multiple-incision thoracoscopic lobectomy and segmemectomy:a propensity-matched analysis [J]. Annals Surg, 2014, 261(4):793-799.
[19]	Anile M, Diso D, Mantovani S, et al. Uniportal video-assisted thoracoscopic lobectomy: going directly from open surgery to a single port approach [J]. J Thorac Dis, 2014, 6(Suppl 6): S641-645.
[20]	Lin F, Zhang C, Zhang Q, et al. Uniportal video-assisted thoracoscopic lobectomy: an alternative surgical method for pulmonary carcinoma [J]. Med Sci, 2016, 32(5):1283-1285.

[1]	. [J]. Med. J. Chin. Peop. Armed Poli. Forc., 2019, 30(8): 709-710.