|
|
|
| Clinical application of two types of thoracoscopic lobectomy to the treatment of non-small cell lung cancer |
| WU Dongqiang,ZHANG Dongliang,ZHANG Zhihao,and ZHANG Jinxian. |
| Department of Thoracic Surgery,Jiaxing Hospital of Zhejiang Provincial Corps, Chinese People’s Armed Force, Jiaxing 314000, China |
|
|
|
|
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.
|
|
Received: 21 April 2017
|
|
|
|
|
|
| [1] |
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,2012,19(2):181-184.
|
| [2] |
熊剑文,喻东亮,魏益平,等.早期非小细胞肺癌根治术中单孔胸腔镜阶梯式解剖技术的应用[J].中华胸心血管外科杂志,2016,32(8):490-492.
|
| [3] |
Karmakar M K,Ho AM.Postthoracotomy pain syndrome.Thorac Surg Clin,2004,14:345-352.
|
| [4] |
任 华.外科手术在肺癌治疗中的地位[J].武警医学,2011,22(11) :921-924.
|
| [5] |
Papiashvilli M,Sasson L,Azzam S,et al.Video-assisted thoracic surgery lobectomy versus lobectomy by thoracotomy for lung cancer: pilot study[J].Innovations(Phila),2013,8(1):6-11.
|
| [6] |
焦 鹏,李 简,佟宏峰,等.近距离两孔与单孔胸腔镜下肺癌手术的对比[J].实用医学,2016,32(10):1627-1630.
|
| [7] |
蔡奕欣,张 霓,韩 颢,等.3cm单孔胸腔镜在肺叶切除术中的应用[J].中华胸心血管外科,2016,32(2):110-112.
|
| [8] |
Kim K,Kim H K,Park J S,et al.Video-assisted thoracic surgery lobectomy:single institutional experience with 704 cases.Ann Thorac Surg,2010,89:S2118-S2122.
|
| [9] |
Hsu P K,Lin W C,Chang Y C,et al. Multiinstitutional analysis of single-port video-assisted thoracoscopic anatomical resection for primary lung cancer[J]. Ann Thorac Surg,2015,99(5):1739-1744.
|
| [10] |
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,2012,19(2):181-184.
|
| [11] |
晋云鹏,卢喜科,张 逊,等.单孔与三孔胸腔镜肺叶切除术的临床疗效对比[J].天津医药,2016,44(1):101-104
|
| [12] |
张正旭,黄大伟,宋传健,等.单孔法与三孔法胸腔镜肺大疱切除术疗效比较[J].武警医学,2014, 25(10):1015-1017.
|
| [13] |
Gonzalez D,Torre M,Paradela M,et al. Video-assisted thoracic surgery lobectomy:3-year initial experience with 200 cases. Eur J Cardiothorac Surg, 2011, 40(1):e21-e28.
|
| [1] |
. [J]. Med. J. Chin. Peop. Armed Poli. Forc., 2019, 30(7): 623-624. |
|
|
|
|
2017, Vol. 28 
