单向式胸腔镜肺叶切除与传统开胸手术比较

Contrast between single-direction VATS lobectomy and traditional thoracotomy

目的评价单向式胸腔镜肺叶切除术的临床应用效果。方法分析我院单向式胸腔镜肺叶切除术57例和传统开胸肺叶切除手术65例,分别统计手术时间、术中失血量、术后住院时间等方面的差别。结果 122例均手术成功,无围手术期死亡病例。两者在性别、年龄、肿瘤大小、淋巴结清扫数、术后住院时间方面无统计学差异,前者在手术时间、术中失血量、切口疼痛、术后胸腔引流时间、并发症方面优于后者,P<0.05。结论单向式胸腔镜手术是肺癌根治的一种可供选择的有效手段,与传统开胸手术比较有许多优点。

Objective To evaluate the clinical effect of single-direction VATS lobectomy. Methods 57 cases which received single-direction VATS lobectomy and 65 cases which received traditional thoracotomy were retrospectively analyzed. Their data of gender, age, operation time, blood loss and postoperative hospitalization were compared. Results 122 cases were all successful, and there was no perioperative death. There was no statistical difference between them on gender, age, tumor size, number of dissected lymph nodes and duration of hospital stay. The former was better than the latter on operation time, blood loss, incision pain, chest tube time of drainage and complications. Conclusion The single-direction VATS surgery is an effective method in the treatment of patients with lung cancer, which has better curative effect than traditional thoracotomy does.