电视胸腔镜在Ⅰ-Ⅱ期NSCLC切除中的中远期疗效及安全性分析

Analysis of efficacy and safety of video-assisted thoracic surgery in the treatment of non-small cell lung cancer at Ⅰ-Ⅱ period

目的探讨电视胸腔镜在早期NSCLC切除中的中远期疗效及安全性分析。方法将64例进行电视胸腔镜手术的Ⅰ-Ⅱ期NSCLC作为观察组,并与同期进行常规开胸手术的54例患者进行对照研究。结果电视胸腔镜组的止痛药使用率、手术时间、术中出血量、引流时间、术后引流量及住院时间均显著低于常规开胸组,P<0.05,电视胸腔镜组与常规开胸组3年生存率、5年生存率及并发症比较无统计学差异,P>0.05。结论电视胸腔镜手术在早期NSCLC患者切除中具有术后恢复快、住院时间短,疗效确切、安全等特点。

Objective To explore the efficacy and safety of video-assisted thoracic surgery in the treatment of patients with non-small cell lung cancer at Ⅰ-Ⅱ period. Methods 64 NSCLC patients at Ⅰ-Ⅱ period treated with video-assisted thoracoscopic surgery were selected as the observation group,and 54 NSCLC patients at Ⅰ-Ⅱ period treated with conventional thoracotomy were taken as the control group. Results Analgesics usage,operation time,blood loss,drainage time,postoperative drainage and hospital stay were all lower in the observation group than in the control group（ P〈0. 05）,but there was no significant difference in 3-year and 5-year survival rate and complications between the two groups（ P〉0. 05）. Conclusion VATS surgery has the advantages of rapid postoperative recovery,short duration of hospital stay,good efficacy and high safety in the treatment of patients with non-small cell lung cancer at Ⅰ-Ⅱ period.