肺癌全腔镜下两孔肺叶切除与常规开胸肺叶切除术的临床疗效分析

Clinical curative analysis between thoracoscopic lobectomy and conventional open resection

目的探究肺癌全腔镜下两孔肺叶切除与常规开胸肺叶切除在手术安全性及术后康复方面的差异。方法收集2012年11月-2013年11月于本院进行治疗150例肺癌患者的临床资料并回顾性分析,常规开胸肺叶切除术的为对照组,全腔镜下两孔肺叶切除术为观察组,比较两组患者手术安全性和术后康复方面的情况。结果观察组患者手术时间、手术切口、术中出血量均显著低于对照组,差异具有统计学意义(P<0.05);观察组患者术后切口疼痛评分、住院时间均小于对照组,差异具有统计学意义(P<0.05);观察组患者术后并发症发生率显著低于对照组,差异具有统计学意义(P<0.05),观察组患者术后1年、2年生存率与对照组相比无显著差异。结论全腔镜下两孔肺叶切除术与常规开胸肺叶切除术相比,手术时间少,手术切口小,并发症发生率低,术后疼痛减轻,安全性好,且术后恢复较快。

Objective To explore the differences in surgery safety and postoperative rehabilitation between complete video-assisted thoracoscopic lobectomy resection and conventional thoracotomy lobectomy. Methods From November 2012 to November 2013 in our hospital, the clinical data of 150 lung cancer patients were retrospectively analyzed. Patients received conventional thoracotomy with lobectomy were taken as the control group, and the com-pletely thoracoscopic lobectomy for the observation group. Their operation safety and operation after rehabilitation were compared. Results In the observation group, the operation time, surgical incision and operation bleeding vol-ume were significantly lower than those in the control group （P〈0. 05）. The postoperative incision pain score, and duration of hospital stay were significantly shorter in observation group than in the control group （ P〈0. 05 ） . The postoperative complication rate was significantly lower in the observation group than in the control group （P〈0. 05）. The 1 and 2 years survival rate showed no significant difference between the two groups. Conclusion Thoracoscopic lobectomy has the advantages of less operation time, smaller incision, lower complication rate, less pain after the op-eration, better safety and faster postoperative recovery.