三孔与单孔胸腔镜肺叶切除术治疗肺癌的效果对比

Comparison on the Effects of Three-Hole Thoracoscopic Lobectomy and Single-Hole Thoracoscopic Lobectomy for the Treatment of Lung Cancer

目的比较三孔与单孔胸腔镜肺叶切除术治疗肺癌的效果,为早期肺癌治疗提供依据。方法选取2014年9月至2015年8月我院收治的肺癌患者60例,随机分为单孔组(30例)和三孔组(30例),单孔组行单孔胸腔镜肺叶切除术,三孔组行三孔胸腔镜肺叶切除术,比较两组患者的手术相关指标和术后淋巴结清扫情况。结果单孔组患者的手术时间长于三孔组,疼痛评分低于三孔组,差异均有统计学意义(P<0.05);两组患者的出血量和转开放手术比例比较,差异无统计学意义(P>0.05)。两组患者的淋巴结清扫数、淋巴结清扫站数、N2淋巴结清扫数以及N2淋巴结清扫站数比较,差异均无统计学意义(P>0.05)。结论单孔胸腔镜肺叶切除术治疗肺癌的效果显著,且在手术创伤、疼痛等方面均优于三孔胸腔镜肺叶切除术。

Objective To compare the effects of three-hole thoracoscopic lobectomy and single-hole thoracoscopic lobectomy for the treatment of lung cancer, so as to provide basis for treatment of early lung cancer. Methods 60 cases of patients with lung cancer admitted to our hospital from September 2014 to August 2015 were selected and randomly divided into two groups, with 30 cases in each group. The single-hole group received single-hole thoracoscopic lobectomy, while the three-hole group received three-hole thoracoscopic lobectomy. The surgery related indicators, and postoperative lymph node dissection situation were compared between the two groups. Results The operation time of the single-hole group was significantly longer than that of the three-hole group, while the pain score was significantly lower than that of the three-hole group （P 〈0.05）; No statistical difference was found between the two groups in blood loss or proportion of conversion to open surgery （P 〉0.05）. No statistical difference was found between the two groups in number of lymph node dissection, station number of lymph node dissection, number of N2 lymph node dissection or station number of N2 lymph node dissection （P 〉0.05）. Conclusions Single-hole thoracoscopic lobectomy has significant effect for the treatment of lung cancer, which is superior to three-hole thoracoscopic lobectomy in the aspects of surgical trauma and pain.