单孔胸腔镜下肺叶切除术治疗周围型肺癌的临床价值

Clinical Value of Single-hole Thoracoscopic Lobectomy for Peripheral Lung Cancer

目的分析单孔胸腔镜肺叶切除术与三孔胸腔镜手术治疗肺癌的临床效果。方法选取云南省第一人民医院胸外科2015年11月—2016年12月收治的肺癌患者89例,根据手术方式分为单孔胸腔镜手术组(单孔组)(n=44)与三孔胸腔镜手术组(三孔组)(n=45),对两组患者手术情况、术后恢复情况及术后并发症发生率进行对比。结果两组术中出血量、术后拔管时间以及淋巴结清扫个数比较,差异无统计学意义(P> 0.05),单孔组手术时间、视觉疼痛模拟评分、住院时间、下床时间均优于三孔组,差异有统计学意义(P <0.05);单孔组术后并发症发生率为9.09%,三孔组为6.67%,差异无统计学意义(P> 0.05)。结论单孔胸腔镜肺叶切除术手术时间短、术中出血量少,不会增加并发症,利于患者术后恢复,且与三孔胸腔镜肺叶切除术淋巴结清扫数目相当。

Objective To analyze the clinical effect of single-hole thoracoscopic lobectomy and three-hole thoracoscopic lobectomy in treatment of lung cancer.Methods Eighty-nine patients with lung cancer admitted to the department of thoracic surgery,the first people's hospital of yunnan province from November 2015 to December 2016 were enrolled.According to the surgical procedure,they were divided into single-hole thoracoscopic surgery group(single-hole group)(n=44)and three-hole thoracoscopic surgery group(three-hole group)(n=45).The surgical conditions,postoperative recovery and postoperative complication incidence of the two groups were compared.Results There were no significant differences in the amount of intraoperative blood loss,postoperative extubation time,and the number of lymph node dissection between the two groups(P>0.05).The operation time,visual pain simulation score,hospitalization time,and off bed time of the single-hole group were all superior to those in the three-hole group.The differences were statistically significant(P<0.05).The incidence of postoperative complication was 9.09%in the single-hole group and 6.67%in the three-hole group.The difference was not statistically significant(P>0.05).Conclusion Single-hole thoracoscopic lobectomy has a shorter operation time and less intraoperative blood loss,which will not increase the complications and is beneficial to the postoperative recovery.It is equivalent in the number of lymph node dissection compared with three-hole thoracoscopic lobectomy.