胸腔镜肺叶切除术治疗老年早期肺癌的效果及并发症观察

Observation on effect and complications of thoracoscopic lobectomy in the treatment of early lung cancer in the elderly

目的探讨胸腔镜肺叶切除术治疗老年早期肺癌的效果及并发症发生情况。方法49例老年早期肺癌患者作为研究对象,所有患者均行胸腔镜肺叶切除术,观察其治疗效果及并发症发生情况。结果所有患者均顺利完成手术,未发生严重并发症,无一例死亡,平均手术时间为(180.61±62.56)min,平均术中出血量为(200.61±49.16)ml,平均住院时间为(20.21±7.47)d,平均引流量为(764.37±107.69)ml,术后并发症发生率为8.16%(4/49)。结论老年早期肺癌患者应用胸腔镜肺叶切除术治疗可提高治疗效果,减少术中出血量,降低并发症发生率,促进患者术后尽快恢复,值得临床推广应用。

Objective To discuss the effect of thoracoscopic lobectomy in the treatment of early lung cancer in the elderly and occurrence of complications. Methods A total of 49 elderly lung cancer patients as study subjects all received thoracoscopic lobectomy, and their treatment effect and occurrence of complications were observed. Results All patients successfully completed the operation without serious complications and no death,with average operation time as(180.61±62.56) min, average intraoperative hemorrhage as(200.61±49.16) ml,average hospitalization time as(20.21±7.47) d, average drainage as(764.37±107.69) ml and incidence of postoperative complications as 8.16%(4/49). Conclusion The application of thoracoscopic lobectomy in elderly patients with early lung cancer can improve the treatment effect, reduce intraoperative hemorrhage, reduce the incidence of complications, and promote the recovery of patients as soon as possible. It is worthy of clinical promotion and application.