单操作孔胸腔镜肺癌根治术在非小细胞肺癌中的应用

Application of Single Hole Thoracoscopic Radical Surgery of Lung Cancer in Patients with Non-small Cell Lung Cancer

目的:评价单操作孔胸腔镜肺癌根治术治疗非小细胞肺癌的临床效果。方法:回顾性分析2015年11月-2018年10月在笔者所在医院胸心外科行胸腔镜肺癌根治术的70例非小细胞肺癌患者,根据手术方式不同进行分组,其中接受三孔胸腔镜肺癌根治术的35例患者设为对照组,接受单操作孔胸腔镜肺癌根治术的35例患者设为观察组。比较两组围手术期相关指标。结果:两组手术时间、术中出血量、淋巴结清扫个数、胸管引流时间及术后并发症发生率比较,差异均无统计学意义(P>0.05)。观察组术后第1、3、5天VAS评分均明显低于对照组,差异有统计学意义(P<0.05)。结论:单操作孔胸腔镜肺癌根治术治疗非小细胞肺癌能取得与三孔胸腔镜术式相似的手术效果,但单操作孔术式对患者疼痛影响更小,因此更易于被患者接受。

Objective: To evaluate the clinical efficacy of single hole thoracoscopic surgery in patients with non-small cell lung cancer. Method: Retrospective analysis of 70 patients with non-small cell lung cancer who underwent thoracoscopic radical surgery of lung cancer in our hospital from November 2015 to October 2018. According to different surgical methods, 35 patients who received three hole thoracoscopic radical surgery of lung cancer were set as the control group and 35 patients who received single hole thoracoscopic radical surgery of lung cancer were set as the observation group. The indexes of perioperative period were compared between the two groups. Result: There were no significant differences of the operation time, intraoperative blood loss, the number of dissected lymph nodes, duration of postoperative chest tube drainage and the incidence of postoperative complications between the two groups(P>0.05). The VAS scores of the observation group were significantly lower than those in the control group on the 1 st, 3 rd and 5 th day after operation(P<0.05). Conclusion: The clinical efficacy of single hole thoracoscopic radical surgery of lung cancer in patients with non-small cell lung cancer is similar to that of three hole thoracoscopic radical surgery, but the single hole surgery has less impact on patients pain, so it is more acceptable to patients.