摘要
目的比较单操作孔胸腔镜手术与单纯小切口手术治疗早期肺癌的临床疗效。方法67例早期肺癌患者根据治疗意愿分为两组，对照组（n=32例）采用单纯小切口手术治疗，观察组（n=35例）采用单操作孔胸腔镜手术治疗，比较两组患者手术时间、淋巴结清扫数目、术中出血量、拔除胸腔引流管时间、术后住院时间及术后并发症发生情况等指标。结果两组患者手术时间及淋巴结清扫数目比较差异无统计学意义（P〉0．05），观察组患者术中出血量明显少于对照组，且拔除胸腔引流管时间及术后住院时间较对照组均明显缩短（P〈0．05）；观察组患者术后并发症发生率（14．3％）明显低于对照组（37．5％）（P〈0．05）。结论单操作孔胸腔镜手术治疗早期肺癌可明显减少术中出血量，缩短胸腔引流管留置时间及术后住院时间，且不会影响手术时间及淋巴结清扫数目。
Objective To compare the clinical efficacy of single port video assisted thoracoscopic surgery with small incision in the treatment of early lung cancer. Methods 67 patients with early lung cancer were divided into two groups according to treatment will, control group （ n=32 cases ） was treated with simple small incision surgical treatment, observation group （ n=35 cases ） was treated with single port thoracoscopy surgery treatment. The operative time, lymph node dissection number, intraoperative bleeding volume, removal of the chest tube drainage time, postoperative hospital stay and postoperative complications of two groups were compared. Results There was not statistically significant difference about operation time and lymph node dissection number of two groups （ P〉0.05 ） .The bleeding of observation group was less than that of the control group （ P〈0.05 ） , and removal of the chest drainage tube time and postoperative hospital stay were significantly shorter than those of control group （ P〈0.05 ） .The incidence of postoperative complications of observe group （ 14.3% ） was significantly lower than that of control group （ 37.5% ） （ P〈0.05 ） . Conclusion Single operating port thoracoscopic surgery for the treatment of early stage lung cancer can significantly reduce the amount of bleeding during the operation, relationship pleural drainage tube indwelling time and postoperative hospitalization time and will not affect the operation time and lymph node number of sweeping.
出处
《浙江临床医学》
2016年第4期645-646,共2页
Zhejiang Clinical Medical Journal
关键词
单操作孔
胸腔镜
小切口手术
早期肺癌
Single operating hole Video assisted thoracic surgery Small incision surgery Early stage lung cancer
