全胸腔镜下肺癌根治术与开胸肺癌根治术的手术效果对比研究(1)
[摘要] 目的 對比分析全胸腔镜下肺癌根治术与开胸肺癌根治术的手术效果。 方法 选取2016年1月～2018年1月我院手术治疗的肺癌根治术患者66例，根据手术方案不同分为两组，每组33例，对照组33例患者采用开胸肺癌根治术，观察组33例患者采用全胸腔镜下肺癌根治术，观察比较两组患者的平均手术时间、平均术中出血量、第1天胸腔引流量、术后首次下床活动时间、平均住院时间及并发症(胸腔积液、气胸、肺部感染、切口感染)情况。 结果 观察组患者的平均手术时间与对照组比较，差异无统计学意义(P>0.05)。观察组患者的平均术中出血量、第1天胸腔引流量均显著少于对照组，差异有统计学意义(P<0.05)。观察组患者的术后首次下床活动时间、平均住院时间均显著短于对照组，差异有统计学意义(P<0.05)。观察组术后患者未发生气胸，对照组4例出现气胸，两组并发症发生率分别为12.12%、30.30%，组间比较差异有统计学意义(P<0.05)。 结论 全胸腔镜下肺癌根治术的手术效果显著优于开胸肺癌根治术，可减少术中出血量、并发症，且利于患者术后恢复。
[关键词] 全胸腔镜下肺癌根治术;开胸肺癌根治术;并发症;非小细胞肺癌
[中图分类号] R734.2 [文献标识码] B [文章编号] 1673-9701(2019)31-0049-03
Comparative study of surgical results between total thoracoscopic radical resection for lung cancer and open radical resection for lung cancer
SUN Zhao
Department of Thoracic Surgery， Central Hospital of Zibo Mining Group Co. Ltd， Zibo 255120， China
[Abstract] Objective To compare and analyze the surgical results of total thoracoscopic radical resection for lung cancer and open radical resection for lung cancer. Methods 66 patients with radical resection of lung cancer who underwent surgery in our hospital from January 2016 to January 2018 were enrolled. According to different surgical plans， they were divided into two groups， with 33 in each group. 33 cases in the control group were treated with open radical resection for lung cancer. 33 patients in the observation group underwent total thoracoscopic radical resection of lung cancer. The average operation time， intraoperative average blood loss， thoracic drainage volume on the first day， the first leaving bed time， average hospitalization time and complications(pleural effusion， pneumothorax， lung infection， wound infection)were observed and compared between the two groups. Results The average operation time of the observation group was not significantly different from that of the control group. The intraoperative average blood loss and the thoracic drainage volume on the first day in the observation group were significantly lower than those in the control group， and the difference between the two groups was significant. The postoperative first leaving bed time and the average length of hospital stay were significantly shorter than those in the control group， and the difference between the groups was significant(P<0.05). There was no pneumothorax in the observation group after surgery. There were 4 cases of pneumothorax in the control group. The incidence of complications in two groups was 12.12% and 30.30%， respectively. There was significant difference between the two groups(P<0.05). Conclusion Total thoracoscopic radical resection for lung cancer has significantly better effect than open resection for lung cancer， which can reduce intraoperative blood loss， has fewer complications， and can facilitate postoperative recovery., 百拇医药(孙钊)
[关键词] 全胸腔镜下肺癌根治术;开胸肺癌根治术;并发症;非小细胞肺癌
[中图分类号] R734.2 [文献标识码] B [文章编号] 1673-9701(2019)31-0049-03
Comparative study of surgical results between total thoracoscopic radical resection for lung cancer and open radical resection for lung cancer
SUN Zhao
Department of Thoracic Surgery， Central Hospital of Zibo Mining Group Co. Ltd， Zibo 255120， China
[Abstract] Objective To compare and analyze the surgical results of total thoracoscopic radical resection for lung cancer and open radical resection for lung cancer. Methods 66 patients with radical resection of lung cancer who underwent surgery in our hospital from January 2016 to January 2018 were enrolled. According to different surgical plans， they were divided into two groups， with 33 in each group. 33 cases in the control group were treated with open radical resection for lung cancer. 33 patients in the observation group underwent total thoracoscopic radical resection of lung cancer. The average operation time， intraoperative average blood loss， thoracic drainage volume on the first day， the first leaving bed time， average hospitalization time and complications(pleural effusion， pneumothorax， lung infection， wound infection)were observed and compared between the two groups. Results The average operation time of the observation group was not significantly different from that of the control group. The intraoperative average blood loss and the thoracic drainage volume on the first day in the observation group were significantly lower than those in the control group， and the difference between the two groups was significant. The postoperative first leaving bed time and the average length of hospital stay were significantly shorter than those in the control group， and the difference between the groups was significant(P<0.05). There was no pneumothorax in the observation group after surgery. There were 4 cases of pneumothorax in the control group. The incidence of complications in two groups was 12.12% and 30.30%， respectively. There was significant difference between the two groups(P<0.05). Conclusion Total thoracoscopic radical resection for lung cancer has significantly better effect than open resection for lung cancer， which can reduce intraoperative blood loss， has fewer complications， and can facilitate postoperative recovery., 百拇医药(孙钊)