摘要
目的探讨单操作孔胸腔镜肺叶切除术治疗早期非小细胞肺癌(NSCLC)的临床效果。方法回顾性分析2012年1月至2014年1月阜阳市第二人民医院42例单操作孔胸腔镜肺叶切除术治疗早期非小细胞肺癌患者的围手术期资料,并与86例常规多操作孔胸腔镜患者临床资料进行比较。结果两组患者临床特征具有可比性,无围手术期死亡。单操作孔术中出血量少于多操作孔组,差异有统计学意义(P<0.05)。单操作孔和多操作孔组手术时间、术后第2天胸管引流量、术后带胸腔引流管时间、术后住院时间、淋巴结清扫个数及组数差异无统计学意义(P>0.05)。两组患者术后并发症发生率分别为11.9%(5/42)和12.8%(11/86),差异无统计学意义(P=0.887)。单操作孔术后第1、3、5天疼痛视觉模拟评分(VAS)较多操作孔组低,有统计学差异(P<0.05)。结论单操作孔肺叶切除术治疗早期NSCLC在技术上安全可行,术中较常规多操作孔胸腔镜出血量少、术后疼痛减轻及术后并发症降低,是胸腔镜微创化可供选择的术式。
Objective To investigate the clinical outcomes of single utility port complete video-assisted tho-raeoseopic lobeetomy for patients with early-stage non-small cell lung cancer （NSCLC）. Methods The clinical data of 42 patients with early-stage NSCLC who underwent single utility port complete VATS lobectomy in No. 2 People＇ s Hospital of Fuyang City from January 2012 to January 2014 were retrospectively analyzed and compared to data from 86 patients who underwent lobectomy via the traditional multiple-port thoracotomy procedure within the same time range. Results Their clinical characteristics were similar in both groups. There was no pcrioperative death reported. Intraoperative blood loss in single utility port was less than in multiple-port （ P 〈 0. 05 ）. There was no significant difference in operative time, postoperative drainage quantity on the second day, thoracic drainage duration, hospital stay, number of dissected lymph nodes and number of stations of lymph node dissected between single utility port and multiple-port. There was no difference in terms of post-operative complications （ P = 0. 887）. The complication rate for single utility port and multiple-port procedure was 11.9% （5/42） and 12. 8% （ 11/86）, respectively. Visual analogue scale （VAS） pain scores （postoperative 1, 3, 5d） of patients in single utility port were significantly lower than multiple-port （P 〈 0. 05）. Conclusion Single utility port VATS lobectomy for early-stage non-small cell lung cancer is safe, feasible, and less invasive with reduced bleeding and enhanced pain relief. Thus, it＇ s an available option according to these findings achieving minimally invasive thoracope utilization.
作者
胡一淼
葛阳
顾江魁
孙涛
陈春雨
曹冠亚
张忠义
HU Yi-miao GE Yang GU Jiang-kui SUN Tao CHEN Chun-yu CAO Guan-ya ZHANG Zhong-yi(Anhui Medical University, Hefei, AnAui 230000, Chin)
出处
《临床肺科杂志》
2017年第6期992-994,998,共4页
Journal of Clinical Pulmonary Medicine
关键词
单操作孔
电视胸腔镜
非小细胞肺癌
肺叶切除术
single utility port
video-assisted thoracoscopic surgery
non-small cell lung cancer
lobectomy
