摘要
目的:探讨肺段电刀和机械切割方式对行全胸腔镜手术早期周围型肺癌患者术中术后临床指标及术后并发症的影响。方法:选取我院2016年6月至2018年6月收治的早期周围型肺癌患者共128例,以随机数字表法分为A组(64例)和B组(64例),分别在全胸腔镜手术下行肺段电刀和机械切割,比较两组术中术后临床指标水平和术后并发症发生率。结果:B组手术用时显著少于A组(P<0.05);两组手术出血量、手术出血量>200 ml、纵隔淋巴结切除比例、术后胸腔闭式引流时间、术后住院时间及术后3 d胸腔引流量比较差异无统计学意义(P>0.05);同时两组术后并发症发生率比较差异无统计学意义(P>0.05)。结论:全胸腔镜手术中肺段电刀和机械切割方式用于早期周围型肺癌患者治疗在医源性创伤程度、术后康复时间及手术安全性方面较为接近;但肺段电刀切割方式应用可能增加手术难度,延长术中操作用时。
Objective:To investigate the influence of segmental lung resection for electrocautery and stapler on clinical index in and after operation and complications of patients with peripheral lung cancer in early stage undergoing complete thoracoscopic surgery.Methods:128 patients with peripheral lung cancer in early stage undergoing complete thoracoscopic surgery were chosen in the period from June 2016 to June 2018 in our hospital and randomly divided into A group(64 patients)with segmental lung resection for electrocautery and B group(64 patients)with segmental lung resection for stapler,and the clinical index in and after operation and complication incidence after operation of both groups were compared.Results:The operation time of B group was significantly less than A group(P<0.05).There was no significant difference in the bleeding loss in operation,the bleeding loss>200 ml,the ratio of mediastinal lymph node resection,the closed thoracic drainage time,the postoperative hospitalization time and the drainge volume of thoracic cavity in 3 d after operation between two groups(P>0.05).There was no significant difference in the complication incidence after operation between two groups(P>0.05).Conclusion:Segmental lung resection for electrocautery and stapler in the treatment of patients with peripheral lung cancer in early stage undergoing complete thoracoscopic surgery possess the same iatrogenic trauma degree,postoperative recovery time and operation safety,but segmental lung resection for electrocautery application can efficiently increase the operation difficulty and prolong operation time.
作者
连爱民
师智勇
刘守知
张振世
Lian Aimin;Shi Zhiyong;Liu Shouzhi;Zhang Zhenshi(Department of Cardiothoracic Surgery,General Hospital of Pingmei Shenma Medical Group,Henan Pingdingshan 467000,China)
出处
《现代肿瘤医学》
CAS
2020年第5期763-766,共4页
Journal of Modern Oncology
关键词
全胸腔镜
肺段切除术
切割方式
周围型肺癌
total thoracoscopy
segmental resection
incision mode
peripheral lung cancer
