比较单孔胸腔镜肺段切除术与肺叶切除术治疗高龄早期非小细胞肺癌患者的效果

目的 比较单孔胸腔镜(VATS)肺段切除术与肺叶切除术治疗高龄早期非小细胞肺癌(NSCLC)患者的效果.方法 回顾性分析2017-03-2020-04间新乡市中心医院胸瘤二科行单孔VATS治疗的182例高龄早期NSCLC患者的临床资料.依据术式分为肺叶切除术组(100例)和肺段切除术组(82例).比较2组患者的基线资料...

Clinical comparative study of two kinds of single-hole thoracoscopy in the treatment of elderly patients with NSCLC

Objective To compare the effect of single-hole thoracoscopy(VATS)lobectomy and lobectomy in the treatment of advanced non-small cell lung cancer(NSCLC)patients.Methods The clinical data of 182 elderly patients with early NSCLC treated with single-hole VATS were retrospectively analyzed.It was divided into lobectomy group(100 cases)and segmental resection group(82 cases).Comparison of baseline data,intraoperative data and postoperative clinical indicators of 2 groups,And postoperative pathology.Results There was no significant difference in baseline data,operative time,intraoperative blood loss,postoperative visual analogue(VAS)score,drainage time and drainage volume,incidence of pulmonary infection,hospitalization time,total treatment cost,pathological TNM stage(P>0.05).The total number of lymph node dissection in lobectomy group was significantly higher than that of lung segment group,the incidence of atrial fibrillation and DVT was significantly lower than that of lung segment group,and the maximum diameter of tumor and the proportion of squamous cell carcinoma were significantly higher than that of lung segment group(P<0.05).Conclusion Single hole VATS lobectomy and lobectomy have similar short-term effect in the treatment of early NSCLC of old age,and can be selected according to the specific condition of the patient.