全胸腔镜肺叶切除与开胸肺叶切除治疗非小细胞肺癌临床疗效分析

目的探讨全胸腔镜肺叶切除与开胸肺叶切除治疗非小细胞肺癌(NSCLC)临床疗效分析。方法分析2009年到2011年接受肺叶切除的180例NSCLC患者,其中90例行全胸腔镜肺叶切除术,作为观察组;90例行常规开胸肺叶切除术,作为对照组,对两组患者手术切口长度、手术时间、手术出血量、淋巴结清扫数量、胸引流管放置时间、术后引流总量、切口疼痛程度、术后住院时间以及并发症发生率等指标进行分析。结果治疗组手术切口、手术时间、手术出血量、切口疼痛程度、术后住院时间以及并发症发生率均明显低于对照组,差异有统计学意义(P<0.05)。两组淋巴结清扫数量、胸引流管放置时间以及术后引流总量比较没有统计学意义(P>0.05)。结论全胸腔镜肺叶切除术治疗(NSCLC)安全有效,值得临床推广使用。

Analysis of the efficacy of Video Assisted Full Thoracoscopic Lobectomy and Conventional Thoracotomy in the treatment of Non-small Cell Lung Cancer

Objective To explore clinical effects of video-assisted full thoracoscopic lobectomy and conventional thoracotomy in the treatment of non-small cell lung cancer.Methods analyzed the results from 180 cases of non-small cell lung cancer.Some underwent full thoracoscopic lobectomy(90 cases,as observe group) and some had conventional thoracotomy(90 cases,as control group).The length of operative incision,the operative time,the blood loss,the number of lymph nodes,postoperative chest tube time,post-draining volume,incision pain levels,complications,the length of hospital stay in after operation were analyzed.Results There were statistical significances between observe group and control group in the length of operative incision,the operative time,the blood loss,incision pain,the length of hospital stay in post surgery and number of complications(P<0.05).There were no statistical significance between observe group and control group in the number of lymph nodes,postoperative chest tube time and post-draining volume(P>0.05).Conclusion Video-assisted full thoracoscopic lobectomy is safe and feasible in the treatment in non-small cell lung cancer.