胸腔镜与传统开胸手术治疗肺癌的临床疗效对比研究

目的探讨胸腔镜与传统开胸手术治疗肺癌的临床疗效。方法将239例确诊为Ⅰa^Ⅲa期肺癌并行肺癌切除术的患者分为胸腔镜组(129例)和开胸手术治疗组(110例),比较两组患者的手术疗效和术后并发症的发生率。结果胸腔镜和开胸手术组患者的根治切除率分别为91.4%和92.1%,差异无统计学意义(P>0.05)。胸腔镜组患者在手术时间、术中出血量、术后下床活动时间、带管时间、术后引流量及住院时间等方面均较开胸手术治疗组显著减少(P<0.05)。胸腔镜组患者术后并发症的发生率较开胸手术治疗组患者明显降低(P<0.05)。结论胸腔镜行肺癌根治术具有创伤小、出血少、恢复快、对心肺功能影响小等优点,明显减少术后相关并发症,达到与传统开胸手术同样的根治效果。

Comparative analysis of efficacy of VATS treatment and traditional posterolateral incision treatment for the lung cancer

Objective To explore the clinical efficacy of VATS treatment and traditional posterolat- eral incision treatment for the lung cancer. Methods 239 patients diagnosed as lung cancer staged I a-III a were enrolled into the research and divided into the two groups： the VATS group（ n = 129） and the tradi- tional posterolateral incision group（ n = 110）. The efficacy and post-operative complications were compared between the two groups. Results The radical cure rate was no significant difference between the two groups （ P 〉 0. 05 ）. The operation time, volume of blood intra-operation, post-operative out-of-bed time, drainage tube retention, post-operative drainage and hospital stay time were significantly lower in the VATS group than those of traditional posterolateral incision group （P 〈 0. 05 ）. Incidence of complication in the VATS group was significantly lower than that of the traditional posterolateral incision group （ P 〈 0. 05 ）. Conclu- sions VATS has the benefits of small-incision, less trauma, less bleeding, faster recovery, less impact on function of lung and heart and less post-operative complications. It could achieve the similar efficacy to the traditional open thoracic surgery.