Comparison of method and result of three types of thoracoscopic lobectomy

Objective To compare the method and result of thoracoscope-assisted lobectomy, thoracoscopic lobectomy and single-port laparoscopic lobectomy, and provide a reference for choice of surgical method. Methods Clinic data of 374 patients undergone thoracoscopic lobectomy from May 2007 to May 2012 in General Hospital of PLA were retrospectively analyzed. Results Three hundred and seventy-four patients were classified into 3 groups according to different surgical method. Group A included 40 patients who underwent video-assisted lobectomy, group B consisted of 280 patients who received thoracoscopic lobectomy, and group C consisted of 54 patients who underwent single-port laparoscopic lobectomy. The general data were similar among the 3 groups. The operative time was longer in group A (180.4±43.5min) than in groups B and C (153.2±28.6, 162.5±32.3min, P<0.05), but it was similar between groups B and C. There was no significant differences in blood loss, incidence of conversion to thoracotomy, postoperative complications, chest tube removal time, postoperative discharge time, lymph node dissection result among 3 groups. Conclusions Three types of thoracoscopic lobectomy showed similar results. The option of the method depends on degree of operative difficulty and surgeon's proficiency in performing the operation. DOI: 10.11855/j.issn.0577-7402.2013.11.010