Clinical application of subaxillary small incision thoracotomy In primary lung cancer

Objective:To explore the feasibility of subaxillary small incision in the resection for the primary lung carcinoma,so as to improve the traditional thoracic incision.Methods:We retrospectively analyzed and compared two groups diagnosed as primary lung cancer,which underwent subaxillary small incision thoracotomy(34 cases,group A)and standard posterolateral thoracotomy(36 cases,group B)respectively.Indicators were compared between group A and group B like incision length,opening time,blood loss during the thoracotomy,real operating time,closing time,total operating time,lymphadenectomy,postoperative drainage volume,postoperative am-bulation time,drainage tube retention time,postoperative dosage of dolantine,postoperative mean hospital stay,postoperative pulmonary complications,postoperative shoulder joint dysfunction and postoperative follow-up time.Results:One case in group A protracted the in-cision length for operation because of severe adhesion of the tumor.The two groups were basically identical in preoperative condition by using the parameter of gender,age,height,body weight,BMI,FVC and FEV1/FVC.The retrospective data are used as below:incision length,opening time,blood loss during the thoracotomy,closing time,real operating time,postoperative drainage volume,postoperative ambulation time,postoperative tube retention time,and postoperative dose of dolantine.The comparison of the data mentioned above be-tween group A and group B is of statistical significance(P0.05).There was no statistical significance in total operating time and lym-phadenectomy(P0.05).Compared with group B,group A has a lower occurrence rate in pulmonary complications.Conclusion:Subaxil-lary small incision can achieve excellent clinical efficacy and has such advantages as a little complex manipulation,satisfactory exposure,less invasiveness,reduced bleeding volume and pain,quick recovery from function and cosmetic appearance.This procedure meets the requirements of lobectomy and total pneumonectomy and provides an alternative for routine incision in the primary lung cancer.