Comparative study on complete video-assisted thoracic surgery and thoracotomy lobectomy in the treatment of non-small cell lung cancer

Objective To explore the curative effect of complete video-assisted thoracic surgery and thoracotomy lobectomy in the treatment of non-small cell lung cancer.Methods 85 cases of patients with non-small cell lung cancer were collected from May 2010 to May 2012 in our hospital,who were randomly divided into the thoracoscopic group 43 cases and thoracotomy group 42 cases, completely video-assisted thoracoscopic lobectomy was used to thoracoscopic group,conventional thoracotomy was used to thoracotomy group.The average operation time,bleeding volume, postoperative drainage volume,hospitalization days and postoperative complications,degree of pain which was evaluated by VAS after operation,and incidence of complications of the two groups were all observed. Results The bleeding volume,postoperative drainage volume and length of hospital stay of the thoracoscopic group was less than that of the thoracotomy group,the difference was significant(P0.05),and the operation time was significantly longer,the difference was significant(P0.05).The postoperative VAS of the thoracoscopic group was significantly lower than that of the thoracotomy group(P0.05).The incidence of complications of the thoracoscopic group was 11.63%,while that of the thoracotomy group was 38.10%,the difference was significant between the two groups( P 0.05).Conclusion Complete video-assisted thoracic surgery for non-small cell lung cancer is safe,reliable,and worthy of clinical application.