Clinical observation of complete video-assisted thoracoscopic lobectomy in the treatment of early non-small cell lung cancer
WU Chao-hu
Abstract
WU Chao-hu
Abstract
Objective To investigate the clinical effect of complete video-assisted thoracoscopic lobectomy in the treatment of early non-small cell lung cancer( NSCLC). Methods Ninety two patients with early NSCLC were randomly divided into control group and observation group. The control group patients underwent traditional open lobectomy,observation group patients underwent Complete video-assisted thoracoscopic lobectomy. Surgery situation,the rate of postoperative complication and the postoperative survival of patients were compared between these two groups. Results The peri-operative bleeding,pleural effusion volume,incision size,the leaving bed time and the hospital stay in the observation group were significantly better than those in the control group( P 0. 05). The incidence of postoperative complications in the observation group was less than the control group,the difference was statistically significant( P 0. 05). The number of lymph node and the one year disease free survival after one year between these two growths did not have significant difference( P 0. 05). Conclusions Complete video-assisted thoracoscopic lobectomy had smaller incision,less peri-operative bleeding,lower incidence of postoperative complications and was easy to use,the clinical effect was similar to traditional open surgery. Therefore,Complete video-assisted thoracoscopic lobectomy is worthy for clinical application.
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Objective To investigate the clinical effect of complete video-assisted thoracoscopic lobectomy in the treatment of early non-small cell lung cancer( NSCLC). Methods Ninety two patients with early NSCLC were randomly divided into control group and observation group. The control group patients underwent traditional open lobectomy,observation group patients underwent Complete video-assisted thoracoscopic lobectomy. Surgery situation,the rate of postoperative complication and the postoperative survival of patients were compared between these two groups. Results The peri-operative bleeding,pleural effusion volume,incision size,the leaving bed time and the hospital stay in the observation group were significantly better than those in the control group( P 0. 05). The incidence of postoperative complications in the observation group was less than the control group,the difference was statistically significant( P 0. 05). The number of lymph node and the one year disease free survival after one year between these two growths did not have significant difference( P 0. 05). Conclusions Complete video-assisted thoracoscopic lobectomy had smaller incision,less peri-operative bleeding,lower incidence of postoperative complications and was easy to use,the clinical effect was similar to traditional open surgery. Therefore,Complete video-assisted thoracoscopic lobectomy is worthy for clinical application.
Key concepts: Medicine, Surgery, Incidence (geometry), Lung cancer, Pleural effusion, Video-assisted thoracoscopic surgery, Lymph node, Complication