Clinical Efficacy Comparison Between Single-incision And Three-port Video-assisted Thoracoscopic Surgery For Lung Cancer

Objective: To explore and evaluate the safety and the clinical value of single-incision complete video-assisted thoracoscopic(SITS) versus three-port complete video-assisted thoracoscopic(3P-VATS) for lung cancer.Methods:Designate the 89 cases of patients who see a doctor in our hospital form April 2014 to September 2014.They accepted single-incision complete video-assisted thoracoscopic or three-port complete video-assisted thoracoscopic for lung cancer(including lobectomy/segmentectomy and lymphnode detection)at the same time by the same surgeon.Among these patients, 41(SITS group) were treated using single port method, whereas 48(3P-VATS group) were treated using the conventional three-port methods.The length of incision,surgical duration,intraoperative blood loss,number of lymph nodes,duration of chest drainage,drainage volume,postoperative complications,duration of hospital stay,inpatients expenses and pain scores postoperative days 1, 3 and 3mouths were compared between both groups.Results:The mean age at surgery,sex ratio,surgery spot,neoplasm staging, clinicopathologic and surgical method were similar in both groups.In clinical perioperative indicators,SITS group were associated with smaller incision(3.91±0.35 vs 6.50±0.84),shorter duration of chest drainage(3.68±1.27 vs 5.17±2.27),less drainage volume(614.63±324.38 vs 1001.83±701.36)and shorter duration of hospital stay( 5.88±1.55 vs 7.27±3.11) than with the 3P-VATS group.While the surgical duration,intraoperative blood loss,number of lymph nodes,duration of chest drainage,drainage volume,postoperative complications,duration of hospital stay,inpatients expenses performed in the SITS group were similar to those performed in the 3P-VATS group(p>0.05).Pain scores on postoperative days 3 and 3 mouths were significantly higher in patients who underwent 3P-VATS compared with those who underwent SITS(p<0.05),although it was similar on postoperative days 1(p>0.05).Conclusion:The single-incision video-assisted thoracoscopic surgery is safe,feasible and more minimally invasivefor for lung cancer.