A Comparative Research On The Effect And The Short-term Prognosis Of Uniportal And Multiportal Thoracoscopic Pneumonectomy

Objective:This research focuses on the perioperative index as well as short-term prognosis comparison of uniportal and multiportal thoracoscopic pneumonectomy,as well as the discussion of the influence on the prognosis of patients so as to find a simple quantitative judgment method to determine the selection of thoracoscopy surgical method standards and to provide an effective reference basis for improving the clinical treatment of lung cancer patients better as well as their prognostic influence.Methods:This paper carried out a retrospective analysis on the clinical data of 60 patients who received thoracoscopic lung resection in the Thoracic Surgery Department,Affiliated Hospital of Chifeng University,Inner Mongolia from November 2016 to December 30,2019.In accordance with the surgical method,there have been 27 cases in the uniportal group and 33 cases in the multiportal group.The clinical symptoms,perioperative period,and short-term prognosis indicators of the two groups of patients:the total length of surgical incision,operation time,blood loss,hospitalization time,tube time,drainage volume,changes in lung function before and after surgery,and degree of pain,and the patients’ self-report satisfaction,etc.are recorded and analyzed so as to explore the difference in treatment effect and short-term prognosis of different thoracoscopic pneumonectomy methods.This takes paper the degree of postoperative lung function influence of patients as the key investigation indicator for comparison and carries out statistical data processing for SPSS20.0 software package,and perform t test,analysis of variance and logistic regression analysis on the data so as to analyze the changes as well as the clinical significance of the indicators mentioned above.Results:(1)Comparison of clinical symptoms and the relevant indexes of surgical efficacy between the two groups of patients.The comparison shows that the total length of surgical incision and postoperative pain in the uniportal group are obviously shorter(lighter)than those of the multiportal group.The bleeding volume as well as the operation time are less(shorter)than that of the uniportal group,and the difference is of no statistical significance(P<0.05),but the hospitalization time and tube time of the two groups are of no statistical significance(P>0.05).(2)Changes in lung function before and after the surgery among the two groups of patients Before treatment,there is no statistical significance of the difference in lung function the relevant indicators such as FEV1,FVC,MVV(P>0.05).After treatment,FEV1,FVC,MVV and other lung function-related indicators of the two groups of patients show various degrees of influence,but the influence of patients in the uniportal group is obviously lower than that of the multiportal group,and the difference is of no statistical significance(P<0.05).(3)Comparison of VAS scores of two groups of patients after surgery After the surgery,the VAS scores of patients in the uniportal group are obviously lower than those of the multiportal group,and the difference is of no statistical significance(P<0.05).(4)Comparison of treatment satisfaction between the two groups of patients The uniportal group’s satisfaction with postoperative surgery is 88.9%,and the multiportal group’s total satisfaction with postoperative surgery is 72.7%.There is of no statistical significance difference between the two groups(P<0.05).(5)Display of single factor analysis The older the age,the greater the amount of intraoperative blood loss,the degree of pain,and the lower the patients’satisfaction with the treatment,which are the risk factors that influence the effect of surgical treatment.(6)Multi-factor analysis Through multivariate logistic regression analysis,the prominent factors of single factor analysis can be found that age,intraoperative blood loss,pain level and treatment satisfaction are the independent risk factors which influence the effect of surgical treatment.Conclusion:(1)The clinical effect of single port and multiple port in completely thoracoscopic lobectomy is basically the same,but the operation difficulty of single port is relatively big and the operation time is much longer,but the insertion incision is smaller and the intraoperative injury is smaller,which is more beneficial for the patients’ recovery after surgery.(2)Both the uniportal and the multipotal thoracoscopic surgery have different effects on the lung function of patients,but the uniportal effect on lung function is significantly lower than that of multiple port;uniportal thoracoscopic surgery has less pain and higher patient satisfaction.