Application Of Tubeless Single-port Thoracoscopic Surgery In Lung Diseases

Objective: To compare the advantages of tubeless single-port thoracoscopic surgery and general anesthesia tracheal intubation single-port thoracoscopic surgery in shortening the hospital stay,postoperative hospital stay and anesthesia time,reducing hospital costs,and reducing postoperative complications.The clinical application value and positive effects of tubeless single-port thoracoscopic surgery.Methods: We selected 56 patients in the Department of Thoracic Surgery,People’s Hospital of Ningxia Hui Autonomous Region,who underwent single-port thoracoscopic surgery for lung diseases from December 2018 to December 2020 as the research objects.A total of 30 patients in the control group underwent general anesthesia tracheal intubation single-port thoracoscopic surgery treatment plan,and a total of 26 patients in the experimental group used a tubeless single-port thoracoscopic surgery plan.By comparing the preoperative general conditions,hospitalization time,hospitalization expenses,operation time,anesthesia time,intraoperative blood loss,postoperative pain visual analogue scale(Vsual Analogue Scale,VAS),and postoperative complications(lung air leakage)between the two groups,Atelectasis,subcutaneous emphysema,lung infection,hoarseness,sore throat,oropharyngeal foreign body sensation)and other indicators were analyzed statistically,to explore the clinical application value and positiveness of tubeless single-port thoracoscopic surgery effect.Results: All 56 patients successfully completed the operation under single-port thoracoscopy.There was no conversion to thoracotomy and second operation after operation.Patients in the experimental group had no conversion to tracheal intubation during the operation.There was no significant correlation between the general data of the two groups of patients,and the difference was not statistically significant(P>0.05),revealing that the baseline data of the two groups were comparable.The operation time of the experimental group was 48.31 ? 7.78 min,the operation time of the control group was 52.60 ? 8.23 min,the difference was not statistically significant(P>0.05);the anesthesia time of the experimental group was 69.81 ? 13.60 min,and the anesthesia time of the control group was 93.20 ? 11.38 min.There was a statistical difference(P<0.001);the intraoperative blood loss of the experimental group was10.00 ? 4.24 ml,the intraoperative blood loss of the control group was 11.87 ? 4.49 ml,the difference was not statistically significant(P>0.05);the length of stay in the experimental group was 8.92 ? 1.81 days,the hospital stay in the control group was13.83 ? 3.54 days,the difference was statistically significant(P<0.001);the postoperative hospital stay in the experimental group was 3.81 ? 0.80 days,and the postoperative hospital stay in the control group was 7.20 ? 1.85 days,the difference was statistically significant difference in science(P<0.001);the hospitalization cost of the experimental group was 2.26 ? 0.31 million yuan,and the hospitalization cost of the control group was 3.31 ? 0.74 million yuan,the difference was statistically significant(P<0.001);so it can be concluded that the two groups of patients There were statistically significant differences in operation time,anesthesia time,intraoperative blood loss,hospital stay,postoperative hospital stay,and hospital expenses(P<0.05).The VAS scores of the patients in the experimental group were2.92 ? 0.84 points,1.46 ? 0.65 points,and 1.15 ? 0.37 points on the first day,the second day and the third day after the operation;the control group patients on the first day,the second day and the third day after the operation The daily VAS scores were5.77 ? 1.36 points,3.80 ? 1.13 points,and 2.13 ? 0.86 points,the postoperative pain scores of the experimental group were significantly lower than those of the control group,and the difference was statistically significant(P<0.05).Postoperative hemoglobin,albumin and prealbumin in the experimental group were 142.00 ? 6.18g/L,39.31 ? 1.06 g/L,and 236.85 ? 22.27 mg/L respectively,the postoperative hemoglobin,albumin and prealbumin of the control group were respectively they were 141.93 ? 7.53 g/L,38.75 ? 1.18 g/L,and 230.67 ? 32.42 mg/L.There was no significant difference in postoperative nutritional indicators between the two groups(P>0.05).The control group had a higher incidence of postoperative complications,including 7 patients with sore throat,2 patients with lung infection,2 patients with atelectasis,1 patient with urinary tract infection,and 1 patient with subcutaneous emphysema.Postoperative complications occurred in the experimental group.The rate was low,including 2 patients with pneumothorax and 1 patient with pleural effusion.There was a statistically significant difference in total postoperative complications between the two groups(P<0.05).Conclusion: The application of tubeless single-port thoracoscopic surgery in the perioperative period of lung diseases can shorten the hospitalization time,operation time and anesthesia time,reduce intraoperative blood loss,reduce hospitalization costs,and reduce the incidence of postoperative complications.It conforms to the ERAS concept and is worthy of clinical promotion.