The Clinical Study Of Video-assisted Thoracoscopic Surgery In Resection Of Early Peripheral Lung Cancer

Objective:To analyse and summrize the clinical experience and value of video- assisted thoracoscopic surgery in early peripheral lung cancer treatment. Methods:From August 2007 to May 2009,The clinical datum of 35 patients with early peripheral lung cancer received video-assisted thoracoscopic surgery pulmonary lobectomy and mediastinal lymph node resection were reviewed and compared with other 30 cases of early peripheral lung cancer receiving pulmonary lobectomy through thoracotomy in Fu-jian Xie-he hospital chest surgery. All cases were performed the pulmonary wedge resection by Endo-GIA follow by frozen pathologic check.,confirmed to be non-small cell lung cance(rNSCLC)and determined to do pulmonary lobectomy and mediastinal lymph node resection.Result: No significant differences were found in the operation time between the VATS and traditional groups [ (145.66±3.90) min vs (147.27±3.75) min, t = - 1. 61, P>0.05 ], in the number of lymph node resection between the VATS and traditional groups [ (9.51±1.23) vs (9.57±1.23), t = - 0. 19, P>0.05 ],in the time of pulling-out chest drainage tube between the VATS and traditional groups [ (3.28±0.51)d vs (3.50±0.67)d, t = - 1. 50, P>0.10]. while the post -operative hospital stay of the VATS group was significantly shorter than that in the traditional group [9.86±0.96) d vs (13.77±1.58) d, t=-12.18,P<0.05 ],the amount of bleeding during operation of VATS group was lesser than in the traditional group [145.66±3.9)ml vs (13.77±1.58)ml, t=-13.87,p<0.05 ],the amout of drainage in the first day after operation of VATS group was lesser than in the traditional group [229.71±17.97)ml vs (325.67±18.56)ml, t=-20.96,p<0.05 ]. All the patients received operations successfully. There was not severe intraoperative and postoperative complication, and there was no perioperative death. Visiting the patients for 1-6 months after operation,there was no metastasis and recurrence of cancer.Conclusion: Early peripheral lung cancer treated with pulmonary lobectomy and mediastinal lymph node resection by VATS can gain the same long term efficacy as the pulmonary lobectomy through thoracotomy. Thoracoscopy-assisted mini-incision procedure,as a less invasion treatment,is more safety and reliable for patients with lung cancer.