Short-term Curative Effect Of Pulmonary Lobectomy By Video-assisted Thoracoscopic Surgery For Patients With Lung Cancer

Objectives: Through the prospective clinical study to evaluate the short-termcurative effect and the patient satisfaction of pulmonary lobectomy byvideo-assisted thoracoscopic surgery for patients with lung cancer，andexplore the feasibility, security and their clinical significance of pulmonarylobectomy by video-assisted thoracoscopic surgery for patients with lungcancer.Methods: From February2010to August2011,75cases of possible surgicaltreatment in hospital and selected by screening of lung cancer patients bysurgical methods are divided into a complete video-assisted thoracoscopicgroup (36cases) and traditional thoracotomy group (39cases), the two groupswere performed VATS under radical resection of lung cancer and thetraditional thoracotomy radical resection of lung cancer, The two groups werecompared in patients with postoperative effects and patient satisfaction.Results： (1)Two groups of surgery after lobectomy need to execute line lymph nodedissections in all, No significant differences were detected between twogroups in lung lymph nodes stand number dissected [(4.4±0.6) vs (4.5±0.7)，P>O．05]，lymph nodes quantity dissected [(16.5±8.1) vs (17.1±7.8)，P>0．05].(2)Two groups of operation time is nearly, one is （176±61）min and theother one is （171±56）min，difference compared not statistically significant(P>0.05). Operative bleeding，postoperative day lead flow, the average timeof chest tube drainage, postoperative pain and postoperative drainage hospitalin the VATS group were significantly lower (P<0．05) than those in theconventional thoracic surgery group: VATS groups are （295±49）ml、（160±52）ml、（2.9±1.5）d、（2.6±1.4）d、（5.2±1.9）d, and SPT groupsare （374±55）ml、（224±57）ml、（3.7±2.3）d、（4.5±2.4）、（9.8±3.7）d. No significant differenceswere detected between two groups in hospital total cost [(3.5±0.3) vs(3.3±0.5)，P>0．05].(3)The situation of postoperative complications in two groups: VATS in2cases of complications, SPT in11cases of complications. In two groups theincidence rates of postoperative complication were respectively14．3％and37．5％and there was significant difference (P<0．05).(4) After the operation in1months of follow-up, VATS groups of patients’activities are freely,2（5.6%）patients’ surgical incision still have pain and34 （94.4%） patients with surgery feel satisfied; SPT groups of patients’campaign are limited,12（30.7%） patients’ surgical incision still have painand28（71.8%） patients with surgery feel satisfied.Conclusion: Safety and operation effect, be in hospital costs of pulmonarylobectomy by video-assisted thoracoscopic surgery has no obvious differencewith the traditional open-chest surgery to the patients with lung cancer, at thesame time comparing with traditional open thoracic surgery, VATS has minortrauma, smaller postoperative pain and faster recovery speed and so on, whichis well worth developing and promoting．...