The Discussion Of The Relationship Between The Number Of Lymph Node Dissection In Lung Cancer Operation By Video-assisted Thoarcosoopic And The Amount Of Postoperative Chest Drainage

Background and objective:With the minimally invasive technique widely used in clinicalmedicine, the thoracoscopic lobectomy for the treatment of non-small celllung carcinoma has become an important way of thoracic surgicaltreatment of lung cancer. Abundant lymphatic circulation in the lungs, therelatively high incidence of lymph node metastasis, so the thoracoscopicsurgery rows lung lobectomy surgery cleaning mediastinal lymph nodedissection is very important, through surgery, hilar lymph nodescontrolling tumor lymph node metastasis. Lymph node dissection need toseparate the corresponding organization, will bring some trauma aftertrauma oozing bound to have some impact on the patient’s thoracic cited.In this paper, through the collection of Jilin University in February2013,March2012Japanese Friendship Hospital, Thoracic Surgery, totalthoracoscopic lobe resection with lymph node dissection in patients withnon-small cell lung cancer clinical data by studying full-chest endoscopiclobectomy surgery parallel lymph node dissection in patients with lymphnode surgery, the number of dissection and postoperative chest drainagerelationship, hoping to reduce as much as possible the patient’spostoperative chest drainage, reduce postoperative intubated, improvedpatient outcomes. Materials and Methods:Selecting the patients that through thoracoscopic lobectomy fornon-small cell lung cancer and intraoperative lymph node dissection, inFebruary2013, of30patients, including17males and13females, agedbetween42and77years old, The mean age57.37±8.48years. Byrecording the number of lymph node dissection of patients withintraoperative (from the postoperative pathology report) andpostoperative chest amount of lead (from the patient’s post-operative carerecords) changes in two variables as the horizontal and verticalcoordinates, draw a scatter plot, both for statistical analysis, trying to findout whether there is a link in themResults:By recording the number of lymph node dissection (source frompostoperative pathological report cards) and the patients withpostoperative daily chest drainage change, contact both of the patients,draw a scatter plot. Observed scatter plots and statistical analysis, notfound undergoing lymph node dissection number of patients with pleuraldrainage to the existence of a specific connection in patients.Comclusions:Full-the thoracoscopic line lung lobe resection, intraoperative lymphnode dissection caused the injury, the more lymph node dissectionsurgery, the greater the damage caused by the surgery wound exudate willbe more, but surgerygiven appropriate treatment to stop bleeding morefully, intraoperative lymph node dissection trauma did not affect thepostoperative chest drainage.Factors affecting postoperative chest drainage is relatively large,such as the extent of pleural adhesions in surgery, surgical hemostasis insurgery, operative time, drugs to stop bleeding after surgery, and the use of anticoagulants and a series of relevant factors, a single not clearlyaffect the relationship between the patients with postoperative chest citedamount in terms of the number of lymph node surgery,...