Video-assisted Thoracoscope Lung Wedge Resection Of Tangent Choice Of Clinical Research

Objective:To compare the clinical efficacy of video-assisted thoracoscopic lung wedge resection of forward resection line (banana peel method) with that of opposite resection line (traditional method).Methods:Review and analysis 83 cases of video-assisted thoracoscopic wedge resection of lung operation during February 2007 to September2011. All patients were divided into two groups:Group A:wedge resection of lung by opposite resection line (traditional method) 41 cases; Group B:wedge resection of lung by forward resection line (banana peel method) 42 cases. Two groups all use video-assisted thoracic surgery. Postoperative follow-up time is 1-6 months, an average of 3.6 months. Compared the two groups both in surgery situation (including operation time, amount of bleeding, additional manual suture, postoperative extubation time, surgical expense, the number of the using of endoscopic stapler and the hospital costs), the atelectasis after 1 month from chest X-ray and the lung function decline.Results:Group B’s operative time is (62±10) min, is significantly less than Group As (81±16) min(P<0.05); The amount of beeding of Group Bis (52±17) ml, is also significantly less than that of Group A (74±21) ml (P<0.05). Compared to Groups A, Group B has less manual suture and shorter postoperative extubation time, and there is a significantly statistical difference (P<0.05). The costs of surgery and the number of endoscopic staplers using in operation of Group B are more than that of Groups A, there is a significant statistical difference (P<0.05), but the total hospital costs have no significant difference between two groups (P> 0.05); There is no case of atelectasis both in the two groups from chest X-ray film 1 month after operation, and the decreased lung function has no significant difference (P> 0.05).Conclusions:Video-assisted thoracoscopic wedge resection of lung by forward resection line (banana peel method) compared to wedge resection of lung by opposite resection line (traditional method) can shorten operative time, lessen surgical trauma, the operation is more convenient and the number of additional manual suture has been reduced, although operation costs have increased, but the total hospital costs don’t increase. So the forward resection line in Video-assisted thoracoscopic wedge resection of lung is a good selection.