Clinical Research Of Radical Surgery By Video-assisted Mini-thoracotomy For Non-small Cell Lung Cancer

Objective:Our study to make a clinical summary of radical surgery by video-assisted mini-thoracotomy for non-small cell lung cancer in Tumor Hospital of Xinjiang Medical University during the past3years, security and clinical significance of video-assisted mini-thoracotomy radical surgery for patients with stage IA to ⅢA non-small cell lung cancer. Methods:Form January1,2011to December31,2013, Tumor Hospital of Xinjiang Medical University had treated239cases with stage IA to ⅢA non-small cell lung cancer, among which129cases successfully achieved VAMT surgery. and the other110cases successfully achieved VATS surgery in the same period. Results:Compared with the VAMT group and the VATS group, the range of lymph nodes and the number in the VAMT group was comparable to the VATS group, No significant differences were detected between the VAMT group and the VATS group in the hilum of lung lymph nodes[(2.82±0.98)vs(2.84±0.87),(P>0.05)], in mediastinal lymph nodes[(13.76±3.84)vs (12.71±3.43),(P>0.05)];The incidence rates of postoperative complication were respectively13.1%and14.5%in two groups and there were no significant differences(P>0.05);No significant differences were detected between the VAMT group and the VATS group in the operation duration[(181.15±28.95min)vs(200.45±24.13min),(P>0.05)],No significant differences were detected between the VAMT group and the VATS group in the operative bleeding[(153.84±62.78ml)vs(163.63±83.93ml)],there were also no significant differences(P>0.05);there were significant differences in the indwelling time of drainage tube and the chest drainage[(5.76±0.83d)vs(4.09±0.83d);(608.46±75.59ml)vs(473.18±115.50ml),(P<0.05)];No significant differences were detected between the two group in the postoperative hospital stay[(9.53±1.66d)vs(8.91±1.13d)],there were no significant differences(P>0.05).Conclusion:It is technically feasible and safe to treatment for the patients by video-assisted mini-thoracotomy with stage IA to stage IIIA non-small cell lung cancer.VAMT could provides the advantages of clear field of vision and operating space for the surgeon. VAMT can be used as one of good choices for the beginners of the video-assisted thoracic surgery.