| Objective Thoracoscope is getting more and more widely used in the field of thoracic disease, especially in the diagnosis and treatment of mediastinal tumor. The purpose of this study is to review the perioperative clinical effects of mediastinal tumor resection with single utility port complete video-assisted thoracic surgery (SP-VATS), then analyzes the pros and cons of this surgical option.Methods We collected the clinical data of 68 cases with mediastinal tumors under SP-VATS mediastinal tumor resection from January 2010 to December 2014 in the Thoracic Surgery Department of Qilu Hospital of Shandong University (SP-VATS group), compared with 38 cases with mediastinal tumors who underwent conventional 3-port VATS mediastinal tumor resection (3-port VATS group) and 43 cases with mediastinal tumors who underwent thoracic surgery mediastinal tumor resection (TS group) during the same period. The clinical evaluation indexes included tumor size, operation time, intraoperative blood loss, mediastinal tumor position, postoperative chest drainage in the first day, chest drainage duration, postoperative complications, postoperative hospital stay and analgesia drug application. All the above indexes were compared among three groups and between these three groups.Results No death cases occurred in these three groups. There were no significant differences in age, weight, mediastinal tumor size, mediastinal tumor position and postoperative complications among three groups (P>0.05). The other indexes, including operation time, intraoperative blood loss, postoperative chest drainage in the first day, analgesia drug application, chest drainage duration and postoperative hospital stay, had statistical difference among three groups (P<0.05). Then we analyzed all the indexes between these three groups. There were statistical differences in operation time, intraoperative blood loss, chest drainage duration and postoperative hospital stay between SP-VATS group and 3-port VATS group (P<0.05), while the remains had no differences (P>0.05). To compare SP-VATS group,3-port VATS group with TS group respectively, the results showed that in the aspects of the operation time, intraoperative blood loss, postoperative chest drainage in the first day, analgesia drug application, chest drainage duration and postoperative hospital stay, SP-VATS group,3-port VATS group were statistically less than TS group, and of great significance (P<0.05).Conclusion Mediastinal tumor resection with single utility port video-assisted thoracic surgery(SP-VATS) is a trauma, safe and effective surgical option, which has significant advantages compared with thoracic surgery and conventional 3-port VATS mediastinal tumor resection, which is a more accurate and minimal invasive method in the treatment of mediastinal tumor. In a word, SP-VATS has great clinical value in diagnosis and treatment of mediastinal tumor, which is well worth developing and promoting. |
