Clinical Analysis Of Non-small Cell Lung Cancer Undergoing Radical Video Assisted Thoracic Surgery

Objective:Through comparison between the non-small cell lung cancer undergoing radical video assisted thoracic surgery and conventional thoracotomy in operation time、chest tube placement time、postoperative hospitalization time、intraoperative bleeding volume、lymph node sweeping volume、incidence of postoperative complications、the difference of serum C-reactive protein levels,to explore and analysis the efficacy of non-small-cell lung cancer undergoing radical video assisted thoracic surgery.Methods:From April 2012 to April 2015, 82 cases of operations in the department of thoracic surgery in Shanxi Tumor Hospital were selected, and the clinical diagnosis was confirmed as NSCLC. Preoperative examinations were completed, and there were indications for surgery. patients with lung cancer undergoing radical video assisted thoracic surgery as the observation group(42 cases); patients undergoing conventional thoracotomy as the control group(40 cases). The differences of clinical index,postoperative complication rate and the expression level of C reactive protein in serum of the two groups are compared between them.Results:Operation time,chest tube placement time, postoperative hospital stay, intraoperative bleeding volume in observation group are significantly less than the control group, the difference is statistically significant(P<0.01). There is no significant difference in lymph node sweeping volume between the observation group and the control group(P>0.05).The postoperative pulmonary infection, atelectasis and chylothorax, pneumothorax,pleural infection incidence in observation group is significantly lower than that in control group, the difference is statistically significant(P < 0.01). The incidence of complications in the observation group is significantly lower than that in the control group(P<0.01), the difference is statistically significant( P<0.01). The two groups of patients with postoperative C reactive protein are first increased and then decreased, postoperative d1 and d5 were higher than preoperative d1, and postoperative d5 was lower than postoperative d1, the difference is statistically significant(P<0.01). No difference d1 of C reactive protein in two groups of patients before operation(P>0.05). The postoperative d1 and d5 C reactive protein in the observation group are significantly lower than those in the control group, the difference is statistically significant(P<0.01).Conclution:Radical video assisted thoracic surgery in the treatment of non-small cell lung cancer is better than the conventional thoracotomy. radical video assisted thoracic surgery can effectively remove the lymph nodes and have lower incidence of postoperative complications and less body invasion.