Clinical Study Of Improved One-way Completely Video-assisted Thoracoscopy Pulmonary Lobectomy For Right Upper Lobe Lung Cancer

ObjectiveThe objective is to analyze treatment effects of the right upper lobe of lung by different operation pathways in completely video-assisted thoracoscopy pulmonary lobectomy surgery.The results will provide a reference for choosing surgery pathway.Method90 patients,who had an excision in right upper lobe of lung in the first affiliated hospital of NanChang University from July 2015 to December 2016.According to the operation pathways,they are divided into 3 groups.Group A is completely video-assisted thoracoscopy pulmonary lobectomy surgery in the traditional surgery pathway;Group B is one-way completely video-assisted thoracoscopy pulmonary lobectomy surgery;Group C is improved one-way completely video-assisted thoracoscopy pulmonary lobectomy surgery.The relevant clinical data about the 90 patients in 3 groups include the patient's age,gender,,postoperative pathological condition,operation pathway,operation time,intraoperative bleeding,the class number and number of lymph gland's intraoperative clean,the conversion rate to thoracotomy,total Volume of drainage of closed thoracic drainage tube in postoperative 3 days,intubation time of postoperative closed thoracic drainage tube,and postoperative complications.These data will be retrospectively analyzed.Statistical analysis of all the data uses the SPSS 22.0 software.Measurement data are expressed by“X±Sd”.The comparison between groups uses analysis of variance.The pairwise comparison uses the “t” test.Enumeration data takes the chi-square test.If P<0.05,the difference has statistically significant;if P<0.01,it is significant difference.ResultsThe differences in all patients' age and sex have no statistical significance(P > 0.05).In the comparison between group A and group B,the differences(including operation time,days of removing closed thoracic drainage tube and postoperative hospitalization days)have statistically significant(P < 0.05);the differences(in the class number and number of lymph gland's intraoperative clean,intraoperative blood loss,total drainage volume of closed thoracic drainage tube in postoperative 3 days and the postoperative complications incidence)have no statistically significant(P>0.05).In the comparison between group A and group C,the differences(in operation time,days of removing closed thoracic drainage tube,postoperative hospitalization days)have statistically significant(P < 0.05);the differences(in the class number and number of lymph gland's intraoperative clean,intraoperative blood loss and total drainage volume of closed thoracic drainage tube in postoperative 3 days and the postoperative complications incidence)have no statistically significant(P>0.05).In the comparison between group B and group C,the differences in all data have no have no statistically significant(P>0.05).Conclusion1.Improved one-way completely video-assisted thoracoscopy pulmonary lobectomy surgery is better than traditional operation pathway's in curing right upper lobe of lung disease because the former has shorter operation time,quicker recovery.Meanwhile,its effectiveness of treatment is as good as the latter one.2.Improved one-way completely video-assisted thoracoscopy pulmonary lobectomy surgery is a safe and reliable operation in curing the right lung lesion...