Clinical Comparison Of Total Thoracoscopy And Small Incision Thoracotomy For Lung Cancer In The Treatment Of Early Non-small Cell Lung Cancer

Objective :Comparison of complete thoracoscopic (c-VATS) radical resection of lung cancer with minimal incision thoracotomy for lung cancer in. the treatment of non-small cell lung cancer (NSCLC),to provide a theoretical basis for the selection of surgical procedures for patients with lung cancer in the Department of thoracic surgery.Methods: A total of 120 patients with NSCLC who hospitalized and treated in thoracic cardiovascular surgery at the 2nd Affiliated Hospital of Kunming Medical University from June 2013 to August 2016 were selected, According to the surgical approach is divided into c-VATS group and thoracotomy group. There were 58 patients in the c-VATS group who underwent completely thoracoscopic surgery for lung cancer. There were 64 patients in the thoracotomy group who underwent minimal incision thoracotomy for lung cancer. The two groups of patients were compared with the duration of operation, intraoperative blood loss, number of lymph nodes, the volume of postoperative drainage in the first day, the time of drainage,hospitalization costs, total hospital days,the recurrence after 3 months and 6 Month of the surgery and other clinical related indicators . The data were analyzed by SPSS22.0 statistical software. The data were expressed as mean ± standard deviation ( x ± S).The data with normality were analyzed by independent sample t test. Non-parametric test, And the count data were analyzed by chi-square test. P <0.05 indicates a statistically significant difference.Results: Two groups of patients completed the operation successfully, No death cases in the perioperative period, all recovered from hospital after receiving follow-up treatment. Patients in the c-VATS group had a duration of surgery (260.07 ± 77.663)?the number of swollen lymph nodes (11.19 ± 1,572),Compared with the duration of surgery (249.77±81.592)?the number of swollen lymph nodes (11.31 ± 1.612) of the thoracotomy group, there is no significant difference, the results were not statistically significant (P> 0.05). The intraoperative blood loss, the volume of postoperative drainage in the first day, the time of drainage, the incidence of complications and the total hospitalization time were significantly lower in the c-VATS group than in the thoracotomy group (P <0.05). The hospitalization cost of patients with c-VATS(39135.64 ± 11125.783) was significantly higher than that of thoracotomy group(33827.05 ± 13239.753),the difference was statistically significant (P <0.05).Conclusion: Compared with minimal incision thoracotomy, c-VATS radical resection of lung cancer is an effective method for the clinical treatment of NSCLC. It has the advantages of small intraoperative trauma, rapid postoperative recovery and low incidence of complications and can reduce the pain of the patient after surgery and shortening the Patient's hospitalization time, suitable for clinical promotion.However, c-VATS radical resection of lung cancer costs more than minimal incision thoracotomy , for some poor families,they need to choose according to the situation.