Comparative Analysis Of The Efficacy Of Uniportal And 3-portal Video-assisted Thoracic Surgery With Early Non-small Cell Lung Cancer

ObjectiveTo compare the uniportal video-assisted thoracoscopic surgery(Uniportal video-assisted thoracic surgery)and the traditional 3-portal thoracoscopic surgery(3-portal video-assisted thoracic surgery)for treatment of early stage non-small cell lung cancer(NSCLC)perioperative clinical curative effect.Methods1.81 cases of early NSCLC patients from January 2015 to july 2016 of cardiothoracic surgery,the First Affiliated Hospital of Soochow University were divided into Uniportal video-assisted thoracoscopic surgery group(36 cases)and 3-portal thoracoscopic surgery group(45 cases)2.two groups of patients in the operation time,intraoperative blood loss,number of lymph node dissection,postoperative drainage time and total drainage volume,postoperative chest tube removal time and after 5 days of pain grade,comparing two groups of postoperative complications.ResultsTwo groups of patients were successfully completed the operation,no conversion to thoracotomy,no perioperative deaths.The operation time,two groups in the number of lymph node dissection and postoperative complications were compared,the difference was not statistically significant(P>0.05);but the amount of bleeding,patients with Uniportal video-assisted thoracoscopic surgery group after total drainage time,drainage volume,postoperative pain score 3 levels were less than3-portal thoracoscopic surgery group,the difference was statistically significant(P<0.05).ConclusionUniportal thoracoscopic lobectomy is safe,minimally invasive and reliable than the traditional 3-portal thoracoscopic lobectomy,small trauma,quick recovery,can be used as the recommended surgical treatment of early stage non-small cell lung cancer.