The Effect Of Thoracoscopic Segmentectomy, Lobectomy And Open Lobectomy On Rapid Recovery During Perioperative Period

Purpose: To investigate the effect of thoracoscopic segmentectomy,thoracoscopic lobectomy,and open thoracic lobectomy on the rapid recovery of patients during perioperative period.Methods: Retrospective analysis and summary of medical records of patients undergoing thoracoscopic thoracoscopic surgery,thoracoscopic lobectomy,and open thoracic lobectomy at the Department of Thoracic Surgery of the First Affiliated Hospital of Su Da from January 2014 to January 2018 were performed.40 cases.The enrolled patients should control as much as possible other basic diseases that severely interfere with perioperative recovery,and develop enrollment criteria for each group based on the size of the tumor,its location,and indications for the operation,so as to avoid as much as possible during sample selection.The bias of choice appears.Statistics and comparison of intraoperative blood loss,operation time,thoracic fluid drainage on the first day after operation,total thoracic fluid drainage postoperatively,number of postoperative analgesic drug use days,hospitalization recovery time,postoperative complications.SPSS22.0 was used for statistical analysis of the three groups of data.The t-test was used to compare intraoperative blood loss,postoperative thoracic fluid drainage,operation time,postoperative first day thoracic fluid drainage,and postoperative analgesic drug use days.Postoperative hospital recovery time.The z-test was used for count data.The difference was statistically significant when P<0.05.Results: In the comparison of thoracoscopic subtotal lobectomy and thoracoscopic lobectomy,intraoperative blood loss,drainage volume on the first day after operation,days of postoperative analgesic use,and total length of hospital stay after surgery were absent.Statistical significance(P>0.05).The average operative time of the thoracoscopic segmentectomy group was longer than that of the thoracoscopic lobectomy group(P<0.05),and the total drainage volume of postoperative pleural effusion was less than that of the laparoscopic lobectomy group.The difference was statistically significant.Significance(P < 0.05).The comparison between the thoracoscopic lobectomy group and the conventional open-heart lobectomy group showed that there was no significant difference between the amount of intraoperative blood loss and the amount of thoracic fluid drainage on the first day after operation(P>0.05)..Other observational data showed that the operative time of thoracoscopic lobectomy group,the total amount of postoperative thoracic fluid drainage,the days of postoperative analgesic drug use,and the total length of hospital stay after surgery were all lower than those of conventional open-heart lobectomy,and the data were statistically significant.(P<0.05).Due to the small sample size of the data in this study,it is not sufficient to reflect the relationship between the three groups of data and the incidence of complications.Therefore,only a brief descriptive comparison of the data complications of the three groups is not statistically significant.significance.Conclusion: The operative time,total thoracic fluid drainage,postoperative analgesic drug use days,and postoperative total length of hospital stay in the thoracoscopic lobectomy group are all lower than those in the traditional open thoracic lobectomy group,which is more beneficial to the early postoperative lung cancer patients.restore.And the data showed that although the average operative time of the thoracoscopic segment resection group was longer than that of the thoracoscopic lobectomy group,the total drainage volume of postoperative pleural effusion was less than that of the laparoscopic lobectomy group.The rehabilitation process also has a certain degree of positive effect.