Comparison of the efficacy of video assisted thoracic surgery using two ports and three ports for pulmonary bullae / 中国基层医药

ABSTRACT

Objective To compare the clinical efficacy of video assisted thoracic surgery using two ports and three ports for pulmonary bullae.Methods Clinical data of 120 patients used video assisted thoracic surgery in the treatment of pulmonary bullae were retrospectively analyzed.62 patients with three ports conventional surgery were selected as three ports group,58 patients with two ports method were selected as two ports group.The two groups were followed up after operation,and the operation time,intraoperative bleeding,extubation time,postoperative drainage volume and hospital stay,the pain scores at postoperative 6h,1 day,3 days,1 week and postoperative complications were compared between the two groups.Results There were no significant differences in operative time and blood loss between the two groups(t=-0.845,-1.164,all P>0.05).After operation,the extubation time[(3.2±1.6)d],postoperative thoracic drainage[(270.8±192.4)mL]and hospitalization time[(5.9±2.1)d] of the two ports group were significantly less than those of the three ports group(t=-4.972,-2.637,-4.601,all P<0.05).The two groups had no postoperative complications,all patients recovered and discharged,followed up,there was no recurrence and other complications.6h,1 day,3 days and 1 week after surgery,the VAS scores of the two ports group were significantly lower than those of the three ports group(t=-5.888,-6.682,-4.190,-5.710,all P<0.01).Conclusion The clinical curative effect of video assisted thoracic surgery using two ports is obvious,the safety is high,and it has high popularization and application value.