Clinical observation on thoracoscopic pulmonary segment resection and thoracoscopic assisted small incision and thoracoscopic lobectomy for treating early lung cancer / 重庆医学

ABSTRACT

Objective To explore the clinical effect of different thoracoscopic operation modes in the treatment of early lung cancer.Methods One hundred and twenty cases of early lung cancer surgery were selected as the research subjects and divided into 38 cases of thoracoscopic assisted small incision lobectomy group (group A),42 cases of thoracoscopic lobectomy (group B) and 40 cases of thoracoscopic lung segment resection (group C).Then the perioperative indicators,lung function recovery,complications occurrence rate and prognosis were compared among 3 groups.Results The perioperative indicators in the group B and C were decreased compared with the group A (P＜0.05),the postoperative pleural drainage amount in the group C was lower than that in the group B (P＜0.05).The postoperative lung function indexes in the group A were lower than those in the group B and C (P＜ 0.05),while the lung function indicators in the group C were higher than those in the group B (P＜0.05).The incidence rate of postoperative complications in the group B and C was lower than that in the group A,the difference was statistically significant (P＜0.05);the median follow up period in the three groups was 15 months(12-18 months).No recurrence or metastasis was found.Conclusion For the treatment of early lung cancer,the thoracoscopic lung segment resection can reduce postoperative pleural effusion and better protect pulmonary function,moreover the survival and prognosis have no obvious difference and its clinical curative effect is worth to be affirmed.