摘要
Abstract
Objective To analyze the long term efficacy and safety of thoracoscopic versus open chest radical resection of non-small cell lung cancer and to provide some references for rationally choosing surgical procedure.Methods 60 patients diagnosed with non-small cell lung cancer at our department from January,2013 to January,2016 were prospectively chosen and randomly divided into an open chest group and a thoracoscopic group,30 for each group.The open chest group were treated with open chest radical resection of pulmonary carcinoma and the thoracoscopic group with thoracoscopic radical resection.The status of surgical,complications,and tumor-free survival were compared between these two groups.Results The success rate of the open ches group was 100.00％.The incisions of 9 patients in the thoracoscopic group had to be extended to finish the surgery.No case was converted to open chest surgery in the thoracoscopic group.The incision length chest-opened,-closed time,time for drainage tube placement,and hospital stay were shorter,the bleeding volume was lower,and the operation time was longer in the thoracoscopic group than in the open chest group,with statistical differences (P＜0.05).There was no statistical difference in lymph node dissection between these two groups (P ＞ 0.05).The incidence of complications and tumor-free survival rate were 10.00％ and 96.67％ in the thoracoscopic group and were 33.33％ and 80.00％ in the open chest group (P ＜ 0.05).Conclusions Totally thoracoscopic surgery can complete anatomical lobectomy and lymph node dissection and is up to the standard of the radical surgery of lung cancer,minimally invasive,fast recovery,and safe,so it is a first choice of surgical treatment.关键词
非小细胞肺癌/全胸腔镜肺癌根治术/剖胸肺癌根治术/手术效果/安全性Key words
Non small cell lung cancer/Totally thoracoscopic radical resection of lung cancer/Open chest radical resection of lung cancer/Surgical effect/safety
