摘要
Abstract
Objective To discuss the effect of single operating hole total thoracic surgery on short‐term and long‐term effect in patients with mediastinal tumors .Methods The clinical data of forty cases of patients with mediastinal tumors were retrospective analyzed ,among which there were twenty‐two cases of patients treated with single operating hole total thoracic surgery as the ex ‐perimental group ,while the other eighteen cases of patients treated with conventional three‐hole type thoracoscopic surgery as the control group .The operative time ,blood loss during operation ,postoperative drainage time ,time of use of analgesic drugs ,hospital stay ,medical expenses were compared and analyzed ,and the complications and recovery effect and recurrence rates were compared between the two groups .Results The operative time ,blood loss during operation ,postoperative drainage time ,time of use of anal‐gesic drugs ,hospital stay in the experimental group were obviously lower than those in the control group (P< 0 .05) ,while the med‐ical expenses of the former were slightly higher than those of the latter (P> 0 .05) .The differences in the incidence rates of compli‐cations such as pneumonia ,liquid pneumothorax ,pulmonary ,upper limb movement disorder between the two groups were not statis‐tically significant(P> 0 .05) ,and the incidence rate of complications in the experimental group was 4 .55% ,far lower than that of 27 .78% in the control group(P< 0 .05) .The recurrence rate in the experimental group was 0 .00% ,slightly lower than that of 5 . 56% in the control group(P> 0 .05) .Conclusion Single operating hole total thoracic surgery in patients with mediastinal tumors can reduce surgical trauma ,promote rapid recovery ,and reduce the complications and recurrence .关键词
单操作孔全胸腔镜/三孔式手术/纵隔肿瘤/近远期疗效Key words
single operating hole total thoracic surgery/three-hole surgery/mediastinal tumors/short-term and long-term effect
