不同体重指数肺癌患者行单孔胸腔镜的应用体会OACSTPCD

Objective:To investigate the safety and feasibility of single port thoracoscopic pulmonary lobectomy for lung cancer patients with different body mass index and the effect on postoperative fatigue of surgeons.Methods:A prospective study was conducted on 120 patients with non-small cell lung cancer who underwent single-port thoracoscopic lobectomy from Jun.2021 to Aug.2022.According to BMI≤24 kg/m2,24 kg/m2<BMI<28 kg/m2 and BMI≥28 kg/m2,patients were divided into group A,group B and group C,with 40 cases in each group.The intraoperative and postoperative related indexes,Borg fatigue scores of the surgeon and assistants,changes in the surgeon's grip strength after surgery,and the incidence of complications were compared and analyzed among the three groups.Results:The extubation of group B and group C was later than that of group A,and the drainage volume and pain score of group C were higher than those of group A and group B(P<0.05).There were no significant differences in intraoperative blood loss,operative time,number of lymph nodes dissection and postoperative hospital stay among the three groups.The incidence of delayed incision heal-ing in group C was higher than that in group A and group B(P<0.05).There was no significant difference in the incidence of pleural effusion and pulmonary air leakage between group A and group B.Borg fatigue score of the surgeon and assistants in group C was higher than that in groups A and B(P<0.05),and there was no significant difference in grip strength before and after surgery.Conclusions:For obese patients undergoing single incision thoracoscopic lobectomy,it is necessary to formulate effective surgical and perioperative management programs,focus on pain,delayed incision healing and fatigue of the surgeon and his assistants in order to improve the post-operative recovery and quality of life for patients.