局解手术学杂志2024，Vol.33Issue(12)：1089-1092,4.DOI:10.11659/jjssx.08E023084
单孔胸腔镜手术在老年非小细胞肺癌中的应用
Application of single-port thoracoscopic surgery for non-small cell lung cancer in the elderly
摘要
Abstract
Objective To investigate the clinical efficacy and safety of single-port thoracoscopic surgery for elderly patients with non-small cell lung cancer(NSCLC).Methods The clinical data of 93 patients with NSCLC who underwent thoracoscopic lobectomy or segmentectomy was collected,the patients were divided into uniportal operation group(40 cases,received single-port thoracoscopic surgery)and single-operation port operation group(53 cases,received single-operation port thoracoscopic surgery)according to the operation methods.The operation time,the amount of blood loss,the number of lymph node dissection,chest drainage volume 3 days after surgery,duration of indwelling drainage tube,postoperative hospital stay,visual analogue scale(VAS)score of postoperative pain,and incidence of postoperative complications of patients between the two groups were compared.The cumulative survival rate between the two groups was compared.Results The operation were successfully completed in both groups.There was no statistically significant difference in terms of operation time,the amount of blood loss,the number of lymph node dissection,chest drainage volume 3 days after surgery,duration of indwelling drainage tube,or postoperative hospital stay of patients between the two groups(P>0.05).There was significant difference in VAS score of postoperative pain of patients between the two groups(P<0.05).There was no early death within 1 months after surgery in both groups.There was no significant difference in the incidence of complications between the two groups(P>0.05).After 4 to 30 months of follow-up,there was no significant difference in the cumulative survival rate between the two groups(P>0.05).Conclusion Single-port thoracoscopic lobectomy or segmentectomy for elderly patients with NSCLC has high safety and feasibility,with less trauma,faster recovery and less postoperative pain.关键词
非小细胞肺癌/单孔胸腔镜/肺段切除术/肺叶切除术/老年Key words
non-small cell lung cancer/single-port thoracoscope/segmentectomy/lobectomy/elderly分类
医药卫生引用本文复制引用
伍治强,危永强,万虹利,曾小飞,王洪,王贤波..单孔胸腔镜手术在老年非小细胞肺癌中的应用[J].局解手术学杂志,2024,33(12):1089-1092,4.基金项目
四川省科技计划项目重点研发项目(2023YFS0178) （2023YFS0178）
成都医学院第一附属医院高层次人才科研启动基金(CYFY-GQ26) （CYFY-GQ26）
四川省临床重点专科建设项目(2024GXWKP002) （2024GXWKP002）
