机器人外科学杂志（中英文）2025，Vol.6Issue(5)：819-823,5.DOI:10.12180/j.issn.2096-7721.2025.05.023
3D单孔胸腔镜在非小细胞肺癌手术中的应用及对患者术后恢复的影响
Application of 3D single-port thoracoscopic surgery in the treatment of non-small cell lung cancer and its impact on patients'postoperative recovery
摘要
Abstract
Objective:To investigate the efficacy of 3D single-port thoracoscopic surgery in the treatment of non-small cell lung cancer(NSCLC)and its impact on patients'postoperative recovery.Methods:150 NSCLC patients who underwent surgery at Nantong Tumor Hospital from August 2022 to August 2024 were enrolled.They were divided into the study group(n=78)and the control group(n=72)according to different surgical approaches.The control group received 2D single-port thoracoscopic surgery,while the study group underwent 3D single-port thoracoscopic surgery.Surgical indicators,serum markers,immune markers,and postoperative complications were compared between the two groups.Results:No statistically significant differences were observed between the two groups in intraoperative blood loss,number of lymph nodes dissected,drainage tube retention time,or VAS scores at 72 h after surgery(P>0.05).However,longer operative time,shorter length of hospital stay,reduced postoperative drainage volume,and lower VAS scores at 24 h after surgery were observed in the study group compared to the control group(P<0.05).Increased levels of cortisol(Cor),norepinephrine(NE),malondialdehyde(MDA),and decreased superoxide dismutase(SOD)levels were observed in both groups 1 day after surgery(P<0.05),and they were better in the study group than the control group(P<0.05).At postoperative day 7,higher IgA,IgM and IgG levels were observed in the study group(P<0.05),and the total complication rate was significantly lower(P<0.05).Conclusion:The application of 3D single-port thoracoscopic surgery in the treatment of NSCLC can achieve favorable outcomes,effectively alleviate postoperative pain,improve immune function,reduce stress responses and complication rates,and promote postoperative recovery.关键词
非小细胞肺癌/3D单孔胸腔镜手术/术后恢复Key words
Non-small Cell Lung Cancer/3D single-port Thoracoscopic Surgery/Postoperative Recovery分类
临床医学引用本文复制引用
吴红霞,陆玉珠,陆敏敏..3D单孔胸腔镜在非小细胞肺癌手术中的应用及对患者术后恢复的影响[J].机器人外科学杂志（中英文）,2025,6(5):819-823,5.基金项目
南通市卫生健康委员会科研项目(ms2022047)Scientific Research Project of Nantong Municipal Health Commission(ms2022047) （ms2022047）
