摘要
Abstract
Objective:To observe the effect of single-port thoracoscopic radical resection of lung cancer on perioperative indicators and survival in patients with early non-small cell lung cancer(NSCLC).Method:The clinical data of 40 patients with NSCLC who underwent single-port thoracoscopic radical resection of lung cancer in Qiandongnan People's Hospital from July 2018 to November 2021 were retrospectively collected and included in group A.In addition,the clinical data of 40 patients with NSCLC who underwent three-port thoracoscopic radical resection of lung cancer in our hospital during the same period were collected and included in group B.The surgical indexes,postoperative pain[visual analogue scale(VAS)],stress indexes[cortisol(Cor),norepinephrine(NE),angiotensin Ⅱ(Ang Ⅱ)],postoperative complications and survival were compared between two groups.Result:The operation time of group A was longer than that of group B,the chest tube indwelling time and hospitalization time were shorter than those of group B,and the differences were statistically significant(P<0.05);the VAS scores of group A at 12 h,24 h and 48 h after operation were lower than those of group B,and the differences were statistically significant(P<0.05);at 1 d after operation,Cor,NE and Ang Ⅱ in two groups increased,but those in group A were lower than those in group B,and the differences were statistically significant(P<0.05);the incidence of postoperative complications in group B was higher than that in group A,the difference was statistically significant(P<0.05);there were no significant differences in the 1-year and 3-year survival rates between two groups(P>0.05).Conclusion:Single-port thoracoscopic radical resection of lung cancer in the treatment of early NSCLC patients has less trauma,which can reduce postoperative stress response,relieve postoperative pain,facilitate postoperative recovery,and shorten hospitalization time,and the survival rate is high.关键词
非小细胞肺癌/单孔胸腔镜肺癌根治术/并发症/生存情况Key words
Non-small cell lung cancer/Single-port thoracoscopic radical resection of lung cancer/Complications/Survival
