[1]刘煜*,宋雪冰,张午临.单操作孔完全胸腔镜与传统三孔胸腔镜治疗肺癌的疗效比较[J].中国微创外科杂志,2018,18(3):205-208.
　Liu Yu,Song Xuebing,Zhang Wulin..Comparison Between Single-port and Three-port Video-assisted Thoracoscopic Lobectomy in the Treatment of Lung Cancer[J].Chinese Journal of Minimally Invasive Surgery,2018,18(3):205-208.
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单操作孔完全胸腔镜与传统三孔胸腔镜治疗肺癌的疗效比较()
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《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
18
期数:
2018年3期
页码:
205-208
栏目:
临床论著
出版日期:
2018-05-01

文章信息/Info

Title:
Comparison Between Single-port and Three-port Video-assisted Thoracoscopic Lobectomy in the Treatment of Lung Cancer
作者:
刘煜*; 宋雪冰; 张午临
邯郸市中心医院胸外科，邯郸056008
Author(s):
Liu Yu;  Song Xuebing;  Zhang Wulin.
Department of Thoracic Surgery, Handan Central Hospital, Handan 056008, China
关键词:
单操作孔完全胸腔镜; 三孔胸腔镜; 肺癌
Keywords:
Uniportal complete thoracoscopy; Threeport thoracoscopy; Lung cancer
文献标志码:
A
摘要:
目的比较单操作孔完全胸腔镜与传统三孔胸腔镜治疗肺癌的临床疗效。方法选择2012年1月~2016年1月62例肺癌在我院接受肺叶切除术，按患者入院顺序编号采用随机数字表分为单孔组（n=31）与三孔组（n=31）。单孔组采用单操作孔胸腔镜肺叶切除术，三孔组以传统三孔操作行胸腔镜下肺叶切除手术，比较2组术中、术后和随访情况。结果2组患者手术均顺利完成，手术时间［（182.3±77.9）min vs. （177.6±69.2）min，t=0.251，P=0.803］、术中出血量［（207.3±48.4）ml vs. （226.5±52.3）ml，t=-1.500，P=0.139］、胸管留置时间［（5.5±1.6）d vs. （5.7±2.0）d，t=0.435，P=0.665］、术后住院时间［（8.7±2.7）d vs.（9.0±2.8）d，t=0.925，P=0.0.372］、淋巴结清扫数目［（11.2±2.8）枚 vs. （11.7±3.1）枚，t=-0666，P=0.508］和术后并发症发生率［9.7%(3/31) vs.12.9%(4/31)， χ2=0.000，P=1.000］均无显著性差异。单孔组术后第1、5 天VAS评分分别为（3.1±1.1）、（1.0±0.7）分，分别显著低于三孔组（3.9±1.4）分（t=-2.502，P=0.015）和（1.5 ± 07）分（t=-2.812，P=0.007）。62例随访12~36个月，（18.4±6.4）月，无复发和死亡。结论单操作孔胸腔镜肺叶切除术治疗肺癌的疗效和安全性与传统三孔胸腔镜相当，值得在临床上推广应用。
Abstract:
ObjectiveTo compare the clinical efficacy of uniportal complete thoracoscopic and conventional threeport thoracoscopic lobectomy in the treatment of lung cancer.MethodsA total of 62 cases of lung cancer from January 2012 to January 2016 received lobectomy in our hospital. According to admission sequence number, the patients were randomly divided into either singleport group (n=31) or threeport group (n=31). The singleport group was given uniportal thoracoscopic lobectomy, and the threeport group was given traditional threeport operation of VATS lobectomy. We compared the two groups with intraoperative and postoperative conditions and followup outcomes.ResultsThe operations were successfully completed in both groups. There were no significant differences between the two groups in operation time ［(182.3±77.9)min vs. (177.6±69.2)min, t=0.251, P=0803］, intraoperative blood loss ［(207.3±48.4) ml vs. (226.5± 52.3) ml, t=-1.500, P=0.139］, chest tube indwelling time ［(5.5±1.6) d vs. (5.7±2.0) d, t=0.435, P=0.665］, postoperative hospitalization time ［(8.7±2.7) d vs. (9.0±28) d, t=0.925, P=0.0.372］, lymph node dissection number ［(11.2±2.8) vs. (11.7±3.1), t=-0.666, P=0.508］ and postoperative incidence of complications ［9.7% (3/31) vs. 12.9% (4/31), χ2=0.000, P=1.000］. The VAS scores on the first and fifth postoperative day were (3.1±1.1) points and (1.0±0.7) points in the singleport group, which were significantly lower than those in the threeport group ［(3.9±1.4)points, t=-2.502, P=0.015; (1.5±0.7) points, t=-2.812, P=0.007］. The 62 cases were followed up for 12-36 months (mean, 18.4±6.4 months) without recurrence and death.ConclusionSingleport thoracoscopic lobectomy for lung cancer has good curative effect and safety as compared with traditional method, being worthy of clinical application.

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备注/Memo

备注/Memo:
*通讯作者，E-mail：liuyu201605@sina.com
更新日期/Last Update: 2018-05-10