单孔胸腔镜在非小细胞肺癌治疗中的应用价值
| 作者: |
1于民浩,
1张立明,
1文涛,
1肖勇
1 四川省科学城医院胸外科，四川 绵阳 621000 |
| 通讯: |
肖勇
Email: 1664255908@qq.com |
| DOI: | 10.3978/j.issn.2095-6959.2019.06.009 |
| 基金: | 四川省卫生和计划生育委员会科研课题 (17PJ186)。 |
摘要
目的：研究单孔胸腔镜(uniport video-assisted thoracoscopic surgery，Uni-VATS)对治疗非小细胞肺癌(non-small cell lung cancer，NSCLC)的临床应用价值。方法：前瞻性研究2017年7月至2018年 6月四川省科学城医院胸外科接受Uni-VATS和多孔胸腔镜(multipor t v ideo-assisted thoracoscopic surgery，Mul-VATS)治疗的200例NSCLC患者，比较其术后发生并发症的差异。结果：Uni-VATS组的手术时间、出血量与Mul-VATS组比较，差异无统计学意义(均P>0.05)，Uni-VATS组术后疼痛评分、带管时间、各种并发症的发生均较Mul-VATS组低(均P<0.05)。结论：Uni-VATS与Mul-VATS一样安全可靠，其在术后疼痛管理和并发症的控制上更具优势，能提高患者的生活质量，具有临床应用价值。
关键词：
单孔胸腔镜；非小细胞肺癌；快速康复
Value of uniport video-assisted thoracoscopic surgery in the treatment of non-small cell lung cancer
CorrespondingAuthor: XIAO Yong Email: 1664255908@qq.com
DOI: 10.3978/j.issn.2095-6959.2019.06.009
Foundation: This work was supported by the Scientific Research Project of Sichuan Provincial Health and Family Planning Commission (17PJ186), China.
Abstract
Objective: To study the clinical application value of uniport video-assisted thoracoscopic surgery (Uni-VATS) in the treatment of non-small cell lung cancer (NSCLC). Methods: A prospective study was conducted on 200 patients with NSCLC who received Uni-VATS and multiport video-assisted thoracoscopic surgery (Mul-VATS) in thoracic surgery department of Sichuan Science City Hospital from July 2017 to June 2018, and the differences in postoperative complications were compared. Results: There were no statistically significant differences in operative time and blood loss between the two groups (both P>0.05), and the postoperative pain score, chest-drain duration time and the occurrence of various complications in the Uni-VATS group were lower than those in the Mul-VATS group (all P<0.05). Conclusion: Uni-VATS is as safe and reliable as Mul-VATS, and it has obvious advantages in postoperative pain management and complication control. It can improve the quality of life of patients and has clinical application value.
Keywords：
uniport video-assisted thoracoscopic surgery; non-small cell lung cancer; enhanced recovery after surgery