单孔胸腔镜手术与电视胸腔镜手术治疗非小细胞肺癌的疗效比较  

Comparison of Single-Port Video-Assisted Thoracoscopic Surgery and Video-Assisted Thoracoscopic Surgery for Non-Small Cell Lung Cancer

作　　者：周来勇[1] 黄立志[1] 张锦锋[1] 曹庆东[1] 

机构地区：[1]南方医科大学附属深圳宝安医院胸心外科,广东深圳518101

出　　处：《实用临床医学（江西）》2017年第6期30-32,36,共4页Practical Clinical Medicine

摘　　要：目的比较单孔胸腔镜手术(single-port video-assisted thoracoscopic surgery,SPVATS)与电视胸腔镜手术(video-assisted thoracoscopic surgery,VATS)治疗非小细胞肺癌的临床疗效。方法将51例非小细胞肺癌患者按不同的手术方式分为观察组(26例)和对照组(25例)。观察组采用SPVATS术,对照组采用VATS术。观察2组手术时间、术中出血量,淋巴结清扫的组数、个数和术后8、24、72h疼痛评分,胸腔引流时间、术后住院时间、术后并发症及住院费用。结果 2组均顺利完成手术,无中转开胸、无死亡及严重并发症的发生。2组淋巴结清扫的组数、个数和胸腔引流时间、术后住院时间、住院费用比较差异无统计学意义(P>0.05)。与对照组比较,观察组手术时间短,术中出血量少,术后8、24、72h疼痛评分均降低(均P<0.05)。2组术后并发症发生率比较差异无统计学意义(P>0.05)。结论 SPVATS与VATS治疗非小细胞肺癌近期疗效相当,但SPVATS可减少术中出血量,减轻术后患者的疼痛。Objective To compare the clinic effects of single-port video-assisted thoracoscopic surgery（SPVATS）and video-assisted thoracoscopic surgery（VATS）on non-small cell lung cancer（NSCLC）.Methods Fifty-one patients with NSCLC were assigned to receive either SPVATS（observation group,n=26）or VATS（control group,n=25）.The operation time,intraoperative blood loss,number of lymph nodes dissected,postoperative 8-,24-and 72-hour pain scores,thoracic drainage time,postoperative hospital stay,postoperative complications,and hospitalization costs were observed in both groups.Results The operation was completed successfully and no conversion to thoracotomy,death and serious complications occurred in all patients.There were no significant differences in the number of lymph nodes dissected,thoracic drainage time,postoperative hospital stay,hospitalization costs and incidence of postoperative complications between the two groups（P〉0.05）.Compared with control group,the operation time,intraoperative blood loss and postoperative 8-,24-and 72-hour pain scores were significantly reduced in observation group（P〈0.05）.Conclusion Both SPVATS and VATS are effective for NSCLC.However,SPVATS is superior to VATS for reducing intraoperative blood loss and postoperative pain.

关 键 词：非小细胞肺癌 单孔胸腔镜手术 电视胸腔镜手术 肺癌根治术 疗效 

分 类 号：R734.2[医药卫生—肿瘤] R616[医药卫生—临床医学]