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目的探讨施行单操作孔电视全胸腔镜下肺叶切除术治疗肺癌的临床效果。方法 66例采用电视全胸腔镜下肺叶切除术治疗肺癌患者作为研究对象,按照手术方法不同分成对照组(采用三孔电视全胸腔镜下肺叶切除术)和观察组(采用单操作孔电视全胸腔镜下肺叶切除术),各33例。比较两组围手术期相关临床指标。结果本组患者均顺利完成手术,无围手术期死亡病例,全部康复出院。对照组2例中转开胸。观察组患者手术时间长于对照组,但观察组患者术中出血量、术后疼痛评分、术后总引流量、拔除引流管时间均明显优于对照组,且观察组患者切口感染率(0)明显低于对照组(12.12%),差异均具有统计学意义(P<0.05)。对照组术后发生4例并发症,其中1例较严重为急性呼吸衰竭;观察组术后发生2例并发症,但无严重并发症发生。两组患者淋巴结清扫数量、术后一般及严重并发症发生率比较,差异无统计学意义(P>0.05)。结论单操作孔电视全胸腔镜下肺叶切除术治疗肺癌是一种损伤小、恢复快、安全可行、效果显著的手术方式,具有推广优势。
Objective To investigate the clinical effect of single-porthole thoracoscopic lobectomy for lung cancer. Methods Sixty-six patients underwent TV-assisted thoracoscopic lobectomy for lung cancer patients. The patients were divided into control group (three-hole thoracoscopic lobectomy) and observation group Microscope lobectomy), each 33 cases. Perioperative clinical indexes were compared between the two groups. Results The patients were successfully completed surgery, no perioperative deaths, all discharged. Control group 2 cases transferred to the thoracotomy. The operation time of the observation group was longer than that of the control group, but the intraoperative blood loss, postoperative pain score, postoperative total drainage and drainage tube time of the observation group were significantly better than those of the control group, and the incision infection rate (0) Significantly lower than the control group (12.12%), the difference was statistically significant (P <0.05). In the control group, 4 cases occurred postoperative complications, 1 case was more severe acute respiratory failure; 2 cases occurred postoperative complications in the observation group, but no serious complications occurred. There was no significant difference between the two groups in the number of lymph node dissection, postoperative general and serious complications (P> 0.05). Conclusion The single-operation hole television thoracoscopic lobectomy for the treatment of lung cancer is a small injury, fast recovery, safe and feasible, the effect of significant surgical approach, with the promotion of advantages.