Clinical Analysis Of Complete Video-assisted Thoracoscopic Lobectomy In The Treatment Of Lung Cancer With Single Utility Port

Objective Thoracoscope is getting more and more widely application in the diagnosis and treatment of thoracic disease, it’s value in the field of lung cancer treatment is gradually improved.The purpose of this clinical analysis is to review the perioperative clinical effects of thoracoscopic lobectomy with single utility port in the surgical treatment of lung cancer. Methods We retrospectively analyzed the clinical data of95patients with lung cancer who underwent complete VATS lobectomy with single utility port from January2013to December2013in Qilu hospital of Shandong University (SP-VATS group), compared with32patients with lung cancer who underwent conventional3-port VATS lobectomy (3-port VATS group) and27patients with lung cancer who underwent video-assisted mini-thoracotomy lobectomy(VAMT group) during the same period. The clinical evaluation indexes include operation time, intraoperative blood loss, lymph node dissection number, postoperative chest drainage in initial3days, chest drainage duration, postoperative hospital stay, complications and analgesia drug application,all the above indexes were compared between these three groups. Results No postoperative death occured in three groups. There were no statistical difference in operation time, intraoperative blood loss, lymph node dissection number,postoperative comolications between SP-VATS group and3-port VATS group (P>0.05). There were statistical differences in postoperative chest drainage in initial3days,chest drainage duration, postoperative hospital stay between SP-VATS group and3-port VATS group (P<0.05). There were no statistical difference in operation time, lymph node dissection number between SP-VATS group and VAMT group P>0.05). There were statistical differences in intraoperative blood loss, postoperative chest drainage in initial3days, chest drainage duration.postoperative comolications, postoperative hospital stay between SP-VATS group and VAMT group (P<0.05). Postoperative chest pain of all patients in SP-VATS group were less, in addition to the conventional intravenous analgesia pump, little need of extra analgesia. There were statistical differences in extra analgesia between SP-VATS group and other two gruops (P<0.05). Conclusion Complete VATS lobectomy with single utility port is a valuable way in the treatment of lung cancer which with rapidly recovery and less postoperative complications, has more advantages than the methods of conventional3-port VATS lobectomy and video-assisted mini-thoracotomy.