| Objective To compare the clinical effects between complete video-assisted thoracoscopic(c-VATS)and hybrid video-assisted thoracoscope surgery(h-VATS)in the treatment of early no-small cell lung cancer(NSCLC).Methods A retrospective analysis was conducted on 120 patients with early NSCLC underwent thoracoscopic surgery from Mar.2014 to Mar.2016 in our hospital.According to surgical approach,they were allocated into complete video-assisted thoracoscopic lobectomy group(c-VATS,n=65)and hybrid video-assisted thoracoscope surgery group(h-VATS,n=55).The general data like age and gender were similar between the two groups.The clinical data were compared between two groups,including the operation time,intraoperative blood lose,number of lymph node dissection,length of incision,chest tube indwelling time,postoperative chest drainage,incidence rates of postoperative complications and the early inflammatory response.Results There were no significant differences in intraoperative blood lose[(128.7± 19.8)ml vs(132.5 ± 17.6)ml],the number of lymph node dissection[(13.4 ± 1.2)vs(13.6± 1.3)],postoperation hospital stay[(7.6 ± 1.1)d vs(7.5 ± 1.2)d],numeric pain intensity scale of first day[(6.8 ±0.5)vs(6.4 ± 0.6)],incidence rates of postoperative complications(18.5%vs16.5%)between c-VATS group and h-VATS group.The time of extracting drainage tube[(3.7 ± 0.6)d vs(4.9 ± 0.8)d],postoperative thoracic drainage[(921.7±273.6)ml vs(1055.6±292.9)ml],numeric pain intensity scale on the third day[(3.5 ±0.2)vs(4.7± 0.3)],and the early inflammatory response were significantly better in h-VATS group than those of c-VATS group(P<0.05).The operation time[(149.5± 12.7)min vs(123.6± 10.8)min]and the length of incision[(7.2 ±1.1)cm vs(5.8±0.9)cm]were longer in h-VATS group than c-VATS group(P<0.05).Conclusions Hybrid VATS is safe and reliable for patients with NSCLC,which has less surgical injury and slighter pain than 3-portal VATS.It is worthy of clinical popularization and application. |
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