A Clinical Comparative Study Of Single-port And Three-port Thoracoscopic Lobectomy In The Treatment Of Non-small Cell Lung Cancer

Objective: To compare the clinical efficacy of single port and three port thoracoscopic surgery in the treatment of non-small cell lung cancer.Methods: From June 2019 to January 2020,82 patients with non-small cell lung cancer were randomly divided into single hole group and three hole group,41 cases in each group.All patients underwent lobectomy and systemic lymphadenectomy.The operation time,intraoperative blood loss,lymph node dissection,postoperative pain score,postoperative catheterization time,postoperative hospital stay and other clinical data of the two groups were compared and statistically analyzed.Results: All patients successfully completed the operation,no perioperative death.The incision length of single port group was(3 ± 1 cm vs 6.5 ± 0 cm p<0.001),and the pain score was(3 ± 1.5 points vs 5 ± 1 points p<0.001)and pain score(3 ± 2 points vs 4 ±1.5 points,P= 0.001),and the catheterization time was(5 ± 3.5d vs 8 ± 3d p<0.001)and postoperative hospital stay(7 ± 4 d vs 10 ± 5 d,P = 0.011),the difference was statistically significant.The operation time of single hole group and three port group was(159.561min±55.780vs163.805±50.486 min,P = 0.719),intraoperative blood loss(150 ± 125 ml vs100 ±150 ml,P = 0.34),the number of lymph node dissection group(4.0± 2vs3 ±3,p=0.262),lymph node dissection(9 ± 9.5vs6 ± 8,p=0.080)and the incidence of complications(P > 0.05).Conclusion: Single port thoracoscopic radical resection of lung cancer is safe and feasible in the treatment of non-small cell lung cancer,which is more in line with the concept of minimally invasive surgery,and is worthy of further promotion.