【摘要】 目的比较单孔、单操作孔与三孔胸腔镜肺癌根治术的临床效果及围术期的影响,探讨单孔法及单操作孔技术的实用性。方法选取2016年1-12月期间行胸腔镜肺癌根治术的患者91例,分为单孔组(n=22)、单操作孔组(n=28)及三孔组(n=41),比较三组手术时间、术中出血量、淋巴结清扫数目、术后引流胸液总量、胸管停留时间、术后疼痛VAS评分、术后住院时间和术后并发症情况。结果三组在术中出血量、淋巴结清扫数目、引流胸液总量、术后住院天数、停留胸管时间及术后并发症方面差异无统计学意义(P>0.05)。单孔组及单操作孔组在术后疼痛评分方面优于三孔组(P<0.05),而两者间差异无统计学意义(P>0.05);单操作孔组的手术时间较三孔组、单孔组延长(P<0.05),而三孔组与单孔组间差异无统计学意义(P>0.05)。结论单孔法、单操作孔法与三孔法胸腔镜手术具有相类似的临床效果,在胸腔镜手术治疗非小细胞肺癌中是安全、可行的。更多还原

【Abstract】 Objective To investigate the feasibility and safety of the single-incision video-assisted thoracoscopic surgery(VATS)and single utility port VATS in radical resection of lung cancer,and systematically and comprehensively compared the clinical effects and perioperative effects of these metods. Methods The patients,who were performed radical resection of lung cancer in our department from January 2016 to December 2016 were enrolled and divided into three groups of singleincision VATS group,single utility port group and conventional three-portal VATS group. The clinical data were collected and analyzed comprehensively among three groups,including the operation time(min),intraoperative blood loss(ml),the number of dissected lymph nodes,total volume of chest tube drainage(ml),duration of postoperative chest tube drainage(day),postoperative pain score,postoperative hospitalization(day)and postoperative complications. Results No significant differences were observed in intraoperative blood loss,number of the dissected lymph nodes,total drainage output of chest tube,postoperative hospitalization,duration of postoperative chest tube drainage and postoperative complications. The single-incision VATS group and single utility portal VATS group were superior than the conventional three-portal VATS group in numeric pain intensity scale on the first and third postoperative day(P<0.05),and there was no significant difference between the former two groups(P>0.05).The operation time of the single utility portal VATS group was longer than those of the other groups(P<0.05),and there was no significant difference between the latter two groups(P>0.05). Conclusion Similar clinical effects were observed among the three groups. Besides,the single-incision VATS and single utility portal VATS may be safer and more feasible in radical resection of lung cancer.更多还原