关键词: 两孔式胸腔镜肺叶切除术, 传统三孔式胸腔镜肺叶切除术, 肺肿瘤

Abstract:

Objective
To compare the clinical effects between two-port thoracoscopic lobectomy(TPTL) and  traditional three-port thoracoscopic lobectomy(TTTL),and to charify the significance and value of TPTL in clinical treatment.Methods Retrospective analysis of clinical data of 124 patients with lung cancer undergoing thoracoscopic  lobectomy were done, and the patients   were divided into two groups according to different surgical methods:TPTL group(n=60,TPTL and lymph nodes dissection) and TTTL group  (n=6,TTTL and lymph nodes dissection).The length of incision,mean operation time,average intraoperative bleeding,hydrochloride dosage,average postoperative chest tube duration,average postoperative hospital stay,and the number of the patients with upper limb discomfort after action 6 months after operation   in two groups were compared.Results The length of incision of the patients in  TPTL group was shorter than that in TTTL group(4.0 cm±0.2 cm, 6.2 cm±0.3 cm) (P<0.05).The hydrochloride dosage using after operation  of the patients in  TPTL group was less than that in  TTTL group (125 mg±35 mg,240 mg±46 mg)(P<0.05).There were 2 patients with upper limb discomfort after action 6 months after operation in  TPTL group and 11 patients in  TTTL group.There were  no differences of mean operation time,average intraoperative bleeding,average postoperative chest tube duration,and average postoperative hospital stay between two group(P>0.05).Conclusion Compared with TTTL,TPTL can reduce the length of incision,relieve postoperative pain,and improve postoperative life quality of the patients.

Key words: two-port thoracoscopic surgery lobectomy, traditional three-port thoracoscopic lobectomy, lung neoplasms