Effect of Video-assisted Thoracoscopic Resection of Mediastinal Tumors on Surgical Parameters, Postoperative Recovery and Prognosis in Patients with Mediastinal Tumors
LIANG Lihui, LI Changbo, YU Defu
Wuzhou Worker's Hospital, Guangxi Wuzhou 543001, China
Abstract：Objective: To investigate the effect of video-assisted thoracoscopic resection of mediastinal tumor on surgical parameters, postoperative recovery and prognosis in patients with mediastinal tumor. Methods: 60 patients with mediastinal tumors admitted to our hospital from June 2013 to June 2018 were randomly divided into control group and experimental group according to random number table method. The experimental group was treated with mediastinal tumors resection under video-assisted thoracoscopy, while the control group was treated with standard thoracotomy. Relevant indexes of operation and recovery were observed, and the incidence of postoperative complications was compared between the two groups. Results: There was no significant difference in the total operation time between the two groups (P>0. 05), the time of thoracotomy, the amount of bleeding and the time of closure were (12.07±3.27) min, ( 13.26±4.33) ml, (11.09±2.14) min;, respectively, which were significantly lower than those in the control group (18.20±2.34) min, (24.98±8.43) ml, (21.09±3.28) min (t=5.323,t=5.293,t=4.985,P< 0. 05). Postoperative time of tubing in the trial group The postoperative hospitalization time was (3.09±0.89) d, (354.45±101.22) ml, (7.15±2.35) days, which was significantly lower than that in the control group (5.59 ±1.23) d, (643.34±144.20) ml, (10.98±3.17) d (t=5.045, P<0.05). In the control group, 8 patients had postoperative complications, while in the trial group, only 3 patients had postoperative complications. The incidence of postoperative complications in the trial group was as follows: 10.00% was significantly lower than that in the control group 26.67% (χ2= 8.374, P<0.05). Conclusion: Video-assisted thoracoscopic resection of mediastinal tumors can effectively reduce the trauma, shorten the time of postoperative recovery, and have a high clinical effect and few postoperative complications, so it is worth popularizing and applying in clinic.
[1] Hartigan PM, Ng JM, Gill RR. Anesthesia in a patient with a large mediastinal mass[J]. N Engl Med, 2018,379(6):587~588. [2] 陈楠,张莹,郭刚,等.微创胸腔镜下纵膈切除术治疗纵隔肿瘤的疗效[J].河北医学,2016,22(2):201~204. [3] Booka E, Kitano M, Nakano Y, et al. Life-threatening giant esophageal neurofibroma with severe tracheal stenosis: a case report[J]. Surg Case Rep, 2018,4(1):107. [4] Yang D, Zhou Y, Wang W. Total thoracoscopic high-position sleeve lobectomy of the right upper lobe of the lung[J]. J Thorac Dis, 2018,10(7):4490~4497. [5] Pan Q, Wang Y, Luo Y, et al. Hepatic involvement of IgG4-related disease presenting as multiple hypermetabolic masses on FDG PET/CT[J]. Clin Nucl Med, 2018,43(10):777~779. [6] 周伟,张大发,聂军,等.单孔胸腔镜手术切除纵隔肿瘤25例[J].皖南医学院学报,2017,36(6):564~566. [7] 王国海,何理祥,郭圣聪,等.电视胸腔镜肺癌根治术与常规肺癌根治术淋巴结清扫效果对比分析[J].中国基层医药,2017,24(9):1329~1332. [8] Ju L, Han M, Su J, et al. A lung squamous carcinoma patient with ROS1 rearrangement sensitive to crizotinib[J]. Cancer Chemother Pharmacol, 2018,82(3):561~564. [9] Koyama S, Fujiwara K, Nosaka K, et al. Immunohistochemical features of primary pure squamous cell carcinoma in the thyroid: an autopsy case[J]. Case Rep Oncol, 2018,11(2):418~424. [10] 唐兴,张晨,何靖康,等.单孔与双孔胸腔镜手术切除后纵隔肿瘤的对比研究[J].中国血液流变学杂志,2017,27(3):298~300.
2019, Vol. 25 
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