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| 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 |
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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.
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2019, Vol. 25 
