|
|
|
| Comparison of the Efficacy of Single-port and Traditional Multi-hole Thoracoscopic Pulmonary Nodulectomy in the treatment of Solitary Pulmonary Nodules in the Elderly |
| LU Rongguo, ZHENG Mingfeng |
| Wuxi People's Hospital, Jiangsu Wuxi 214023, China |
|
|
|
|
Abstract Objective: To compare the efficacy of single-port and traditional multi-hole thoracoscopic pulmonary nodulectomy in the treatment of solitary pulmonary nodules (SPN) in the elderly. Methods: 100 elderly patients with SPN underwent pulmonary nodule resection in our hospital were selected. According to the simple random group method, they were divided into the control group with conventional multi-hole thoracoscopic surgery, the observation group with single-port thoracoscopic surgery, 50 cases in each group. The changes of surgical indicators, lung function indicators before and after surgery, postoperative pain score and complications were compared between the two groups. Results: Compared with the control group, intraoperative blood loss and postoperative drainage volume were significantly reduced in the observation group, and postoperative hospital stay and drainage time were significantly shortened (P<0.05). There was no significant difference in operation time between the two groups (P>0.05). Compared with the control group, postoperative forced vital capacity (FVC), maximal voluntary ventilation (MVV) and forced expiratory volume in one second (FEV1) in the observation group were significantly improved (P<0.05). Visual analogue scale (VAS) was significantly reduced in the observation group 24 and 72 hours after surgery compared with the control group (P<0.05). There was no statistically significant difference in the incidence of postoperative complications such as pulmonary infection and atelectasis between the two groups (P>0.05). Conclusion: Compared with conventional multi-hole thoracoscopy, single-port thoracoscopic pulmonary nodule resection can effectively improve the treatment effect of elderly patients with SPN, improve the pulmonary function of patients, contribute to promote postoperative rehabilitation and improve the quality of life, so it has good clinical application value.
|
|
|
|
|
|
[1] Chan EY, Gaur P, Ge Y, et al. Management of the solitary pulmonary nodule[J].Arch PatholLab Med,2017,141(7):927~931.
[2] 谢冬,陈昶,朱余明,等.单孔胸腔镜手术的现状与展望[J].中华腔镜外科杂志:电子版,2016,9(2):73~76.
[3] Heller GZ, Manuguerra M, Chow R.How to analyze the visual analogue scale: myths, truths and clinical relevance[J].Scand Pain,2016,13(1):67~75.
[4] 王越,宋龙霞,黄艳,等.孤立性肺结节55例的影像学特征分析[J].中国基层医药,2018,25(3):352~355.
[5] Chen JR, Tseng YH, Lin MW, et al. Safety and efficacy of computed tomography-guided dye localization using patent blue V for single lung nodule for video-assisted thoracoscopic surgery: a retrospective study[J].Ann Transl Med,2019,7(2):28.
[6] 洪英财,陈怀生,林少霖,等.电视胸腔镜单操作孔方法行肺大疱切除术治疗气胸临床分析[J].河北医学,2015,21(10):1585~1588.
[7] Donahoe LL,Nguyen ET,Chung TB,et al. CT-guidedmicrocoil VATS resection of lung nodules: a single-centre experience and review of the literature[J].Thorac Dis,2016,8(8):1986~1994.
[8] Lin MW,Tseng YH,Lee YF,et al. Computed tomographyguided patent blue vital dye localization of pulmonary nodules in uniportalthoracoscopy[J].ThoracCardiovasc Surg,2016,152(2):535~544.
[9] Madariaga MLL, Lanuti M.Sampling of suspicious solitary pulmonary nodules: electromagnetic navigational bronchoscopy and video-assisted thoracoscopic surgery[J].Semin Roentgenol,2017,52(3):178~184.
[10] Lempel JK, Raymond DP, Ahmad U, et al. Video-assisted thoracic surgery resection without intraoperative fluoroscopy after CT-guided microcoillocalization of peripheral pulmonary nodules[J].VascInterv Radiol,2018,29(10):1423~1428.
[11] Huang HZ, Wang GZ, Xu LC, et al. CT-guided Hookwire localization before video-assisted thoracoscopic surgery for solitary ground-glass opacity dominant pulmonary nodules: radiologic-pathologic analysis[J].Oncotarget, 2017,8(64):108118~108129. |
|
|
|
2019, Vol. 25 
