关键词: ⅠA期非小细胞肺癌, 单孔电视辅助胸腔镜手术, 单操作孔电视辅助胸腔镜手术

Abstract: Objective To evaluate the clinical effect of Uniportal video-assisted thoracoscopic surgery and single utility port video-assisted thoracoscopic surgery for ⅠA stage non-small cell lung cancer.Methods A total of 81 patients with ⅠA stage non-small cell lung cancer was admitted to our hospital from January 2015 to November 2015.The patients were divided into control group and observation group.51 patients of control group received single utility port video-assisted thoracoscopic surgery,while other 30 patients of observation group received Uniportal video-assisted thoracoscopic surgery.Results The incision length of observation group was(4.27±0.29)cm,operative time was(208.80±61.12)mins.The volume of blood intra-operation was(92.33±73.75)mL;the number of lymph nodes dissection was(15.62±5.12),post-operative drainage within 24 hours was(401.70±53.31)mL;drainage tube retention was(6.30±3.01)days;postoperative hospitalization time was(19.03±5.85)days.The incidence rate of postoperative complications was 13.33%.The incision length of control group was(3.86±0.23)cm.The operative time was(184.30±51.36)mins;The volume of blood intra-operation was(84.90±80.98)mL,the number of lymph nodes dissection was(15.84±5.66),post-operative drainage within 24 hours was(398.00±52.73)mL;drainage tube retention was(6.10±3.25)days;postoperative hospitalization time was(18.69±6.81)days;The incidence rate of postoperative complications was 25.49%,there were no significant difference between the two groups(P＞0.05).VAS pain score of the observation group was(2.32±0.94)and it was(4.18±0.95)in control group,and observation group was significantly better than the control group(P＜0.05).Conclusion Uniportal video-assisted thoracoscopic surgery has the benefit of less trauma and pain,and it is worth using widely.

Key words: ⅠA stage non-small cell lung cancer, Uniportal video-assisted thoracoscopic surgery, Single utility port video-assisted thoracoscopic surgery