Clinical observation of the effects of patients with lung cancer after sugery of releasing pulmonary ligament in resecting upper lobe of the lung under thoracoscope

doi:10.3877/cma.j.issn.2095-8773.2017.02.06

Abstract

Abstract:

Objective

To observe the effects of patients with lung cancer after sugery of releasing pulmonary ligament in resecting upper lobe of the lung under thoracoscope.

Methods

From October 2015 to October 2016 in Gansu Provincial Hospital, 110 non-small cell lung cancer (NSCLC) patients undergoing the resection of the upper lobe of the lung were admitted to the study. They were randomly divided into two groups, each group held 55 cases equally, namely the releasing group and the preserved group. The releasing group releases the pulmonary ligament after totally dissecting the tumor while the preserved group doesn’t release the pulmonary ligament after totally dissecting the tumor. The results from the two groups had been compared to analyze the blood loss, the operation time, postoperative drainage, hospital stay, the postoperative complications (including lung infection, empyema, arrhythmia) and the dead space ratio.

Results

The blood loss of the two groups did not differ significantly [(136±22)ml vs (133±28)ml, t=-0.625, P>0.05]. The operation time of the preserved group was less than the releasing group and the difference was statistically significant [(3.01±0.85)h vs (3.36±0.77) h, t=-2.263, P<0.05]. The thoracic drainage quality on 1, 2, 3 days postoperative, time for tube of the two groups did not differ significantly (t=-0.393, -1.059, -0.530 and -0.471, P>0.05). The hospital stay of the two groups did not differ significantly (t=-0.514, P>0.05). The postoperative complications of the two groups did not differ significantly (χ²=0.135, 0.000, 0.484, P>0.05), and the the dead space ratio of the two groups did not differ significantly (t=-1.898 and 1.880, P>0.05).

Conclusions

For patients undergoing the resection of the upper lobe of the lung under thoracoscope doesn’t need to release pulmonary ligament, which shows no significant effects on patients after surgery and also reduces the operation time, which is worthy of promotion and application.

Key words: Non-small cell lung cancer, Thoracoscopy, Pulmonary lobectomy, Pulmonary ligament

Wenhao Wang, Zijiang Zhu, Jibao Yuan, Yao Pang. Clinical observation of the effects of patients with lung cancer after sugery of releasing pulmonary ligament in resecting upper lobe of the lung under thoracoscope[J]. Chinese Journal of Thoracic Surgery(Electronic Edition), 2017, 04(02): 96-100.

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Figures/Tables 5

References 18

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临床特征		松解组(55例)	未松解组(55例)	检验值	P值
性别		?	?	χ²＝0.159	0.690
?	男性	34(61.8)	37(67.3)	?	?
?	女性	21(38.2)	18(32.7)	?	?
年龄(岁，±s)		53.2±8.8	54.3±7.8	t＝0.706	0.481
病理类型		?	?	χ²＝1.433	0.488
?	鳞癌	34(61.8)	37(67.3)	?	?
?	腺癌	18(32.7)	13(23.6)	?	?
?	其他	3(5.5)	5(9.1)	?	?
TNM分期		?	?	χ²＝1.679	0.432
?	Ⅰ期	18(32.7)	16(29.1)	?	?
?	Ⅱ期	34(61.8)	38(69.1)	?	?
?	ⅢA期	3(5.5)	1(1.8)	?	?
肿瘤部位		?	?	χ²＝0.036	0.848
?	左肺上叶	27(49.1)	29(52.7)	?	?
?	右肺上叶	28(50.9)	26(47.3)	?	?

临床特征		松解组(55例)	未松解组(55例)	检验值	P值
性别		?	?	χ²＝0.159	0.690
?	男性	34(61.8)	37(67.3)	?	?
?	女性	21(38.2)	18(32.7)	?	?
年龄(岁，±s)		53.2±8.8	54.3±7.8	t＝0.706	0.481
病理类型		?	?	χ²＝1.433	0.488
?	鳞癌	34(61.8)	37(67.3)	?	?
?	腺癌	18(32.7)	13(23.6)	?	?
?	其他	3(5.5)	5(9.1)	?	?
TNM分期		?	?	χ²＝1.679	0.432
?	Ⅰ期	18(32.7)	16(29.1)	?	?
?	Ⅱ期	34(61.8)	38(69.1)	?	?
?	ⅢA期	3(5.5)	1(1.8)	?	?
肿瘤部位		?	?	χ²＝0.036	0.848
?	左肺上叶	27(49.1)	29(52.7)	?	?
?	右肺上叶	28(50.9)	26(47.3)	?	?

组别	总例数	术中出血量(ml)	手术时间(h)	引流量(ml)			拔管时间(d)	住院时间(d)
组别	总例数	术中出血量(ml)	手术时间(h)	第1天	第2天	第3天	拔管时间(d)	住院时间(d)
松解组	55	136±22	3.4±0.8	218±33	186±38	132±42	4.9±1.3	5.9±1.5
未松解组	55	133±28	3.0±0.9	215±46	179±31	128±37	4.8±1.1	5.8±1.3
t值	?	－0.625	－2.263	－0.393	－1.059	－0.530	－0.471	－0.514
P值	?	0.533	0.025	0.695	0.292	0.597	0.638	0.608

组别	总例数	术中出血量(ml)	手术时间(h)	引流量(ml)			拔管时间(d)	住院时间(d)
组别	总例数	术中出血量(ml)	手术时间(h)	第1天	第2天	第3天	拔管时间(d)	住院时间(d)
松解组	55	136±22	3.4±0.8	218±33	186±38	132±42	4.9±1.3	5.9±1.5
未松解组	55	133±28	3.0±0.9	215±46	179±31	128±37	4.8±1.1	5.8±1.3
t值	?	－0.625	－2.263	－0.393	－1.059	－0.530	－0.471	－0.514
P值	?	0.533	0.025	0.695	0.292	0.597	0.638	0.608

组别	总例数	肺部感染	脓胸	心律失常
松解组	55	3(5.5)	0(0)	6(10.9)
未松解组	55	5(9.1)	1(1.8)	3(5.5)
t值	?	0.135	<0.001	0.484
P值	?	0.713	1.000	0.468

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