Surgical treatment of benign primary mediastinal tumors : An analysis of 102 cases

doi:10.3877/cma.j.issn.2095-8773.2020.01.006

Abstract

Abstract:

Objective

To compare the therapeutic effects of conventional thoracotomy and thoracoscopic surgery on benign primary mediastinal tumors.

Methods

The clinical data of patients with benign primary mediastinal tumors admitted to our hospital from January 2001 to December 2019 were collected. The patients were divided into routine thoracotomy group and thoracoscopic surgery group.

Results

The clinical data of 102 patients were collected , 40 patients in routine thoracotomy group and 62 patients in thoracoscopic surgery group. Compared with the routine thoracotomy group, the thoracoscopic surgery group had smaller incision, less intraoperative bleeding and less postoperative thoracic drainage, shorter operation time, indwelling thoracic drainage tube time and postoperative hospitalization time, lower incidence of postoperative complications.The differences between the two groups were statistically significant (P<0.05).

Conclusions

The efficacy of thoracoscopic surgery on benign primary mediastinal tumor is better than that of conventional thoracotomy.

Key words: Benign primary mediastinal tumor, Conventional thoracotomy, Thoracoscopic surgery

Qinghuai Wang, Ning Tan. Surgical treatment of benign primary mediastinal tumors : An analysis of 102 cases[J]. Chinese Journal of Thoracic Surgery(Electronic Edition), 2020, 07(01): 36-39.

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URL: https://zhxbwkdzzz.cma-cmc.com.cn/EN/10.3877/cma.j.issn.2095-8773.2020.01.006

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References 15

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项目		常规开胸手术组(n＝40)	胸腔镜手术组(n＝62)	t值/χ²值	P值
切口长度(cm，＋s)		12.5±4.32	4.22±1.63	2.692	0.039
手术时间(nim，＋s)		148.66±20.14	139.62±19.3	3.920	0.048
术中出血量(mL，＋s)		389.50±46.90	290.36±36.87	5.662	0.041
术后胸腔引流量(mL，＋s)		209.62±40.66	192.33±32.78	5.320	0.038
留置胸腔引流管时间(d，＋s)		4.62±2.11	2.41±1.84	4.211	0.029
术后住院时间(d，＋s)		10.21±2.29	7.23±2.09	1.729	0.039
术后并发症[n(%)]		8(20.0)	7(11.3)	5.262	0.029
?	胸腔积液(n)	2	2	?	?
?	肺不张(n)	2	1	?	?
?	肺部感染(n)	4	4	?	?

项目		常规开胸手术组(n＝40)	胸腔镜手术组(n＝62)	t值/χ²值	P值
切口长度(cm，＋s)		12.5±4.32	4.22±1.63	2.692	0.039
手术时间(nim，＋s)		148.66±20.14	139.62±19.3	3.920	0.048
术中出血量(mL，＋s)		389.50±46.90	290.36±36.87	5.662	0.041
术后胸腔引流量(mL，＋s)		209.62±40.66	192.33±32.78	5.320	0.038
留置胸腔引流管时间(d，＋s)		4.62±2.11	2.41±1.84	4.211	0.029
术后住院时间(d，＋s)		10.21±2.29	7.23±2.09	1.729	0.039
术后并发症[n(%)]		8(20.0)	7(11.3)	5.262	0.029
?	胸腔积液(n)	2	2	?	?
?	肺不张(n)	2	1	?	?
?	肺部感染(n)	4	4	?	?

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