Application of single-port thoracoscope in elderly patients with non-small cell lung cancer

doi:10.3877/cma.j.issn.2095-8773.2020.03.06

Abstract

Abstract:

Objective

To explore the safety and feasibility of the application of single-port thoracoscope in elderly patients with non-small cell lung cancer (NSCLC) .

Methods

The clinical data of 209 elderly patients with NSCLC who underwent lobectomy or segmentomy surgery with single-port thoracoscopy and 239 non-elderly patients who underwent the same surgery in the same period from August 2018 to August 2019 for comparison were collected and summarized.

Results

The differences of operation time, intraoperative blood loss, postoperative hospital stay and total hospitalization expenses were statistically significant between the two groups (P>0.05) . Postoperative complications such as lung infection, lung air leakage, atrial fibrillation, and pulmonary embolism were not significantly different (P>0.05) .

Conclusion

Single-port thoracoscopic surgery of lobectomy or segmentomy surgery has the same effect in the perioperative period between elderly patients and non-elderly patients, which can bring greater surgical benefits to elderly patients and has high feasibility and safety.

Key words: Single-port thoracoscopic, Non-small cell lung cancer, Elderly patients, Combined dimension reduction

Shuliang Zhang, Bin Zheng, Feilong Guo, Zhonghua Wu, Wei Zheng, Chun Chen. Application of single-port thoracoscope in elderly patients with non-small cell lung cancer[J]. Chinese Journal of Thoracic Surgery(Electronic Edition), 2020, 07(03): 159-163.

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References 15

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肺叶段	老年组（例）	非老年组（例）
右上肺s1段	5	7
右上肺s2段	2	3
右上肺s1+2段	5	3
右上肺s1+3段	1	2
右上肺s3段	1	1
右下肺s6段	2	3
右上肺叶	58	64
右中肺叶	18	24
右下肺叶	15	19
左上肺固有段	1	1
左上肺s1+2段	8	9
左上肺s3段	1	2
左上肺舌段	7	9
左下肺s6段	5	5
左下肺基底段	7	5
左上肺叶	36	40
左下肺叶	37	42

肺叶段	老年组（例）	非老年组（例）
右上肺s1段	5	7
右上肺s2段	2	3
右上肺s1+2段	5	3
右上肺s1+3段	1	2
右上肺s3段	1	1
右下肺s6段	2	3
右上肺叶	58	64
右中肺叶	18	24
右下肺叶	15	19
左上肺固有段	1	1
左上肺s1+2段	8	9
左上肺s3段	1	2
左上肺舌段	7	9
左下肺s6段	5	5
左下肺基底段	7	5
左上肺叶	36	40
左下肺叶	37	42

观察指标	老年组	非老年组
手术时间（min）	97.4±59.0	96.6±53.3
术中出血量（mL）	61.8±64.3	60.6±63.8
术后住院天数（天）	5.2±3.3	5.0±3.2
住院总费用（元）	60 287.5±13 750.0	58 975.9±13 853.6

观察指标	老年组	非老年组
手术时间（min）	97.4±59.0	96.6±53.3
术中出血量（mL）	61.8±64.3	60.6±63.8
术后住院天数（天）	5.2±3.3	5.0±3.2
住院总费用（元）	60 287.5±13 750.0	58 975.9±13 853.6

项目	老年组（n＝209）	非老年组（n＝239）
肺部感染	11	10
肺漏气	9	9
术后心律失常	3	4
肺栓塞	1	0
发生率[n（%）]	24（11.48）	23（9.62）

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