Comparison of Clinical Efficacy of Single-port and Double-port Video-assisted Thoracoscopic Lobectomy in the Treatment of Lung Cancer

Hongbo ZHANG; Zhenlong LI; Ying LV; Yichao ZHANG; Xiangming QIU; Tingting HUANG

doi:10.12259/j.issn.2095-610X.S20240419

Volume 45 Issue 4

Apr. 2024

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Article Navigation > Journal of Kunming Medical University > 2024 > 45(4): 135-139

Hongbo ZHANG, Zhenlong LI, Ying LV, Yichao ZHANG, Xiangming QIU, Tingting HUANG. Comparison of Clinical Efficacy of Single-port and Double-port Video-assisted Thoracoscopic Lobectomy in the Treatment of Lung Cancer[J]. Journal of Kunming Medical University, 2024, 45(4): 135-139. doi: 10.12259/j.issn.2095-610X.S20240419

Citation:

Hongbo ZHANG, Zhenlong LI, Ying LV, Yichao ZHANG, Xiangming QIU, Tingting HUANG. Comparison of Clinical Efficacy of Single-port and Double-port Video-assisted Thoracoscopic Lobectomy in the Treatment of Lung Cancer[J]. Journal of Kunming Medical University, 2024, 45(4): 135-139. doi: 10.12259/j.issn.2095-610X.S20240419

Citation:

Hongbo ZHANG, Zhenlong LI, Ying LV, Yichao ZHANG, Xiangming QIU, Tingting HUANG. Comparison of Clinical Efficacy of Single-port and Double-port Video-assisted Thoracoscopic Lobectomy in the Treatment of Lung Cancer[J]. Journal of Kunming Medical University, 2024, 45(4): 135-139. doi: 10.12259/j.issn.2095-610X.S20240419

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Comparison of Clinical Efficacy of Single-port and Double-port Video-assisted Thoracoscopic Lobectomy in the Treatment of Lung Cancer

doi: 10.12259/j.issn.2095-610X.S20240419

1.
Dept. of Thoracic Surgery，Beijing Armed Police Corps Hospital，Beijing 100027
2.
Dept. of Thoracic Surgery ICU，The 1st Hospital of Hebei Medical University，Shijiazhuang Hebei 050030，China

Received Date: 2023-12-24
Available Online: 2024-04-03
Publish Date: 2024-04-29

Abstract

Abstract

Objective To investigate the clinical efficacy of single-port and double port video-assisted thoracoscopic lobectomy in the treatment of lung cancer. Methods Patients who underwent thoracoscopic lobectomy in Beijing Armed Police Corps Hospital from January 2016 to January 2023 were randomly selected and divided into two groups （n = 50, double port group; n = 50, single port group） according to different resection plans. The surgical indexes, pulmonary function indexes, complications and related test indexes were compared. Results The amount of intraoperative blood loss, thoracic drainage, hospital stay and operation time in the single-port group were lower than those in the double-port group （P < 0.05）, and the operation time was higher than that in the double-port group. There was no significant difference in the number of lymphatic dissection and pulmonary function before and after surgery （P > 0.05）. The complication rate of single-port group was lower than that of double-port group （P < 0.05）. There was no significant difference in EGFR, TGF-α, IGA and IGM before operation （P > 0.05）. After intervention, EGFR and TGF-α in double-port group were higher than those in single-port group, IGA and IGM were lower than those in single-port group （P < 0.05）. Conclusion The two protocols have similar effects on the number of lymphatic clearance and postoperative pulmonary function recovery, but the single-port surgical operation is safer, with a lower complication rate, lower inflammatory reaction, and facilitates postoperative recovery, which is of positive clinical use value.
- Single-port video-assisted thoracoscopic lobectomy,
- Double-port video-assisted thoracoscopic lobectomy,
- Lung cancer,
- Clinical efficacy

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References(15)

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