To Investigate the Effects of Thoracoscopic Segmental Resection and Wedge Resection on Lung Function and Recurrence Rate of Patients with Early Lung Cancer
Objective To analyze the effects of thoracoscopic segmental resection and wedge resection on lung func-tion and recurrence rate in patients with early lung cancer.Methods A total of 80 patients with early lung cancer treated in Nan'an Hospital of Fujian Province from April 2021 to April 2023 were randomly selected as the study sub-jects,all of whom underwent single-aperture thoracoscopic surgery.They were divided into two groups according to different resection methods,with 40 cases in each group.The wedge group underwent single-aperture thoracoscopic wedge resection and the lung segment group underwent single-aperture thoracoscopic segmental resction,and were fol-lowed up for 1 year.Operation-related indexes,pulmonary function indexes before operation and 3 months after opera-tion,postoperative complication rate and recurrence rate were compared between the two groups.Results The opera-tive time,catheter retention time and hospital stay of the wedge group were shorter than those of the lung segment group,the intraoperative blood loss and thoracic drainage volume were lower than those of the lung segment group,and the score of pain degree 2 days after surgery was lower than that of the lung segment group,and the differences were statistically significant(all P<0.05).The pulmonary function index of the wedge group was better than that of the lung segment group 3 months after surgery,and the difference was statistically significant(P<0.05).There was no sig-nificant difference in the incidence of postoperative complications between the two groups(P>0.05).After 1 year follow-up,the recurrence rate was 2.50%(1/40)in the pulmonary segment group and 7.50%(3/40)in the wedge group,and the difference was not statistically significant(χ2=0.263,P>0.05).Conclusion Compared with thoracoscopic segmental resection,wedge resection of lung in early lung cancer patients has better perioperative indicators,less im-pact on lung function,and ideal prognostic effect.
Early lung cancerLung functionThoracoscopeSegmental resection of lungPulmonary Wedge resectionRecurrence rate
万方数据
维普
