Impact of thoracoscopic segmental resection and lobectomy on the efficacy and quality of life of early lung cance
Objective To compare the effects of thoracoscopic segmental resection and lobectomy on the efficacy and quality of life of early lung cancer.Methods One hundred and three early-stage lung cancer patients were randomly divided into two groups,from January 2021 to November 2023,treated in our hospital,the observation group(n=51)received thoracoscopic segmental resection treatment,and the control group(n=52)received thoracoscopic lobectomy treatment.The perioperative indicators between the two groups were compared,as were the changes in preoperative and postoperative lung function indicators(FVC%,FEV1)and quality of life indicators(FACT-L score)at 1 month.The recurrence and mortality during the six-month follow-up were recorded.Results The surgical time and drainage tube retention time of the observation group were(127.32±20.38)min and(4.39±1.63)d,respectively,significantly shorter than the control group's(153.15±32.61)min and(5.54±2.89)d.The drainage volume was(645.82±122.51)ml,significantly less than the control group's(947.53±180.87)ml,and the differences were statistically significant(t=4.810,9.893,2.485,P<0.05).There was no significant difference in intraoperative bleeding and lymph node dissection number between the two groups,nor in postoperative hospital stay and complication rates(P>0.05).After surgery,the lung function indicators FVC and FEV1 in both groups decreased,but the decrease was less in the observation group compared to the control group,with a statistically significant difference(P<0.05).After surgery,the emotional and functional status and total score of the FACT-L scale in the observation group were significantly higher than those in the control group,with statistically significant differences(t=4.561,3.233,3.639,P<0.05).After six months of postoperative follow-up,there were no deaths or recurrences in either group.Conclusion For the treatment of early lung cancer,both thoracoscopic segmentectomy and lobectomy have good therapeutic effects.Patients undergoing segmentectomy have faster postoperative recovery,which is more conducive to protecting lung function and improving quality of life.
Early lung cancerThoracoscopyPulmonary segmentectomyPulmonary lobectomyQuality of life
万方数据
维普
