Comparison of efficacy of thoracoscopic resection of mediastinal masses by subxiphoid and intercostal approach
Objective To compare the efficacy of thoracoscopic resection of mediastinal masses by subxiphoid and intercostal ap-proach.Methods 79 patients with mediastinal mass resection admitted to General Hospital of Northern Theater Command from 2021 to June 2022 were selected as the study objects.Patients were divided into group A(n =27)and group B(n =52)according to different approaches.Subxiphoid approach was adopted in group A and transcostal approach was adopted in group B.The postoperative patholog-ical results of all patients were recorded.The intraoperative and postoperative indexes and the occurrence of adverse reactions were col-lected and compared between the two groups.Visual analogue score(VAS)of the two groups were recorded and compared the 1st day,2nd day and 2nd month postoperative days respectively.Results There were no significant differences in intraoperative blood loss,postoperative chest catheterization,catheter time and postoperative hospital stay between the two groups(P＞0.05).The operation time of group A was longer than that of group B,and the difference was statistically significant(P＜0.05).The VAS of group A on the 1st day,2nd day and 2nd month after surgery were higher than those of group B,and the difference was statistically significant(P＜0.05).The incidence of adverse reactions in group A and group B was 7.41%(2/27)and 7.69%(4/52),respectively,with no sta-tistical significance(P＞0.05).Conclusion Compared with subxiphoid approach,transcostal approach for mediastinal mass resection has the advantages of shorter operation time and less postoperative pain.
NETL
NSTL
万方数据
