The Impact of Unidirectional Thoracoscopic Lobectomy on Perioperative Indicators and Prognosis in Non-small Cell Lung Cancer Patients
Objective To investigate the effects of unidirectional total thoracoscopic lobectomy on perioperative indexes and prognosis of patients with non-small cell lung cancer(NSCLC).Methods 90 patients with NSCLC were randomly divided into 2 groups with 45 cases in each group.The control group underwent open lobectomy and the observation group underwent uni-directional thoracoscopic lobectomy.The perioperative indexes and prognosis of the 2 groups were compared.Results The opera-tion time and drainage time in the observation group were shorter than those in the control group,and the blood loss and drainage volume were less than those in the control group(P＜0.05).The levels of keratin19 fragment antigen 21-1,carbohydrate antigen 50 and carcinoembryonic antigen in the observation group were lower than those in the control group 24h after operation(P＜0.05).The complication rate of the observation group was lower than that of the control group(P＜0.05).There was no signifi-cant difference in the 1-year survival rate between the 2 groups(P＞0.05).Conclusion Unidirectional thoracoscopic lobectomy can improve perioperative indexes of NSCLC patients,reduce serum tumor markers and complications,but has no significant effect on short-term prognosis.
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