The Impact of Single Port Thoracoscopic Lung Segment Resection Surgery on Lung Function and Postoperative Complications in Early Non-small Cell Lung Cancer Patients
Objective To investigate the clinical effect of single-port thoracoscopic segmentectomy in the treatment of early non-small cell lung cancer(NSCLC).Methods A total of seventy-eight patients with early NSCLC admitted to Huai'an Fifth People's Hospital from January 2021 to December 2023 were non-randomly selected as the research ob-jects.According to different surgical methods,they were divided into control group and observation group,with thirty-nine cases in each group.Both groups underwent thoracoscopic segmentectomy.The control group underwent three-hole surgery,and the observation group underwent single-hole surgery.The operation status,tumor marker level,lung function index,pain and trauma index and complications were compared between the two groups.Results The opera-tion time of the observation group was(148.36±18.28)min,which was longer than that of the control group(126.28±12.69)min,the intraoperative blood loss was(102.41±10.32)mL,which was less than(128.54±12.33)mL in the con-trol group,the extubation time was(4.45±0.42)d,which was shorter than(5.89±1.08)d in the control group,the differ-ences were statistically significant(t=6.197,10.149,7.761,all P<0.05).There were no significant differences in the level of tumor markers between the two groups(all P>0.05).The postoperative pulmonary function index of the obser-vation group were better than that of the control group,and the differences were statistically significant(all P<0.05).The postoperative pain and trauma indexes in the observation group were lower than those in the control group,and the differences were statistically significant(all P<0.05).There was no significant difference in the incidence of com-plications between the two groups(P>0.05).Conclusion Single-port thoracoscopic segmentectomy is of higher value in the treatment of early NSCLC,which is conducive to reducing surgical trauma,reducing the level of pain and trauma indicators,and protecting lung function.It is safe and feasible.
Early non-small cell lung cancerSingle port thoracoscopic lung segmentectomyLung functionPostoperative complications
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