Comparative study of complications after uniportal and single utility port thoracoscopic resection of pulmonary nodules
Objective To compare the effect of uniportal and single utility port thoracoscopic resection of pulmonary nodules on postoperative complications,and explore the clinical value of two procedures in thoracoscopic resection of pulmonary nodules.Methods A total of 223 patients with pulmonary nodules were selected as the study subjects and divided into a control group(113 cases)and an observation group(110 cases)according to different procedures.The control group was treated with single utility port thoracoscopic resection of pulmonary nodules,and the observation group was treated with uniportal thoracoscopic resection of pulmonary nodules.The operation status(operation time,intraoperative blood loss),recovery status[postoperative visual analogue scale(VAS)score,chest drainage postoperatively,duration of chest drainage,hospitalization time]and postoperative complications were compared between the two groups.Results The operation time and intraoperative blood loss of the observation group were(92.31±12.25)min and(49.17±2.8)ml,while those of the control group were(89.33±10.57)min and(49.10±1.58)ml.There were no significant differences in operation time and intraoperative blood loss between the two groups(P>0.05).The chest drainage postoperatively was(651.33±52.57)ml in the observation group,which was shorter than(781.31±32.25)ml in the control group(P<0.05).The duration of chest drainage of the observation group was(2.81±0.13)d,and the hospitalization time was(4.82±0.27)d,which were shorter than(3.95±0.24)and(6.13±0.15)d of the control group(P<0.05).The postoperative VAS score of(3.01±0.25)points in the observation group was lower than(4.88±0.17)points in the control group(P<0.05).The complication rate in the observation group was 11.82%,which was significantly lower than 30.09%in the control group(P<0.05).Conclusion Uniportal thoracoscopic resection of pulmonary nodules is superior to single utility port thoracoscopic resection of pulmonary nodules in terms of chest drainage,duration of chest drainage and incidence of chest pain,which provides an important reference for choosing the appropriate surgical method and preventing postoperative complications.
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