Research on the Application of Single-Port Thoracoscopy for Treatment of Early Non-Small Cell Lung Cancer
Objective:To compare the efectiveness of single-port thoracoscopy and double-port thoracoscopy in the treatment of patients with non-small cell lung cancer(NSCLC).Methods:Early NSCLC patients admitted to the department from January 2020 to August 2022 were selected as the study subjects.All patients underwent lung segmentectomy and were divided into an observation group(single-port thoracoscopic)and a control group(double-port thoracoscopic)according to the surgical method.There were 58 early NSCLC patients in each group.Compare perioperative indicators,postoperative pain and complications,as well as lung function recovery and 1-year follow-up data between two groups of patients.Results:The surgery time and hospitalization time of the observation group were shorter than those of the control group(P<0.05);There was no difference in surgical bleeding,lymph node dissection,and postoperative complication incidence between the observation group and the control group(P>0.05);The scores of the observation group were lower than those of the control group at two time points using the digital scoring method at 24 and 72 hours after surgery(P<0.05);The observation group had significantly higher forced expiratory volume,forced vital capacity,and maximum minute ventilation in the first second of the first month after surgery compared to the control group,with significant differences between the groups(P<0.05);After 1 year of follow-up,there was no statistically significant difference in tumor free survival rate between the two groups(P>0.05).Conclusion:Comparing double-port thoracoscopy surgery,single hole thoracoscopic surgery can reduce hospital stay,decrease the pain and improve lung function recovery,but there are no significant different in the blood loss,complication rates and prognostic outcomes 1 year after the surgery between the two groups.