Single-port Thoracoscopy in the Resection of Pulmonary Nodules in Elderly Patients
Objective To evaluate the efficacy of single-orifice thoracoscopy and three-orifice thoracoscopy in elderly patients with pulmonary nodules,and analyze the clinical effects of single-orifice thoracoscopy on the speed of pulmonary func-tion recovery,postoperative rehabilitation process and the risk of complications.Methods A total of 180 elderly patients with pulmonary nodules who received treatment from June 2020 to December 2023 were randomly assigned to 2 groups with 90 pa-tients in each group.Traditional three-hole thoracoscopic surgery was performed in the control group,single-hole thoracoscopic surgery was performed in the observation group,and segmental resection was performed in both groups.The main evaluation indicators included operation duration,intraoperative blood loss,postoperative extubation time,postoperative drainage vol-ume,hospital stay,postoperative pain score,and preoperative and postoperative pulmonary function indicators[forced expira-tory volume in the first second(FEV1),forced vital capacity(FVC),maximum volume per minute(MVV)and FEV1/FVC]were compared.Complications were also recorded.Results There was no significant difference in operation duration between the two groups(P＞0.05).The duration of extubation and hospitalization in the observation group was longer than that in the control group(P＜0.05).The intraoperative blood loss and postoperative drainage volume in the observation group were less than those in the control group,and the pain scores on the 1st and 3rd day after surgery were significantly lower than those in the control group(P＜0.05).One week after operation,FEV1,FVC and MVV in the observation group were higher than those in the control group,and FEV1/FVC was more ideal than that in the control group(P＜0.05).There was no sig-nificant difference in the total incidence of complications between the two groups(P＞0.05).Conclusion Single-port thora-coscopic surgery has shown positive clinical benefits in the treatment of elderly pulmonary nodules,helping to reduce surgical aggressiveness and accelerate lung function recovery without increasing the risk of complications.
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