Efficacy and Safety of Thoracoscopic Pulmonary Lobectomy in Elderly Patients with Early Stage of Lung Cancer
Objective:To explore the efficacy and safety of thoracoscopic pulmonary lobectomy in elderly patients with early stage of lung cancer.Method:A total of 76 elderly patients with early stage of lung cancer admitted to the Thoracic Surgery Department of CITIC Hospital,Sihong County from March 2020 to March 2023 were selected as the study objects.According to the computer random number,they were divided into control group and experimental group,with 38 cases in each group.The control group underwent conventional thoracotomy,and the experimental group underwent thoracoscopic pulmonary lobectomy.The perioperative related indexes,inflammatory indexes and postoperative complications were compared between the two groups.Result:The drainage time,surgery time and hospital stay of the experimental group were shorter than those of the control group,the visual analogue scale(VAS)score was lower than that of the control group,and the intraoperative blood loss was less than that of the control group,the differences were statistically significant(P<0.05).Before surgery,there were no significant differences in C-reactive protein(CRP),prealbumin(PA)and interleukin-6(IL-6)between the two groups(P>0.05).At 1 d after surgery,CRP and IL-6 were higher than those before surgery,PA were lower than those before surgery,but CRP and IL-6 in experimental group were lower than those in control group,PA was higher than that in control group,the differences were statistically significant(P<0.05).The complication rate of experimental group was 2.63%,which was significantly lower than 15.79%of control group,and the difference was statistically significant(P<0.05).Conclusion:Compared with conventional thoracotomy,the application of thoracoscopic pulmonary lobectomy in elderly patients with early stage of lung cancer has significant effects,which can significantly shorten the drainage time,hospital stay,reduce the level of inflammation and postoperative pain,and have good postoperative safety.
Early stage of lung cancerThoracoscopyPulmonary lobectomyComplicationsHospital stay
万方数据
维普
