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目的:回顾性分析电视胸腔镜手术(VATS)及传统开胸手术(TOS)行肺叶切除术的优缺点。方法:2008年6月～2009年3月期间行肺叶切除术的非小细胞肺癌患者分为VATS组和TOS组,比较两组在手术时间、术中出血量、术后疼痛及胸管引流时间、术后常见并发症、住院时间及住院费用有无差异。结果:VATS组手术时间、胸管引流时间及术后住院时间较TOS组无明显差异;与TOS组相比,VATS组术后疼痛明显减轻、围手术期出血量明显减少;TOS组有2例出现术后胸腔积液;VATS组手术及住院费用明显高于TOS组;两组均无死亡。结论:电视胸腔镜手术创伤小、出血少,手术时间与开放手术无明显差别,术后并发症少,术后恢复快,但手术费用较多。
Objective: To retrospectively analyze the advantages and disadvantages of VATS and lobectomy in traditional thoracotomy (TOS). Methods: From June 2008 to March 2009, patients undergoing lobectomy for non-small cell lung cancer were divided into VATS group and TOS group. The operative time, intraoperative blood loss, postoperative pain and chest drainage time , Postoperative complications, hospital stay and hospital costs are there any differences. Results: Compared with TOS group, there was no significant difference in operative time, length of chest tube drainage and postoperative hospital stay in VATS group. Compared with TOS group, postoperative pain in VATS group was significantly reduced and perioperative bleeding volume was significantly reduced. There were 2 cases in TOS group Postoperative pleural effusion occurred; VATS surgery and hospitalization costs were significantly higher than the TOS group; no deaths in both groups. Conclusion: Video-assisted thoracoscopic surgery is less traumatic and has less bleeding. There is no significant difference between the operation time and the open operation. The postoperative complications are few and the postoperative recovery is fast. However, the operation cost is more.