Abstract:Objective To compare the effect of thoracoscopic surgery and thoracotomy on treating lung cancer involved with chest wall. Methods From May 2010 to August 2012,66 patients who were suffered from lung cancer spreading to chest wall treated in our hospital were selected.They were randomly divided into observation group and control group.In the control group(n=32)was used thoracotomy,while,the observation group(n=34)was adopted thoracoscopic surgery. The effect in the two groups was compared. Results In the observation group,operation time,indwelling time of intrathoracic drain,and hospital stay were all shorter than those in the control group(P<0.05).The intraoperative amount of bleeding and postoperative total volume of drainage of chest fluid in the observation group were also less in comparison with those in the control group(P<0.05).The incidence of complications after surgery was greatly lower in the observation group than that in the control group(P<0.05).There was no significant difference in one-year or three-year survival rate in two groups(P>0.05). Conclusion Compared with thoracotomy,radical operation for lung cancer under thoracoscope obtains a considerable long-term therapeutic effect on treating patients with lung cancer spreading to chest wall at advantages of smaller trauma on body and higher surgical safety,which is worthy of promotion.
丁长明. 胸腔镜下手术与开胸手术治疗肺癌累及胸壁的临床分析[J]. 中国当代医药, 2016, 23(2): 26-28.
DING Chang-ming. Clinical analysis of thoracoscopic surgery and thoracotomy in the treatment of lung cancer involved with chest wall. 中国当代医药, 2016, 23(2): 26-28.