Clinical efficacy of three kinds of surgical methods and their effects on pulmonary function of patients with lung cancer

doi:10.3969/j.issn.1002-7386.2018.02.011

Abstract：Objective To investigate the clinical effects of three kinds of surgical ways including thoracoscopic pulmonary lobectomy,thoracoscopic pulmonary segment resection and traditional open pulmonary lobectomy and their effects on pulmonary function of patients with lung cancer.Methods A total of 175 patients with lung cancer who received surgery in our hospital from January 2015 to December 2016 were enrolled in the study.According to different surgical methods,these patients were divided into endoscopic pulmonary segment resection group (n =58),thoracoscopic pulmonary lobectomy group (n =63) and traditional open pulmonary lobectomy group (n =54).The pulmonary function indexes including FVC,FEV1,MVV,PEF,TLCO on 1d before operation,7d,3m after operation were detected,moreover,the incidence rates of complications during 1-year follow up were observed and compared among the three groups.Results Before operation,there were no significant differences in pulmonary function indexes among the three groups (P ＞ 0.05).However,there were significant differences in FVC,FEV1,MVV,PEF on 7d,3m after operation among the three groups (P ＜ 0.05),in which,the recovery degree of these indexes in endoscopic pulmonary segment resection group was the highest,however,which in traditional open pulmonary lobectomy group was the lowest.In the aspect of complicatins,there were 3 cases of pneumonia,1 case of empyema,2 cases of pulmonary atelectasis and 1 case of respiratory insufficiency in endoscopic pulmonary segment resection group,and there were 4 cases of pneumonia,2 cases of empyema,2 cases of pulmonary atelectasis and 2 cases of respiratory insufficiency in thoracoscopic pulmonary lobectomy group,moreover,there were 8 cases of pneumonia,3 cases of empyema,5 cases of pulmonary atelectasis,3 cases of respiratory insufficiency and 1 case of death in traditional open pulmonary lobectomy group.There was a significant difference in total incidence rate of complications among the three groups (P ＜ 0.05).Conclusion The endoscopic pulmonary segment resection is superior to thoracoscopic pulmonary lobectomy and traditional open pulmonary lobectomy in postoperative function recovery of patients with lung cancer,moreover,which can decrease the incidence rate of postoperative complications,which is beneficial to improve long-term life quality of patients.