Clinical Efficacy of Single-port Thoracoscopic Surgery in Patients with Non-small Cell Lung Cancer

HUANG Hai; LIN Yong; WU Chenhui; WENG Pingxiong

doi:10.16458/j.cnki.1007-0893.2024.19.020

Abstract：Objective To analyze the efficacy of thoracoscopic surgery in patients with non-small cell lung cancer(NSCLC).Methods A retrospective analysis was conducted on 70 NSCLC patients admitted to Fuzhou Second General Hospital from January 2021 to December 2023.They were divided into a control group and an observation group,each with 35 cases,based on different surgical plans.The control group underwent three-port thoracoscopic surgery,while the observation group underwent single-port thoracoscopic surgery.The efficacy differences were compared.Results There was no significant difference in the effective treatment rate between the two groups(P>0.05).There was no significant difference in the normal rate service(NRS)scores at different postoperative time points between the two groups(P>0.05).One week after surgery,there was no significant difference in the levels of serum C-reactive protein(CRP),interleukin-8(IL-8),and tumor necrosis factor-α(TNF-α)between the two groups(P>0.05).There was no significant difference in the incidence of complications between the two groups(P>0.05).There was no statistically significant differences in intraoperative blood loss,postoperative drainage and hospital stay between the two groups(P>0.05).The operation time of the observation group was longer than that of the control group,and the difference was statistically significant(P<0.05).Conclusion In the surgical treatment of NSCLC patients,both single-port and three-port thoracoscopic surgeries can achieve significant efficacy.The single-port technique has a longer operation time,but there is no significant difference in intraoperative blood loss,hospital stay,and complications.With the use of single-port surgical instruments and the improvement of surgeons'skills,the operation time can be comparable to that of three-port surgery.The choice between single-port and three-port can be determined according to the surgeon's preference.