Clinical effect study of conventional thoracotomy and video-assisted thoracoscopic surgery for lung cancer

Abstract

Objective To investigate the clinical effects of conventional thoracotomy and video-assisted thoracoscopic surgery for lung cancer. Methods A retrospective study was performed on 80 cases of patients with lung cancer who were admitted in Thoracic Surgery of Jiaozhou People′s Hospital from July 2016 to July 2019.There were 44 males and 36 females, aged(65.25±5.39)years old, ranging 41~72 years old.According to different surgical treatments, patients were divided into the thoracotomy group(n=37)and the thoracoscope group(n=43). Two groups of patients were compared with perioperative indicators(bed activity time, flow and drainage time and hospitalization time), inflammation index[interleukin 6(IL-6)and interleukin 8(IL-8)and interleukin 10(IL-10)], postoperative complications(bleeding, atelectasis and atrial fibrillation). Results The duration of deactivation in the thoracoscopic group[(1.06±0.43)days]was shorter than that in the thoracotomy group[(3.67±1.09)days], the drainage volume[(254.46±17.54)ml], the drainage time[(2.19±0.45)days]and the length of stay[(6.23±1.15)days]were less than that in the thoracotomy group[(510.93±30.56)ml, (6.47±2.40)days, (10.89±1.08)days], and the differences were statistically significant(P 0.05). The incidence of complications in the thoracoscopic group[2.5%(1/43)]was lower than that in the thoracotomy group[16.2%(6/37)], and the difference was statistically significant(P<0.05). Conclusion Compared with conventional thoracotomy, video-assisted thoracoscopic surgery can obtain better perioperative index, and it is not easy to cause serious inflammatory reaction.The incidence of postoperative complications is lower and the safety is higher. Key words: Thoracotomy; Video-assisted thoracoscopic surgery; Lung cancer; Interleukin