单向式单孔胸腔镜肺叶切除术治疗肺癌伴肺裂发育不良的应用价值OA

Objective:To explore the application value of uniportal video-assisted thoracoscopic surgery(U-VATS)in patients with lung cancer combined with dysplastic pulmonary fissures.Methods:A total of 180 patients with lung cancer and dysplastic pulmonary fissures were selected as the research subjects.According to different lobectomy methods,they were divided into SUTL group(n=96)and conventional uniportal video-assisted thoracoscopic lobectomy(CUTL)group(n=84).The differences in perioperative indexes,pulmonary air leakage and complications were compared between the two groups.Results:Compared with CUTL group,operation time,postoperative indwelling time of thoracic drainage tube and total length of hospital stay were shortened(P<0.05),intraoperative blood loss and total volume of thoracic drainage were reduced(P<0.05),VAS scores from 1～5 d after surgery,incidence of pulmonary air leakage and persistent pulmonary air leakage were decreased(P<0.05),and duration of pulmonary air leakage was shortened in SUTL group(P<0.05).The total incidence of postoperative complications in SUTL group was lower than that in CUTL group(P<0.05).Conclusion:SUTL can provide safer,efficient and minimally invasive surgical treatment options for patients with lung cancer and dysplastic pulmonary fissures,which significantly optimizes perioperative outcomes and recovery speed,worthy of clinical promotion and application.