Volume 21 Issue 9
Sep.  2023
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Article Navigation >  Chinese Journal of General Practice  > 2023  >  21(9): 1482-1486
GONG Huiyuan, XING Fubao, LI Chen, LI Xiaojun, GENG Yang, CHEN Pengfei. Application of modular systematic lymph node dissection in uniportal thoracoscopic radical resection for stage Ⅰ non-small cell lung cancer[J]. Chinese Journal of General Practice, 2023, 21(9): 1482-1486. doi: 10.16766/j.cnki.issn.1674-4152.003151
Citation: GONG Huiyuan, XING Fubao, LI Chen, LI Xiaojun, GENG Yang, CHEN Pengfei. Application of modular systematic lymph node dissection in uniportal thoracoscopic radical resection for stage Ⅰ non-small cell lung cancer[J]. Chinese Journal of General Practice, 2023, 21(9): 1482-1486. doi: 10.16766/j.cnki.issn.1674-4152.003151
shu

Application of modular systematic lymph node dissection in uniportal thoracoscopic radical resection for stage Ⅰ non-small cell lung cancer

doi: 10.16766/j.cnki.issn.1674-4152.003151
  • 1.

    Department of Thoracic Surgery, the First Affiliated Hospital of Bengbu Medical College, Bengbu, Anhui 233004, China

Funds:

 2020b07030008

 KJ2020A0575

  • Received Date: 2023-01-03
    Available Online: 2023-10-19
    Abstract
  •   Objective  To optimize the process of systematic lymph node dissection in single-port video-assisted thoracoscopic radical resection of non-small cell lung cancer and evaluate the clinical application effect and safety.  Methods  From October 2020 to October 2022, 100 patients who underwent single-port thoracoscopic radical resection of non-small cell lung cancer at the Thoracic Surgery Department of the First Affiliated Hospital of Bengbu Medical College, were selected as the research subjects. They were then divided into study group and control group according to different ways of lymph node dissection, with 50 cases in each group. The study group used a modular approach to systematic lymph node dissection. In the control group, systematic lymph node dissection was performed routinely during the operation. Evaluation indicators included the number of dissected mediastinal lymph nodes, operation time, intraoperative blood loss, postoperative drainage volume, chest tube indwelling time and postoperative hospital stay. The application of two lymph node dissection techniques in single-port thoracoscopic radical resection of lung cancer was compared.  Results  The number of dissected mediastinal lymph nodes in the study group (7.6±0.9) was significantly better than that in the control group (7.2±1.0), and the difference was statistically significant (P < 0.05). The operation time of the study group [(103.8±9.9) min] was significantly shorter than that of the control group [(121.4±9.3) min], and the intraoperative blood loss [(77.5±9.2) mL], postoperative drainage volume [(268.1±16.4) mL], chest tube indwelling time [(3.4±0.9) d] and postoperative hospital stay[(4.0±1.0) d] were all less than those of the control group [(84.9±11.8) mL, (304.9±18.3) mL, (4.8±1.1) d, (5.4±1.1) d], and the differences were statistically significant (all P < 0.05).  Conclusion  In single-port thoracoscopic radical resection of non-small cell lung cancer, systematic lymph node dissection using modular procedures can shorten the operation time, reduce postoperative drainage volume and chest tube indwelling time, help patients recover quickly, and is worthy of clinical application with good safety.

     

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