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Comparasion of uniportal video-assisted and single utility port video-assisted pulmonary lobectomy in the treatment of pulmonary nodules |
WANG Yubo1, HUANG Bingtao1, ZHANG Qingguang1, XU Qianqian2, LIU Jianwei1, |
1 Department of Thoracic Surgery, Binzhou Medical University Hospital, Binzhou 256603, P.R.China; 2 Shandong Binzhou Animal Science and Veterinary Medicine Academy |
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Abstract Objective To compare the clinical effects of uniportal video-assisted and single utility port video-assisted thoracic surgery in the treatment of pulmonary nodules, and explore the clinical value of uniportal video-assisted thoracic surgery in the diagnosis and treatment of pulmonary nodules. Methods From August 2017 to July 2018, department of thoracic surgery of Binzhou Medical University Hospital performed a total of 90 cases of uniportal video-assisted thoracic surgery, compared with 81 cases of single utility port video-assisted thoracic surgery at the same time. Results All the patients completed the operation successfully, no one was changed to open operation, no death or serious surgical complications during perioperative period. There were no significant differences in operation time, number of lymph node dissection, the incidence of postoperative complications between two groups (P>0.05). There were significant differences in blood loss, chest drainage time, hospital stay, postoperative 24 h and 72 h pain scores between two groups(P<0.05). There was no recurrent metastasis during 0~11 (7.8±3.6) months follow-up time. Conclusion Uniportal video-assisted thoracic surgery is helpful for the early diagnosis and treatment of pulmonary nodules. The wound is smaller, the postoperative recovery is quicker with less postoperative pain , which is worthy of clinical application.
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Received: 02 April 2019
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