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• W3024563311 abstract "Thoracoscopic lobectomy combined with mediastinal lymph node dissection has been considered as one of the standard surgical procedures for early lung cancer. After 20 years of development, thoracoscopic lobectomy has reached a consensus on reliability and minimally invasive. At present, thoracoscopic lobectomy has a variety of incisions, which gradually evolve into four holes based on three holes, and two or one hole as the operative approach. The aim of this study was to evaluate the clinical value of four-hole unilateral dissecting lobectomy and mediastinal lymph node dissection in the treatment of non-small cell lung cancer (NSCLC). The aim of this study was to investigate the clinical value of anatomical lobectomy with mediastinal lymphadenectomy under four-hole completely video-assisted thoracoscopic surgery (C-VATS) in the treatment of non-small cell lung cancer.The patients undergoing lobectomy with mediastinal lymphadenectomy for NSCLC were identified in the Department of Thoracic Surgery, Yangzhou First People's Hospital, Yangzhou University from March 2015 to July 2016. Preoperative clinical diagnosis of peripheral-type early NSCLC. The patients were randomly divided into four-hole monophasic group (experimental group) and three-hole group (control group) according to the number of hospitalization before surgery. According to inclusion and exclusion criteria, the 39 cases assign in experimental group and 34 cases in the control group, including 36 males and 37 females; aged 38 to 84 years. The mean operation time, average blood loss, lymph node dissection group, average drainage, average extubation time and postoperative complications were compared between the two groups for statistical analysis.The two groups of patients were successfully completed surgery, no death after surgery. Mean bleeding in the two groups, the number of lymph node dissection group, the average postoperative drainage, the average time of extubation, postoperative complications, with no significant difference. The average operation time of the four-hole unidirectional group was shorter than that of the three-hole group. The difference was statistically significant (P<0.05).The safety and efficacy of a four-hole one-way operation under VATS are satisfactory. The operation is smooth during operation, which shortens the course of operation and deserves the clinical promotion. .【中文题目：全腔镜下四孔单向式与三孔法解剖性肺叶切除治疗早期非小细胞肺癌的临床回顾性研究】 【中文摘要：背景与目的 胸腔镜肺叶切除加纵隔淋巴结清扫术已被认为是早期肺癌手术治疗的标准术式之一。经过二十余年的发展，胸腔镜肺叶切除术的可靠性和微创性已达成共识。目前，胸腔镜肺叶切除术切口选择多样，在三孔基础上逐渐演变成四孔、两孔或单孔作为手术入路。本研究旨在探讨全腔镜下四孔单向式解剖性肺叶切除并纵膈淋巴结清扫术治疗非小细胞肺癌的临床应用价值。方法 回顾性分析2015年3月-2016年7月扬州大学附属医院扬州市第一人民医院胸外科全腔镜下解剖性肺叶切除并纵隔淋巴结清扫治疗早期外周型非小细胞肺癌临床资料。术前临床诊断为早期外周型非小细胞肺癌。术前按照住院号奇偶数随机分为四孔单向式组（实验组），三孔法组（对照组）。依据纳入及排除标准，最终实验组39例，对照组34例，其中男性36例，女性37例；年龄38岁-84岁。比较两组平均手术时间、平均术中出血量、淋巴结清扫组数、术后平均引流量、平均拔管时间、术后并发症，进行统计学分析。结果 两组患者均顺利完成手术，术后无死亡。两组平均术中出血、淋巴结清扫组数、术后平均引流量、平均拔管时间、术后并发症差异无统计学意义。四孔单向式组较三孔组平均手术时间缩短，差异有统计学意义（P<0.05）。结论 全腔镜下四孔单向式手术安全性及疗效满意，术中操作流畅，缩短了手术进程，值得临床推广。 】 【中文关键词：胸腔镜；肺叶切除术；单向式】." @default.
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• W3024563311 date "2018-08-20" @default.
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• W3024563311 title "[Clinical Value of Four-hole Unilateral Dissecting Lobectomy and Mediastinal Lymph Node Dissection in the Treatment of Early Non-small Cell Lung Cancer]." @default.
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• W3024563311 doi "https://doi.org/10.3779/j.issn.1009-3419.2018.08.02" @default.
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