Clinical effect of the thoracoscopic lobectomy in the treatment of early lung cancer in 48 cases

Objective: To explore the clinical effects of the thoracoscopic lobectomy in the treatment of early lung cancer.Methods: The clinical data of 48 patients treated with thoracoscopic lobectomy were retrospectively analyzed.All patients were treated with four hole method operation,systemic lymph node cleaning and anatomical lobectomy.Results: The operations included 14 cases of left upper lobectomy,6 cases of left lower lobectomy,17 cases of right upper lobectomy,1 case of right middle lobectomy and 10 cases of right lower lobectomy.No case died in perioperation,and 1 case was transited to open chest.The operation time,intraoperative blood loss,postoperative extubation time,the number of cleaning lymph node and postoperative hospital stay were 90 to 250 min,40 to 1 000 ml,3 to 11 days,7 to 24 and 6 to 14 days,respectively.Adenocarcinoma in 35 cases,squamous carcinoma in 8 cases,small cell lung cancer in 1 case,alveolar cell carcinoma in 2 cases and adenosquamous carcinoma in 2 cases were diagnosed by pathology.No recurrence and metastasis case was found during the following up for 6 to 19 months.Conclusions: The thoracoscopic lobectomy in the treatment of early lung cancer is small trauma,less complications,fast recovery and good effects.