Comparison of Curative Effect of Thoracoscopic and Conventional Thoracotomy for Lung Cancer and Prevention of Postoperative Infection

  • Shichun Lu
Keywords: Thoracoscopy; Lung cancer; Lymphadenectomy; Postoperative infection


Lymph node dissection is an important part of tumor surgery. In addition to maintaining the integrity of lymph nodes, fat tissue around lymph nodes should also be included to prevent iatrogenic spread. The traditional treatment of lung cancer is lobectomy combined with mediastinal lymphadenectomy through posterolateral incision, which is more traumatic. VATS can obtain a better visual field, show more clearly the mediastinal groups, pulmonary vessels and lymph nodes, and can significantly reduce the postoperative pain of patients. At the same time, patients recover faster and reduce complications. The results showed that the operation was completed successfully in both groups, and none of the patients in the thoracoscopic group was converted to thoracotomy. There was no significant difference between the two groups in the number of lymph nodes. The postoperative drainage time, postoperative drainage volume, postoperative hospitalization time and complication rate of thoracoscopic group were lower than those of the control group (P < 0.05). Total thoracoscopic lymphadenectomy for lung cancer causes less trauma and shorter postoperative recovery time. It has the value of clinical application.