Abstrato

Application of thoracoscopy with fast-track surgery in the thoracotomy of small-cell lung cancer

Xiaoyan Jin, Yong Liang, Jian Zhou, Linjun Yang, Qiang Zhang

Objective: This study aims to investigate the effect of thoracoscopy combined with fast-track surgery in the surgical treatment of small-cell lung cancer.

Method: A total of 120 patients who were admitted in our hospital and underwent surgery for small-cell lung cancer from February 2015 to February 2016 were selected in this study. The patients were divided into an observation group and a control group with 60 cases per group. Pure thoracoscope-assisted thoracotomy was then adopted for the control group, whereas thoracoscopy with fast-track surgery was conducted in the observation group. The two groups were compared in terms of post-operative complications, bleeding quantity, length of stay, and treatment expenses.

Results: The occurrence rate of post-operative complications was significantly lower (P<0.05) in the observation group (3.4%) than in the control group (20%). Moreover, the bleeding quantity, length of stay, and medical expenses were lower in the observation group than in the control group (P<0.05).

Conclusion: Combining thoracoscopy with fast-track surgery during thoracotomy in small-cell lung cancer reduced the occurrence of complications, as indicated by the low post-operative bleeding, short treatment time, and fast post-operative recovery observed in our study. Thus, a favourable therapeutic effect was achieved, and the proposed approach merits vigorous clinical promotion.