Wei Sen, Sun Kelin, Zhang Rugang, Zhang Dechao, Cheng Guiyu
Department of Thoracic Surgical Onco logy, Cancer Institute and Hospital, Peking Union Medical College and Chinese Academy of Medical Science, Beijing 100021, P.R.China.
Zhongguo Fei Ai Za Zhi. 2004 Aug 20;7(4):347-50. doi: 10.3779/j.issn.1009-3419.2004.04.19.
Lung wedge resections and biopsies are frequently needed to diagnose and treat benign or malignant lung lesions. This study aims to compare thoracoscopy with thoracotomy for lung biopsy and wedge resection in solitary pulmonary nodule (SPN).
A controlled retrospective study was performed in this hospital. Patients with clinical diagnosis of SPN were undergone thoracoscopy or thoracotomy. Data of operation time, hours of stay in recover room, duration and volume of chest tube drainage, accuracy of biopsies, days of hospitalization and the whole cost of hospitalization were evaluated.
All patients were received lung biopsies and wedge resections (thoracoscopy 26,thoracotomy 47), and they were diagnosed pathologically. The days of hospitalization were similar in the two groups. The minutes of operation had no significant difference (thoracoscopy: 103.9±29.4 minutes, thoracotomy: 94.7±33.9 minutes). Both groups had equivalent duration of chest tube drainage (thoracoscopy: 60.3±25.0 hours, thoracotomy: 62.5±20.1 hours, P =0.687) . The total volume of chest tube drainage showed no difference in both groups. The hours of stay in recover room (thoracoscopy: 75.4±21.6 hours, thoracotomy: 80.4±17.7 hours, P =0.287) and days of hospitalization after operation (thoracoscopy: 11.3±3.4 days, thoracotomy: 10.6±2.4 days, P = 0.304 ) were not different significantly. The whole cost of thoracoscopy was 17 800.2±6 038.9 CNY and thoracotomy was 17 677.4±6 327.8 CNY ( P = 0.936 ).
There is no significant difference in outcomes for thoracoscopy and thoracotomy approaches. Both thoracoscopy and thoracotomy are acceptable procedures for lung biopsy and wedge resection in solitary pulmonary nodules.
肺楔形切除术和活检常用于诊断和治疗良性或恶性肺部病变。本研究旨在比较胸腔镜检查与开胸手术用于孤立性肺结节（SPN）的肺活检和楔形切除术的效果。
在本院进行一项对照回顾性研究。对临床诊断为SPN的患者进行胸腔镜检查或开胸手术。评估手术时间、在恢复室停留时间、胸腔闭式引流持续时间和引流量、活检准确性、住院天数以及住院总费用等数据。
所有患者均接受了肺活检和楔形切除术（胸腔镜检查26例，开胸手术47例），并进行了病理诊断。两组患者的住院天数相似。手术时间无显著差异（胸腔镜检查：103.9±29.4分钟，开胸手术：94.7±33.9分钟）。两组胸腔闭式引流持续时间相当（胸腔镜检查：60.3±25.0小时，开胸手术：62.5±20.1小时，P =0.687）。胸腔闭式引流总量在两组中无差异。在恢复室停留时间（胸腔镜检查：75.4±21.6小时，开胸手术：80.4±17.7小时，P =0.287）和术后住院天数（胸腔镜检查：11.3±3.4天，开胸手术：10.6±2.4天，P = 0.304）差异均不显著。胸腔镜检查的总费用为17 800.2±6 038.9元人民币，开胸手术为17 677.4±6 327.8元人民币（P = 0.936）。
胸腔镜检查和开胸手术方法的结果无显著差异。胸腔镜检查和开胸手术都是用于孤立性肺结节肺活检和楔形切除术的可接受的手术方式。
