|Table of Contents|

Single hole thoracoscopic lobectomy in the treatment of lung cancer patients converted to thoracotomy:Influencing factors

Journal Of Modern Oncology[ISSN:1672-4992/CN:61-1415/R]

Issue:
2025 02
Page:
249-254
Research Field:
Publishing date:

Info

Title:
Single hole thoracoscopic lobectomy in the treatment of lung cancer patients converted to thoracotomy:Influencing factors
Author(s):
FAN Yisong; WANG Rui
Cardiothoracic Surgery Department,Xinyang Hospital Affiliated to Zhengzhou University，Xinyang City Central Hospital，Henan Xinyang 464000,China.
Keywords:
lung cancer; single hole thoracoscopic lobectomy; convert to thoracotomy
PACS:
R734.2
DOI:
10.3969/j.issn.1672-4992.2025.02.012
Abstract:
Objective:To explore the influencing factors and surgical planning strategies for lung cancer patients undergoing single port thoracoscopic lobectomy transitioning to thoracotomy.Methods:The general data of 105 patients with lung cancer treated in our hospital from January 2019 to May 2022 were analyzed retrospectively.According to whether the patients were converted to thoracotomy during operation,they were divided into occurrence group and non-occurrence group.Single factor and multivariate logistic regression models were used to analyze the related factors affecting the conversion of lung cancer patients to thoracotomy after single hole thoracoscopic lobectomy.Results:The incidence of conversion to thoracotomy in 105 lung cancer patients undergoing single hole thoracoscopic lobectomy was 28.57%.The surgical time,number of lymph node dissection,and intraoperative blood loss in the occurrence group ［(150.83±35.24) min,10.81±2.65,(289.79±51.74) mL］ were more than those in the non-occurrence group ［(132.28±30.32) min,9.63±2.15,(198.95±39.68) mL］.The incidence of complications (26.67%) in occurrence group was higher than that in the non-occurrence group (14.67%) (P＜0.05).There was no significant difference in postoperative hospitalization,drainage tube retention time,and total drainage flow between the two groups ［occurrence group：(7.93±2.07) d,(6.53±2.12) d,(1 005.28±315.20) mL,non-occurrence group:(8.14±2.65) d,(6.43±2.01) d,(1 027.65±302.34) mL］(P＞0.05).Age,history of pulmonary tuberculosis,tumor location,degree of pleural adhesion,maximum diameter of the tumor,and CT lymph node condition were all factors influencing the conversion of lung cancer patients to thoracotomy after single hole thoracoscopic lobectomy,with significant differences (P＜0.05).The results of multivariate logistic regression analysis showed that，age≥65 years old,history of pulmonary tuberculosis,tumor located in the upper lobe of the lung,pleural adhesions≥grade 4,and enlargement of hilar lymph nodes were independent risk factors for conversion to thoracotomy in patients with lung cancer undergoing single hole thoracoscopic lobectomy (P＜0.05).Conclusion:Age≥65 years old,history of pulmonary tuberculosis,tumor located in the upper lobe of the lung,pleural adhesions ≥ grade 4,and enlargement of hilar lymph node are all independent risk factors for lung cancer patients transitioning to thoracotomy after single hole thoracoscopic lobectomy.When lung cancer patients undergo single hole thoracoscopic lobectomy,their surgical indications should be strictly evaluated,the surgical path should be carefully planned,and the incidence of conversion to thoracotomy should be minimized as much as possible.

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