KẾT QUẢ PHẪU THUẬT NỘI SOI LỒNG NGỰC MỘT LỖ ĐIỀU TRỊ UNG THƯ PHỔI KHÔNG TẾ BÀO NHỎ BỆNH NHÂN CAO TUỔI TẠI BỆNH VIỆN K

Abstract

Background: Primary lung cancer (PLC) is one of the most common cancers and the leading cause of death. Surgery is the treatment of first choice for early-stage cases, but the classic open thoracotomy, with its long incision, makes the patient very painful after surgery and takes a long time to recover, especially in elderly patients. Therefore, the introduction of uniportal video-assisted  thoracoscopic  surgery with small incision is expected to improve that problem. At K Hospital, this surgery has been implemented since 2019 and this report will evaluate and summarize the results of the method on elderly patients. Methods: A descriptive, prospective study of 68 elderly patients with non-small cell lung cancer treated by uniportal  video-assisted  thoracoscopic  surgery from June 2022 to June 2023 on previous parameters, during and after surgery with the pathological results. Results: Includes 48 men and 20 women. The mean age was 66.94 ± 4.45. The average tumor size was 2.80 ± 0.96 cm. The most common tumor location was in the right upper lobe of the lung (41.2%). The most common symptom is dry cough, accounting for 45.4%. Surgery time 151.6 ± 25.6 minutes (110 – 270). The average number of lymph nodes removed was 11.0 ± 6.1 nodes. The mean time of chest drainage was 5.13 ± 1.69 days (3-12). The average number of days in hospital was 11.69 ± 1.94 days (9-18). Out of 68 patients, there was 1 patient with bleeding complications during surgery, 1 patient with pneumonia after surgery and 3 patients with prolonged air leak after surgery, requiring reoperation. Conclusion: Treatment of early non-small cell lung cancer with single-hole thoracoscopic surgery is a safe, feasible and advantageous method, especially in elderly patients.