Bài báo khoa học Tập 63 Số Số tiếng Anh (2022) 08/12/2022

SURGICAL CHARACTERISTICS OF STAGE I-IIA NON-SMALL CELL LUNG CANCER

Le Minh Phong1, Tong Duc Minh2, Nguyen Huu Ben2, Bui Khanh Toan3
1 Military Hospital 175
2 Vietnam Military Medical University
3 Tay Nguyen Institute of Hygiene and Epidemiology
Tác giả liên hệ: drminhphong@gmail.com
DOI: 10.52163/yhc.v63i9.553
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Từ khóa
Non-small cell lung cancer, surgery.
Tóm tắt

Objectives: To describe surgical characteristics of stage I-IIA non-small cell lung
cancer.
Subjects and methods: An uncontrolled intervention study on 83 patients diagnosed
with stage I - IIa non-small cell lung cancer who underwent thoracoscopy at Military
Hospital 175 from January 2015 to December 2020.
Results: The average surgical time in the study was 137.5 minutes and the blood loss
was not much. Small incisions have an average length of 2.95cm, high aesthetics and
low postoperative pain (5.92 days). The patient had a tumor that pulled the visceral
pleura 62/83 (74.7%); 21/83 (25.3%) patients with tumors located in parenchyma;
6/83 (7.2%) patients had lung adhesions to the chest wall. There were 2 (2.4%) patients
with bleeding complications that required conversion to open surgery; After surgery,
there were 7 complications including 1 (1.2%) pneumonia; 1 (1.2%) empyema caused
by green pus bacilli; 5 (6.0%) cases of gas leak lasting more than 7 days.
Conclusion: Tumor characteristics in surgery include features of tugging visceral
pleura, tumor located in parenchyma, lung sticking to chest wall. Common
complications include bleeding. Complications after surgery include pneumonia,
empyema caused by green pus bacilli, prolonged gas.

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