Comparison of Tubeless Single-Port Thoracoscopic Surgery and Traditional Single-Port Thoracoscopic Surgery in High-Risk Patients with Early Lung Cancer: A Retrospective Study at a Single Center

Objective: To compare the clinical effectiveness of Tubeless single-port thoracoscopic lung segment resection with traditional intubation (double-lumen tracheal intubation + chest drainage tube) single-port thoracoscopic lung segment resection in high-risk patients for early lung cancer. Methods: A retrospective analysis was conducted on high-risk patients for early lung cancer who underwent Tubeless single-port thoracoscopic lung segment resection and traditional intubation single-port thoracoscopic surgery from February 2023 to March 2024. The postoperative 24-hour pain scores (NRS), hospitalization-related indicators, tube-related complications, surgery-related complications, and short-term postoperative outcomes were compared between the two groups. Results: This study included a total of 56 patients who were randomly divided into a Tubeless group (experimental group, n=28) and a traditional intubation group (control group, n=28). Significant differences were found between the two groups in postoperative 24-hour pain scores (NRS), pain relief rates, hospitalization-related indicators, rates of throat pain within 72 hours, hoarseness, pulmonary infection within 30 days, respiratory failure, quality of life scores one month post-surgery (SF-36 scale, including physical functioning and mental health), and patient satisfaction scores (P<0.05). Conclusion: Tubeless single-port thoracoscopic surgery for high-risk patients with early lung cancer can improve clinical effectiveness and enhance patients' quality of life, showing potential for wider use.