To observe the effect of video-assisted thoracoscopic surgery on postoperative stress response and complications in patients with mediastinal tumors.

76 cases of mediastinal tumor treated in our hospital from January 2014 to January 2017 were selected. The patients were divided into control group and observation group by the random number table, 38 cases in each group. The traditional thoracotomy was performed in the control group, and the video-assisted thoracoscopic surgery was performed in the observation group. The surgical indexes, postoperative stress response and complications were compared between the two groups.

The amount of bleeding in the observation group was less than that in the control group, drainage time, ambulation time, and hospitalization time were shorter than those in the control group, with statistically significant differences (P<0.05). After the treatment, the levels of COR and ACTH of the two groups increased significantly, but the levels in the observation group were lower than those in the control group, with statistically significant differences (P<0.05). The incidence of postoperative complications (pulmonary infection, incision infection) in the observation group was lower than that in the control group, with statistically significant difference (P<0.05).

Video-assisted thoracoscopic surgery can effectively shorten the hospitalization time and promote the rehabilitation of patients with mediastinal tumor. Besides, the postoperative stress response is low, the incidence of complications is low, with high safety.

Mediastinal neoplasms; Thoracotomy; Video-assisted thoracoscopic surgery; Stress response; Complication