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Abstract Objective： To analyze the dissection value of first macroscopic lung cancer surgery treatment of lymph node，to summarize more effective macroscopic lung surgery program.Method：60 patients were to be applied macroscopic lung cancer surgery were randomly divided into group A and group B， 30 cases in each group.Group A in advance carried tumor excision， then cleaned lymph node， group B in advance cleaned lymph node then carried tumor excision.The cooperativeness and postoperative conditions of two groups were compared.Result：The blood loss， operating time， the number of stations lymph node dissection， the number of lymph node dissection and postoperative pain scores of the two groups were no significant differences（ P>0.05）， but postoperative drainage of the group B was significantly less than the group A， postoperative drainage time was significantly shorter the group A（ P<0.05）.Before treatment，while the quality of life scores in physical function， role function， cognitive function， emotional function and social function relatively of the two groups were no significant differences（ P>0.05）， while treatment after 4 weeks， the scores of the two groups had been effectively improved， while group B were significantly better than the group A（ P<0.05）.In addition， the incidence of postoperative complications of the two groups was no significant difference（ P>0.05）. Conclusion：Macroscopic lung cancer surgery in the lymph nodes before recovery can not reduce surgical treatment at the same time， effectively improve the postoperative patient.
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