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已发表论文
胸腔镜肺段切除及胸腔镜肺叶切除术用于治疗孤立性肺结节及早期肺癌的短期效应比较
Authors Ren MM, Meng QJ, Zhou WY, Kong FY, Yang B, Yuan J, Wu DW, Zhang J, Li QQ, Lin YS, Viswanathan VB, Song X
Published Date July 2014 Volume 2014:7 Pages 1343—1347
DOI http://dx.doi.org/10.2147/OTT.S62880
Received 22 February 2014, Accepted 13 May 2014, Published 24 July 2014
Purpose: To compare the short-term effect of anatomic video-assisted thoracoscopic surgery (VATS) segmentectomy and VATS lobectomy.
Patients and methods: From January 2011 to December 2012, 21 patients underwent VATS segmentectomy and 61 underwent VATS lobectomy. Intraoperative blood loss, operating time, postoperative drainage time, length of hospital stay, postoperative complications, local recurrence, and survival were compared between the two groups.
Results: The intraoperative blood loss and average hospital stay were less in the segmentectomy group than in the lobectomy group (P <0.05). There was no significant difference in the operating time, number of lymph nodes dissected, postoperative drainage time, or 1-year survival between the two groups (P >0.05). Only one patient died because of heart disease. The two groups had a similar incidence of postoperative complications (P >0.05). There was one (4.8%) local recurrence after segmentectomy and two (3.3%) after lobectomy (P >0.05).
Conclusion: VATS segmentectomy could be performed safely and is a method with favorable 1-year survival. It may be the ideal surgical procedure for patients with solitary pulmonary nodules in early stage lung cancer, especially for those with limited cardiopulmonary reserve or significant comorbidities.
Keywords: thoracoscopes, segmentectomy, lobectomy, solitary pulmonary nodules
Patients and methods: From January 2011 to December 2012, 21 patients underwent VATS segmentectomy and 61 underwent VATS lobectomy. Intraoperative blood loss, operating time, postoperative drainage time, length of hospital stay, postoperative complications, local recurrence, and survival were compared between the two groups.
Results: The intraoperative blood loss and average hospital stay were less in the segmentectomy group than in the lobectomy group (P <0.05). There was no significant difference in the operating time, number of lymph nodes dissected, postoperative drainage time, or 1-year survival between the two groups (P >0.05). Only one patient died because of heart disease. The two groups had a similar incidence of postoperative complications (P >0.05). There was one (4.8%) local recurrence after segmentectomy and two (3.3%) after lobectomy (P >0.05).
Conclusion: VATS segmentectomy could be performed safely and is a method with favorable 1-year survival. It may be the ideal surgical procedure for patients with solitary pulmonary nodules in early stage lung cancer, especially for those with limited cardiopulmonary reserve or significant comorbidities.
Keywords: thoracoscopes, segmentectomy, lobectomy, solitary pulmonary nodules
