Application of "single operation hole" video-assisted thoracoscopic precise segmentectomy in patients with early-stage lung cancer
DING Yi-lin1 ZHAO Qiang2 ZHAO Xiao1 HU De-hong2▲
1.Surgery Teaching and Research Office, Weifang Medical University, Shandong Province, Weifang 261053, China；
2.Department of Thoracic Surgery, Weifang People′s Hospital, Shandong Province, Weifang 261053, China
Abstract：Objective To explore the application of "single operation hole" video-assisted thoracoscopic precise segmentectomy in patients with early-stage lung cancer.Methods From October 2018 to May 2019, 90 patients with early-stage lung cancer treated in our hospital were selected as the research objects, according to different surgical procedure,they were divided into control group(45 cases)and study group(45 cases).The control group was treated with"single operation hole" video-assisted thoracoscopic lobectomy, while the study group was treated with "single operation hole" video-assisted thoracoscopic precise segmentectomy.The surgical indexes, postoperative pain (visual analogue scale [VAS]), changes of lung function (forced vital capacity [FVC], forced expiratory volume in one second [FEV1]) before and after surgery, and incidence of postoperative complications were compared between the two groups.Results The operation time in the study group was longer than that in the control group, intraoperative blood loss, the volume of thoracic drainage on the first day after surgery, and total postoperative thoracic drainage volume in the study group were less than those in the control group, and postoperative drainage days, postoperative hospital stay in the study group were shorter than those in the control group, the differences were statistically significant (P＜0.05).There were no significant differences in VAS scores at the first, second, and third days after surgery between the two groups (P＞0.05).The FVC and FEV1 in the two groups after surgery in the two groups were lower than those before surgery, FVC and FEV1 in the study group after surgery were higher than those in the control group, and the differences were statistically significant (P＜0.05).There was no significant difference in the total incidence rate of postoperative complications between the two groups (P＞0.05).Conclusion "Single operation hole" video-assisted thoracoscopic precise segmentectomy can reduce intraoperative blood loss, shorten hospital stay and better preserve the lung function of patients, which can be utilized as an option for those with early-stage lung cancer.
Cetinbas F，Yelken B，Gulbas Z.Role of glutamine administration on cellular immunity after total parenteral nutrition enriched with glutamine in patients with systemic inflammatory response syndrome[J].J Crit Care，2016，25（4）：661-666.
[3]
Okada M，Yoshikawa K，Hatta T，et al.Is segmentectomy with lymph node assessment an alternative to lobectomy for non-small cell lung cancer of 2 cm or smaller？[J].Ann Thorac Surg，2001，71（3）：956-960.
Rami-Porta R，Asamura H，Travis WD，et al.Lung cancer major changes in the American Joint Committee on Cancer eighth edition cancer staging manual[J].CA Cancer J Clin，2017，67（2）：138-155.
[15]
Cox ML，Yang CJ，Speicher PJ，et al.The role of extent of surgical resection and lymph node assessment for clinical stage Ⅰpulmonary lepidic adenocarcinoma：An analysis of 1991 patients[J].J Thorac Oncol，2017，12（4）：689-696.
Srisomboon C，Koizumi K，Haraguchi S，et al.Complete video assisted thoracoscopic surgery for lung cancer in 400 patients[J].Asian Cardiovasc Thorac Ann，2013，1（6）：700-707.
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