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Comparison of short-term effect of thoracoscopic segmentectomy and thoracoscopic lobectomy for the solitary pulmonary nodule and early-stage lung cancer

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...

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Autores principales: Ren, Mingming, Meng, Qingjun, Zhou, Wenyan, Kong, Fanyi, Yang, Bo, Yuan, Jun, Wu, Dongwen, Zhang, Jing, Li, Qiaqia, Lin, Yunshou, Viswanathan, Vidya Bhavani, Song, Xiang
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Dove Medical Press 2014
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4114902/
https://www.ncbi.nlm.nih.gov/pubmed/25092991
http://dx.doi.org/10.2147/OTT.S62880
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author Ren, Mingming
Meng, Qingjun
Zhou, Wenyan
Kong, Fanyi
Yang, Bo
Yuan, Jun
Wu, Dongwen
Zhang, Jing
Li, Qiaqia
Lin, Yunshou
Viswanathan, Vidya Bhavani
Song, Xiang
author_facet Ren, Mingming
Meng, Qingjun
Zhou, Wenyan
Kong, Fanyi
Yang, Bo
Yuan, Jun
Wu, Dongwen
Zhang, Jing
Li, Qiaqia
Lin, Yunshou
Viswanathan, Vidya Bhavani
Song, Xiang
author_sort Ren, Mingming
collection PubMed
description 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.
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spelling pubmed-41149022014-08-04 Comparison of short-term effect of thoracoscopic segmentectomy and thoracoscopic lobectomy for the solitary pulmonary nodule and early-stage lung cancer Ren, Mingming Meng, Qingjun Zhou, Wenyan Kong, Fanyi Yang, Bo Yuan, Jun Wu, Dongwen Zhang, Jing Li, Qiaqia Lin, Yunshou Viswanathan, Vidya Bhavani Song, Xiang Onco Targets Ther Original Research 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. Dove Medical Press 2014-07-24 /pmc/articles/PMC4114902/ /pubmed/25092991 http://dx.doi.org/10.2147/OTT.S62880 Text en © 2014 Ren et al. This work is published by Dove Medical Press Limited, and licensed under Creative Commons Attribution – Non Commercial (unported, v3.0) License The full terms of the License are available at http://creativecommons.org/licenses/by-nc/3.0/. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed.
spellingShingle Original Research
Ren, Mingming
Meng, Qingjun
Zhou, Wenyan
Kong, Fanyi
Yang, Bo
Yuan, Jun
Wu, Dongwen
Zhang, Jing
Li, Qiaqia
Lin, Yunshou
Viswanathan, Vidya Bhavani
Song, Xiang
Comparison of short-term effect of thoracoscopic segmentectomy and thoracoscopic lobectomy for the solitary pulmonary nodule and early-stage lung cancer
title Comparison of short-term effect of thoracoscopic segmentectomy and thoracoscopic lobectomy for the solitary pulmonary nodule and early-stage lung cancer
title_full Comparison of short-term effect of thoracoscopic segmentectomy and thoracoscopic lobectomy for the solitary pulmonary nodule and early-stage lung cancer
title_fullStr Comparison of short-term effect of thoracoscopic segmentectomy and thoracoscopic lobectomy for the solitary pulmonary nodule and early-stage lung cancer
title_full_unstemmed Comparison of short-term effect of thoracoscopic segmentectomy and thoracoscopic lobectomy for the solitary pulmonary nodule and early-stage lung cancer
title_short Comparison of short-term effect of thoracoscopic segmentectomy and thoracoscopic lobectomy for the solitary pulmonary nodule and early-stage lung cancer
title_sort comparison of short-term effect of thoracoscopic segmentectomy and thoracoscopic lobectomy for the solitary pulmonary nodule and early-stage lung cancer
topic Original Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4114902/
https://www.ncbi.nlm.nih.gov/pubmed/25092991
http://dx.doi.org/10.2147/OTT.S62880
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