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“Separated” precise subsegmentectomy: Single‐port thoracoscopic noncombined subsegmentectomy in one lung lobe

BACKGROUND: In clinical practice, combined segmental resection (CSS) can avoid resection of multiple segments to preserve lung function. When two or more distant lung segments or subsegments of the same lobe present with a ground glass opacity (GGO) that meets the indications for sublobar resection,...

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Autores principales: Zhang, Shuliang, Chen, Maohui, Huang, Yizhou, Huang, Guanglei, Zeng, Taidui, Zheng, Wei, Chen, Chun, Zheng, Bin
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley & Sons Australia, Ltd 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9870732/
https://www.ncbi.nlm.nih.gov/pubmed/36426416
http://dx.doi.org/10.1111/1759-7714.14746
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author Zhang, Shuliang
Chen, Maohui
Huang, Yizhou
Huang, Guanglei
Zeng, Taidui
Zheng, Wei
Chen, Chun
Zheng, Bin
author_facet Zhang, Shuliang
Chen, Maohui
Huang, Yizhou
Huang, Guanglei
Zeng, Taidui
Zheng, Wei
Chen, Chun
Zheng, Bin
author_sort Zhang, Shuliang
collection PubMed
description BACKGROUND: In clinical practice, combined segmental resection (CSS) can avoid resection of multiple segments to preserve lung function. When two or more distant lung segments or subsegments of the same lobe present with a ground glass opacity (GGO) that meets the indications for sublobar resection, conventional CSS or wedge resection could not remove all the nodules, and lobectomy is performed in most of these patients. For these particular types of nodules, we perform a single lobe noncombined subsegmental resection, or “separated” precise subsegmentectomy, to preserve more lung tissue. This study was designed to initially assess the feasibility and safety of “separated” precise subsegmentectomy. METHODS: Selected cases of specific GGO were subjected to “separated” precise subsegmentectomy and the results of general clinical data, perioperative operative time, bleeding, length of stay, computed tomography (CT) review, lung function and its dynamic changes were collected and analyzed in these patients. RESULTS: “Separated” precise subsegmentectomy was performed in 12 patients and successfully completed. The median operation time, bleeding amount, and length of hospital stay were 96 min, 50 ml and 4 days, respectively. There was one case of pulmonary infection and one case of persistent air leakage, no death or pulmonary torsion, bronchopleural fistula and other pulmonary complications occurred. After 3 months, the median percentage of lung function retention was 91.7%, and the CT scan showed that the reserved lung tissue of 12 patients was well inflated and there was no obvious imaging manifestation of atelectasis. CONCLUSION: “Separated” precise subsegmentectomy is a novel and safe surgical method that provides a more optimized way for patients with specific multiple nodules to preserve lung function. Further prospective large studies are needed to verify this finding.
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spelling pubmed-98707322023-01-25 “Separated” precise subsegmentectomy: Single‐port thoracoscopic noncombined subsegmentectomy in one lung lobe Zhang, Shuliang Chen, Maohui Huang, Yizhou Huang, Guanglei Zeng, Taidui Zheng, Wei Chen, Chun Zheng, Bin Thorac Cancer Original Articles BACKGROUND: In clinical practice, combined segmental resection (CSS) can avoid resection of multiple segments to preserve lung function. When two or more distant lung segments or subsegments of the same lobe present with a ground glass opacity (GGO) that meets the indications for sublobar resection, conventional CSS or wedge resection could not remove all the nodules, and lobectomy is performed in most of these patients. For these particular types of nodules, we perform a single lobe noncombined subsegmental resection, or “separated” precise subsegmentectomy, to preserve more lung tissue. This study was designed to initially assess the feasibility and safety of “separated” precise subsegmentectomy. METHODS: Selected cases of specific GGO were subjected to “separated” precise subsegmentectomy and the results of general clinical data, perioperative operative time, bleeding, length of stay, computed tomography (CT) review, lung function and its dynamic changes were collected and analyzed in these patients. RESULTS: “Separated” precise subsegmentectomy was performed in 12 patients and successfully completed. The median operation time, bleeding amount, and length of hospital stay were 96 min, 50 ml and 4 days, respectively. There was one case of pulmonary infection and one case of persistent air leakage, no death or pulmonary torsion, bronchopleural fistula and other pulmonary complications occurred. After 3 months, the median percentage of lung function retention was 91.7%, and the CT scan showed that the reserved lung tissue of 12 patients was well inflated and there was no obvious imaging manifestation of atelectasis. CONCLUSION: “Separated” precise subsegmentectomy is a novel and safe surgical method that provides a more optimized way for patients with specific multiple nodules to preserve lung function. Further prospective large studies are needed to verify this finding. John Wiley & Sons Australia, Ltd 2022-11-24 /pmc/articles/PMC9870732/ /pubmed/36426416 http://dx.doi.org/10.1111/1759-7714.14746 Text en © 2022 The Authors. Thoracic Cancer published by China Lung Oncology Group and John Wiley & Sons Australia, Ltd. https://creativecommons.org/licenses/by/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Articles
Zhang, Shuliang
Chen, Maohui
Huang, Yizhou
Huang, Guanglei
Zeng, Taidui
Zheng, Wei
Chen, Chun
Zheng, Bin
“Separated” precise subsegmentectomy: Single‐port thoracoscopic noncombined subsegmentectomy in one lung lobe
title “Separated” precise subsegmentectomy: Single‐port thoracoscopic noncombined subsegmentectomy in one lung lobe
title_full “Separated” precise subsegmentectomy: Single‐port thoracoscopic noncombined subsegmentectomy in one lung lobe
title_fullStr “Separated” precise subsegmentectomy: Single‐port thoracoscopic noncombined subsegmentectomy in one lung lobe
title_full_unstemmed “Separated” precise subsegmentectomy: Single‐port thoracoscopic noncombined subsegmentectomy in one lung lobe
title_short “Separated” precise subsegmentectomy: Single‐port thoracoscopic noncombined subsegmentectomy in one lung lobe
title_sort “separated” precise subsegmentectomy: single‐port thoracoscopic noncombined subsegmentectomy in one lung lobe
topic Original Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9870732/
https://www.ncbi.nlm.nih.gov/pubmed/36426416
http://dx.doi.org/10.1111/1759-7714.14746
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