Thoracoscopic segmentectomy for trans-fissure ground-glass opacity

作者全名：Zhang, Min; Wu, Anming; Zhang, Cheng; Ge, Mingjian; Sihoe, Alan D. L.

作者地址：[Zhang, Min; Zhang, Cheng; Ge, Mingjian] Chongqing Med Univ, Affiliated Hosp 1, Dept Cardiothorac Surg, 1 Youyi Rd, Chongqing 400016, Peoples R China; [Wu, Anming] Peoples Hosp Qijiang Dist, Dept Cardiothorac Surg, Chongqing, Peoples R China; [Sihoe, Alan D. L.] CUHK Med Ctr, Dept Cardiothorac Surg, 1-3 Pedder St Cent, Hong Kong, Peoples R China

通信作者：Ge, MJ (通讯作者)，Chongqing Med Univ, Affiliated Hosp 1, Dept Cardiothorac Surg, 1 Youyi Rd, Chongqing 400016, Peoples R China.; Sihoe, ADL (通讯作者)，CUHK Med Ctr, Dept Cardiothorac Surg, 1-3 Pedder St Cent, Hong Kong, Peoples R China.

来源：INTERDISCIPLINARY CARDIOVASCULAR AND THORACIC SURGERY

ESI学科分类：　

WOS号：WOS:001230000900001

JCR分区：　

影响因子：　

年份：2024

卷号：38

期号：5

开始页：　

结束页：　

文献类型：Article

关键词：Ground-glass opacity; Margin; Trans-fissure; Segmentectomy

摘要：OBJECTIVES: The trans-fissure ground-glass opacity (GGO) is a special category of lesions, with a diameter always exceeding 2 cm. It is located on a fused fissure, 'seizing' 2 neighbouring lobes simultaneously. The segmentectomy for the trans-fissure GGO is never reported. METHODS: Between August 2016 and December 2022, patients operated with a trans-fissure GGO were included. The patients' backgrounds and surgical data were summarized. All procedures were performed with the help of preoperative three-dimensional computed tomography bronchography and angiography. RESULTS: A total of 84 patients were included. The selection criteria included a consolidation tumour ratio <50% and a lesion size >2 and <= 3 cm. Thirty-six patients were operated with lobectomy + wedge (the traditional method group) and 48 patients were operated with anatomical segmentectomy + function-preserving sublobectomy (the new method group). The median operative time was 87 min in the traditional group and 98 min in the new method group, and the median blood loss was 60 ml in the traditional group and 70 ml in the new method group. The median duration of hospital stays was 4 days in the traditional group and 2 days in the new method group. In the traditional method group, there was 1 case of postoperative air leakage and 5 cases of haemoptysis. In the new method group, 2 cases of postoperative air leakage were identified. The median size of the tumour in the resected segment was 2.6 cm in the traditional group and 2.5 cm in the new method group. The median margin was 2.5 cm in the traditional group and 3.3 cm in the new method group. CONCLUSIONS: The trans-fissure GGO could be safely resected en bloc by segmentectomy with a well-designed surgical procedure and appropriate preoperative planning.

基金机构：Project of Innovation Team for Graduate Teaching [CYYY-YJSJXCX-202318]

基金资助正文：This work was supported by grants from Project of Innovation Team for Graduate Teaching (CYYY-YJSJXCX-202318).