Uniportal video-assisted thoracic S9+10 segmentectomy using a single-direction approach is good for pulmonary function

作者全名："Wang, Xiao-Wen; Li, Lin-Jun; Huan, Chun; Chen, Dan; Du, Ming; Wu, Qing-Chen"

作者地址："[Wang, Xiao-Wen; Li, Lin-Jun; Huan, Chun; Chen, Dan; Du, Ming; Wu, Qing-Chen] Chongqing Med Univ, Dept Cardiothorac Surg, Affiliated Hosp 1, Chongqing, Peoples R China; [Li, Lin-Jun; Huan, Chun] Chongqing Med Univ, Dept Cardiothorac Surg ICU, Affiliated Hosp 1, Chongqing, Peoples R China; [Chen, Dan] Chongqing Med Univ, Dept Thorac & Cardiovasc Surg, Affiliated Hosp 1, 001 Youyi Rd, Chongqing 400016, Peoples R China"

通信作者："Chen, D (通讯作者)，Chongqing Med Univ, Dept Thorac & Cardiovasc Surg, Affiliated Hosp 1, 001 Youyi Rd, Chongqing 400016, Peoples R China."

来源：SURGERY

ESI学科分类：CLINICAL MEDICINE

WOS号：WOS:000875983900034

JCR分区：Q1

影响因子：3.8

年份：2022

卷号：172

期号：5

开始页：1516

结束页：1521

文献类型：Article

关键词：　

摘要："Background: Uniportal video-assisted thoracic surgery is still a technical challenge, especially anatomical segmentectomy for the lateral basal segment (S9), posterior basal segment (S10), or both (S9+10). Different surgical procedures determine a variable pulmonary functional reduction depending on the extent of the resection. This study aimed to compare the efficiency of uniportal video-assisted thoracic surgery S9+10 segmentectomy with video-assisted thoracic surgery basal segmentectomy in preserving pulmonary function.Methods: The patients who had undergone single-port video-assisted thoracic surgery S9+10 segmen-tectomy using a single-direction approach were age, sex, and pulmonary function matched with those undergoing video-assisted thoracic surgery basal segmentectomy. The pulmonary function tests were performed preoperatively, and at 3 and 6 months postoperatively. The operative details, postoperative complications, and pulmonary function were statistically analyzed.Results: After matching, a total of 46 patients undergoing video-assisted thoracic surgery S9+10 seg-mentectomy and 58 patients undergoing video-assisted thoracic surgery basal segmentectomy were eligible for analysis. There was no significant difference in the average blood loss, the duration of chest tube, intensive care unit stay, or hospital stay between these 2 groups. There were no major post-operative complications and surgical mortality was found in the 2 groups. The uniportal video-assisted thoracic surgery S9+10 segmentectomy group had a greater preserved pulmonary function (concerning the values of the forced vital capacity, forced expiratory volume in 1 second, forced expiratory volume in 1 second %, and diffusion capacity of carbon monoxide %) than video-assisted thoracic surgery basal segmentectomy group at 1 and 3 months postoperatively.Conclusion: Uniportal video-assisted thoracic surgery anatomic S9+10 segmentectomy using a single -direction approach was safe and feasible for early stages of nonsmall cell lung cancer, and it offered significantly better functional preservation compared with basal segmentectomy.(c) 2022 Elsevier Inc. All rights reserved."

基金机构：Science and Technology Program of Chongqing Science and Technical Commission [cstc2019jcyj-msxmX0827]; High -Level Medical Training Project of the First Affiliated Hospital of Chongqing Medical University [XKTS176]

基金资助正文：This work was supported by the Science and Technology Program of Chongqing Science and Technical Commission (cstc2019jcyj-msxmX0827) and the High -Level Medical Training Project of the First Affiliated Hospital of Chongqing Medical University (XKTS176) .