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Efficacy of thoracoscopic anatomical segmentectomy for small pulmonary nodules

World Journal of Clinical Cases 2020年第11期8卷 2227-2234页

作者： Hui Li Yang Liu Bao-Cun Ling Bo Hu Cardiothoracic Surgery Department Zibo Hospital960 Hospital of PLAZibo 255300Shandong ProvinceChina

BACKGROUND small pulmonary nodules are tissue shadows and thoracoscopic segmentectomy in China is still at the exploratory stage with limited *** To evaluate the efficacy of thoracoscopic anatomical segmentectomy for small pulmonary *** Medical records of 86 patients with small pulmonary nodules treated at our hospital between August 2016 and October 2019 were retrospectively analyzed;40 cases who underwent thoracoscopic lobectomy were set as a reference group,and 46 cases who underwent thoracoscopic anatomical segmentectomy were set as an observation *** and postoperative parameters were measured in both groups,including the percentage of forced expiratory volume in the first second(FEV1%),the percentage of forced vital capacity(FVC%),and the FEV1/FVC ratio(FEV1/FVC).Patients with positive pathological diagnosis received tests for neuron-specific enolase,carbohydrate antigen 125(CA125),CA19-9,and squamous cell carcinoma *** bleeding volume,drainage volume,the number of dissected lymph nodes,drainage time,hospital stay,treatment cost,postoperative complications,and postoperative pain condition were compared between the two *** No significant difference was observed in the results of four serum tumor marker(CA125,CA19-9,squamous cell carcinoma antigen,and neuron-specific enolase),the number of dissected lymph nodes,treatment cost,or preoperative pulmonary ventilation index between the two *** bleeding volume,drainage volume,drainage time,hospital stay,and visual analogue scale score were significantly lower in the observation group(Psmall pulmonary nodules shows no significant difference in terms of lesion removal,but anatomical segmentectomy is less invasive with fewer postoperative complication

关键词： Thoracoscopy small pulmonary nodules Anatomical segmentectomy Clinical efficacy Lobectomy

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Complete Thoracoscopic Segmentectomy and pulmonary Lobectomy in the Treatment of small pulmonary nodules

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Proceedings of Anticancer Research 2021年第6期5卷 57-60页

作者： Yu Zhou Department of Thoracic Surgery Changshu Hospital Affiliated to Nanjing University of Chinese MedicineSuzhou 215500Jiangsu ProvinceChina

Objective:To compare the clinical effect of complete thoracoscopic segmentectomy and pulmonary lobectomy for pulmonary ***:In this study,176 patients with pulmonary nodules were treated in Changshu Hospital Affiliated to Nanjing University of Chinese Medicine from January 2019 to June 2021;according to the type of surgery,the patients were divided into group A(complete thoracoscopic segmentectomy)and group B(complete thoracoscopic pulmonary lobectomy),and the clinical effects were ***:The intraoperative blood loss,postoperative drainage volume,postoperative hospitalization days,and lung function of patients in group A were significantly better than those in group B(Psmall pulmonary nodules is more significant;it does not only ensure lymph node dissection,but also improve surgical-related indicators and treatment safety as well as speed up the recovery of pulmonary *** clinical application value is worthy of key analysis by medical institutions.

关键词： Complete thoracoscopic segmentectomy pulmonary lobectomy small pulmonary nodules

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