Li H, Liu Y, Ling BC, Hu B. Efficacy of thoracoscopic anatomical segmentectomy for small pulmonary nodules. World J Clin Cases 2020; 8(11): 2227-2234 [PMID: 32548153 DOI: 10.12998/wjcc.v8.i11.2227]
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Clin Cases. Jun 6, 2020; 8(11): 2227-2234 Published online Jun 6, 2020. doi: 10.12998/wjcc.v8.i11.2227
Efficacy of thoracoscopic anatomical segmentectomy for small pulmonary nodules
Hui Li, Yang Liu, Bao-Cun Ling, Bo Hu
Hui Li, Yang Liu, Bao-Cun Ling, Bo Hu, Cardiothoracic Surgery Department, Zibo Hospital, 960 Hospital of PLA, Zibo 255300, Shandong Province, China
Author contributions: Li H and Liu Y contributed equally to this article and should be considered as co-first authors; Ling BC and Hu B performed the operation; Li H and Liu Y designed this retrospective study; Ling BC and Hu B wrote this paper; Li H and Liu Y was responsible for sorting the data.
Institutional review board statement: This study was reviewed and approved by the Ethics Committee of 960 Hospital of PLA.
Informed consent statement: Informed consent was obtained from the patients.
Conflict-of-interest statement: The authors declare that they have no conflict of interest.
Data sharing statement: No additional data are available.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Received: March 22, 2020 Peer-review started: March 22, 2020 First decision: April 19, 2020 Revised: April 24, 2020 Accepted: May 21, 2020 Article in press: May 21, 2020 Published online: June 6, 2020 Processing time: 77 Days and 16.4 Hours
ARTICLE HIGHLIGHTS
Research background
Malignant nodules are primary lung cancer or lung metastasis of malignant tumors. Anatomical segmentectomy is a new surgical method.
Research motivation
Thoracoscopic segmentectomy in China is still at the exploratory stage.
Research objectives
To evaluate the availability and effectiveness of the procedure.
Research methods
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 group.
Research results
Intraoperative bleeding volume, drainage volume, drainage time, hospital stay, and visual analogue scale score were significantly lower in the observation group. The results of percentage of forced expiratory volume in the first second (FEV1%), the percentage of forced vital capacity (FVC%), and the FEV1/FVC ratio were significantly higher in the observation group.
Research conclusions
Thoracoscopic pulmonary segmentectomy is an ideal surgical approach to treat small pulmonary nodules.
Research perspectives
The authors will evaluate the overall situation of the patients to take the best surgical plan in the future.
