Published online Jun 6, 2020. doi: 10.12998/wjcc.v8.i11.2227
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
Malignant nodules are primary lung cancer or lung metastasis of malignant tumors. Anatomical segmentectomy is a new surgical method.
Thoracoscopic segmentectomy in China is still at the exploratory stage.
To evaluate the availability and effectiveness of the procedure.
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.
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.
Thoracoscopic pulmonary segmentectomy is an ideal surgical approach to treat small pulmonary nodules.
The authors will evaluate the overall situation of the patients to take the best surgical plan in the future.