Retrospective Study
Copyright ©The Author(s) 2020. Published by Baishideng Publishing Group Inc. All rights reserved.
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/
Corresponding author: Bao-Cun Ling, BHMS, Chief Physician, Cardiothoracic Surgery Department, Zibo Hospital, 960 Hospital of PLA, No. 20, Zhanbei Road, Zhoucun District, Zibo 255300, Shandong Province, China. 2189358576@qq.com
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.