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ORIGINAL ARTICLE
Year : 2013  |  Volume : 9  |  Issue : 5  |  Page : 106-109

Comparative study of the anatomic segmentectomy versus lobectomy for clinical stage I A peripheral lung cancer by video assistant thoracoscopic surgery


Department of General Thoracic Surgery, Shandong Provincial Hospital Affiliated to Shandong University, Jinan 250021, China

Correspondence Address:
Wei Ma
Department of General Thoracic Surgery, Shandong Provincial Hospital Affiliated to Shandong University, Jinan 250021
China
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0973-1482.119121

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Objective: The objective of this study was to compare the completely thoracoscopic anatomic segmentectomy with lobectomy to treat stage I A peripheral lung cancer <2 cm. Materials and Methods: A retrospective study was performed that 54 cases stage I A peripheral lung cancer patients were selected, including 26 cases of segmentectomy and 28 cases of lobectomy. We observed the operative time, blood loss, number of lymphadenectomy, post-operative chest drainage, hospital days, post-operative complications and mortality, post-operative recurrence and 3-year survival rate. Results: There was no significant difference about complications such as post-operative atelectasis, severe pneumonia, arrhythmia and cardiovascular/cerebrovascular in two groups (P > 0.05). The local recurrence rate was not significant different in two groups (P > 0.05). Two groups of operative time, blood loss and number of dissected lymph nodes was not statistically significant (P > 0.05), However, the difference was statistically significant in average chest drainage and less decreased pulmonary function, which led to patients received segmentectomy recovered faster and hospitalized less time (P < 0.05). We also found there was no significant difference on survival rate with 1 and 3 year follow-up of two groups (log-rank Chi-square = 0.028, P > 0.05). Conclusions: For stage I A peripheral lung cancer, the thoracoscopic anatomic segmentectomy was safe and effective just as thoracoscopic lobectomy, and furthermore with faster post-operative recovery.


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