Abstract:
Objective To evaluate the clinical efficacy of segmental lung resection versus lobectomy in elderly patients with non-small cell lung carcinoma stage I.
Methods A total of 171 elderly patients with non-small cell lung cancer underwent uniportal thoracoscopic resection from August 2018 to August 2019, including 120 lobectomy and 51 segmental resection, the clinical data of the two groups were analyzed.
Results In the two groups of pulmonary segmental resection and lobectomy, there were no recent serious complications and death in the two groups. In the comparison of the total number of lymph nodes and the number of lymph node stations, the pulmonary lobe group was larger than the pulmonary segment group, the incidence of postoperative Arrhythmia in Lobar group was more than that in segment group. There was no significant difference in operation time, intraoperative bleeding, postoperative drainage, postoperative hospitalization time and hospitalization expenses between the two groups.
Conclusion Both uniportal thoracoscopic segmental lung resection and lobectomy are safe and effective in the treatment of elderly patients with pulmonary non-small-cell lung carcinoma, and have similar clinical results in the near future, while segmental lung resection might be better for the patient's recovery.
Key words:
Uniportal thoracoscopic,
Pulmonary segment,
Advanced age
Shuliang Zhang, Pengqiang Gao, Bingqiang Cai, Chun Chen, Wei Zheng, Bin Zheng. Clinical analysis of uniportal thoracoscopic lobectomy and segmental lung resection in elderly patients with early lung cancer[J]. Chinese Journal of Thoracic Surgery(Electronic Edition), 2021, 08(02): 95-100.