| 孙翔翔,徐美青,章传凯,柳常青,熊燃,吴汉然.以肺亚段为解剖单元的肺结节切除术单中心回顾性分析[J].中国临床保健杂志,2023,26(5):705-708. |
| 以肺亚段为解剖单元的肺结节切除术单中心回顾性分析 |
| A single-center retrospective study of pulmonary nodular resection using lung subsegments as anatomical units |
| 投稿时间：2023-08-10 |
| DOI：10.3969/J.issn.1672-6790.2023.05.029 |
| 中文关键词: 肺切除术 多发性肺结节 手术时间 住院时间 预后 复发 |
| 英文关键词: Pneumonectomy Multiple pulmonary nodules Operative time Length of stay Prognosis Recurrence 〖FL |
| 基金项目:安徽省自然科学基金面上项目(2208085MH237) |
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| 中文摘要: |
| 目的 探讨以肺亚段为解剖单元的肺结节切除术的安全性及短期疗效。方法 回顾性分析2019年5月至2021年10月于中国科学技术大学附属第一医院胸外科同一手术者行单孔胸腔镜解剖性肺亚段切除术(含联合亚段)和肺段切除术(含联合肺段)的肺小结节患者129例。根据手术方式将其分为亚段组(44例)与肺段组(44例),对比2组围术期资料和短期疗效。结果 在性别、年龄、体重指数以及结节直径差异均无统计学意义。2组患者清扫淋巴结数、胸液量、带管天数差异均无统计学意义。亚段组手术时间长于肺段组[132.5(107.5,158.0)min比90.0(80.0,120.0)min,P<0.05],并且亚段组术中出血量多余肺段组[20(20,30)mL比20(10,20)mL,P<0.05]。亚段组术后住院天数少于肺段组[4.00(3.00,4.75)d比4.00(3.25,5.00)d,P<0.05]。2组均未出现30 d死亡病例,随访1年均无复发病例。结论 以肺亚段为解剖中心的肺结节切除术安全可靠,可用于肺结节的治疗。肺功能改变和远期疗效还需进一步研究。 |
| 英文摘要: |
| Objective To explore the safety and short-term effectiveness of treating pulmonary nodules with a lung subsegment as the anatomical unit.Methods A retrospective analysis of 129 patients with small pulmonary nodules who underwent single-port thoracoscopic anatomical pulmonary subsegmental resection (including combined subsegmental) and pulmonary segmental resection (including combined pulmonary segmental) at the Department of Thoracic Surgery of the First Affiliated Hospital of USTC from May 2019 to October 2021 at the same operator.According to the surgical technique,they were split into two groups:subsegmental (44 cases) and lung segment (44 cases),and the perioperative data and short-term outcomes were compared.Results There aren′t any statistical differences in gender,age,BMI,or node diameter.There was no statistical difference between the two groups in terms of the number of lymph nodes cleared,the volume of pleural fluid and the number of days with tubes.The subsegment group had such a longer operation time than the lung group[132.5(107.5,158.0)min vs. 90.0(80.0,120.0)min,P<0.05],and the intraoperative bleeding was higher in the subsegment group[20(20,30)mL vs. 20(10,20)mL,P<0.05].The subsegment group used to have fewer postoperative hospital days than the lung segment group[4.00(3.00,4.75)d vs. 4.00(3.25,5.00)d,P<0.05].There were no 30-day deaths in either group and no relapse cases at the 1-year follow-up.Conclusions Pulmonary nodule resection with lung subsegment as the anatomical center is safe and reliable,and can be used for the treatment of pulmonary nodules.Changes in lung function and long-term efficacy require further study. |
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