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《Medical Journal of National Defending Forces in Southwest China》 2016-08
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Efficacy of pulmonary segmentectomy versus lobectomy in treatment of early NSCLC and PF comparison

Yu Jun;Gao Yuan;Department of Cardiothoracic Surgery Surgery, Yulin Second Hospital;  
Objective To explore the efficacy of pulmonary segmentectomy versus lobectomy in treatment of early non-small cell lung cancer(NSCLC) and impacts on pulmonary function(PF). Methods A total 92 patients with early NSCLC were selected for retrospective analysis and divided into pulmonary segmentectomy group(n=47) and pulmonary lobectomy group(n=45) according to different operation methods. The indicators related to the operation, complications, postoperative PF and improvement of quality of life in the two groups were compared. Results The hospitalization expenses in the pulmonary segmentectomy group were lower than those in the pulmonary lobectomy group(P 0.05), the duration of operation, intraoperatve amount of bleeding, drainage volume in the thoracic cavity, duration of drainage and hospitalization duration were shorter or less than those in the pulmonary lobectomy group(P 0.05), the incidence(8.51%) of complications was much lower than that(37.78%) in the pulmonary lobectomy group(P 0.05).One, two and four weeks after the operation, the vital capacity, forced vital capacity, total lung capacity and forced expiratory volume in one second in the pulmonary segmentectomy group were significantly higher than those in the pulmonary lobectomy group(P 0.05). Four weeks after the operation, the life quality improvement rate(59.57%) in the pulmonary segmentectomy group was much higher than that(33.33%) in the pulmonary lobectomy group(P 0.05). Conclusion Thoracoscope pulmonary segmentectomy shows excellent efficacy and high safety in the treatment of early NSCLC with a positive impact on PF and recovery of life quality of patients, thus is worth clinical application.
【CateGory Index】: R734.2
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