摘要
Abstract
Objective:To investigate the effects of minimally invasive segmentectomy and wedge resection on pulmonary function and postoperative complications in patients with early-stage non-small cell lung cancer(NSCLC).Method:A total of 102 patients with early-stage NSCLC who were treated and treated in the Department of Thoracic Surgery of First People's Hospital of Fuzhou from January 2022 to October 2023 were selected and divided into lung wedge group(62 cases)and lung segmental group(40 cases)according to different surgical protocols.The lung wedge group underwent wedge resection and lung segmental group underwent minimally invasive segmentectomy.Operation-related indexes,lung function,quality of life and complications were compared between the two groups.Result:The operative time,thoracic drainage catheter retention time and hospital stay in lung wedge group were shorter than those in lung segment group,and the intraoperative blood loss was less than that in lung segment group(P<0.05).At the 3-month postoperative assessment,there were no significant differences between the lung segmental group and lung wedge group in terms of peak expiratory flow(PEF),forced expiratory volume in one second(FEV1),forced vital capacity(FVC),and scores across all dimensions of the generic quality of life inventory-74(GQOLI-74)(P>0.05).There was no significant difference in the incidence of complications between the two groups(P>0.05).In the lung segmental group,40 patients successfully completed the 2-year follow-up,while 25 patients in the lung segmental group completed the same period of follow-up.During the follow-up period,neither group experienced recurrence,metastasis,or death.Conclusion:Both segmentectomy and wedge resection are effective minimally invasive treatment methods for early-stage NSCLC,providing favorable prognoses.Although the wedge resection surgery involves shorter operation times,chest tube placement durations,and hospital stays,as well as less intraoperative blood loss,the choice of surgical method should be based on the patient's specific condition and needs in clinical practice.关键词
肺段切除术/肺楔形切除术/早期非小细胞肺癌Key words
Segmentectomy/Wedge resection/Early-stage non-small cell lung cancer
