Clinical assessment of patients with VATS anatomical segmentectomy and open anatomical segmentectomy

Abstract

Objective: To compare the clinical information between the patients receiving VATS (video-assisted thoracoscopic surgery) anatomic segmentectomy and open anatomic segmentectomy in the treatment of early stage non-small cell lung cancer and solitary pulmonary nodules. Methods: The clinical records of 10 patients receiving VATS anatomical segmentectomy and 7 patients receiving open anatomic segmentectomy between January 2009 and June 2012 were retrospectively analyzed. The maximum diameter of the lung lesion, number of lymph node groups dissected, number of lymph nodes dissected, duration of operation, intraoperative blood loss, length of hospital stay after surgery and post-operative complications between the two operation groups were compared. Results: The length of hospital stay after surgery was significantly shortened in VATS anatomical segmentectomy group as compared with that in the open anatomic segmentectomy group (4.4±1.1 vs 6.6±1.0 d, P < 0.05). There were no significant differences in the duration of operation, intraoperative blood loss, maximum diameter of the lung lesion, number of lymph node groups dissected, and the number of lymph nodes dissected between the two groups. No postoperative complications were observed in the two groups. Conclusion: VATS anatomic segmentectomy can be safely conducted in patients with early stage NSCLC or solitary pulmonary nodules, and this operative approach should be recommended in clinical practice. DOI:10.3781/j.issn.1000-7431.2013.06.010