Comparative analysis of the clinical effects of different thoracoscopic resection in the treatment of Stage I Non-Small Cell Lung Cancer
To compare and analyze the clinical effects of thoracoscopic lobectomy and segmentectomy in stage I non-small cell lung cancer (NSCLC). This was a retrospective study. Eighty patients with stage I NSCLC treated in Cangzhou People's Hospital from December 2019 to January 2022 were randomly divid...
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Veröffentlicht in: | Pakistan journal of medical sciences 2024-09, Vol.40 (8), p.1644 |
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description | To compare and analyze the clinical effects of thoracoscopic lobectomy and segmentectomy in stage I non-small cell lung cancer (NSCLC).
This was a retrospective study. Eighty patients with stage I NSCLC treated in Cangzhou People's Hospital from December 2019 to January 2022 were randomly divided into the segmentectomy group and lobectomy group, with 40 cases in each group. Further comparative analysis was carried out focusing on perioperative indexes, maximum ventilation volume (MVV), forced vital capacity (FVC), forced expiratory volume in the first second (FEV1), VAS score of postoperative pain and complications.
There was no significant difference in the number of dissected lymph nodes and extubation time between the two groups (p>0.05). The operation time was longer, while intraoperative blood loss was less and the stay of stay in hospital was shorter in the segmentectomy group significantly than those in the lobectomy group (p0.05). Meanwhile, the segmentectomy group had evidently lower VAS scores at 1 d, 3 d and 5 d postoperatively than those in the lobectomy group (p |
doi_str_mv | 10.12669/pjms.40.8.9124 |
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This was a retrospective study. Eighty patients with stage I NSCLC treated in Cangzhou People's Hospital from December 2019 to January 2022 were randomly divided into the segmentectomy group and lobectomy group, with 40 cases in each group. Further comparative analysis was carried out focusing on perioperative indexes, maximum ventilation volume (MVV), forced vital capacity (FVC), forced expiratory volume in the first second (FEV1), VAS score of postoperative pain and complications.
There was no significant difference in the number of dissected lymph nodes and extubation time between the two groups (p>0.05). The operation time was longer, while intraoperative blood loss was less and the stay of stay in hospital was shorter in the segmentectomy group significantly than those in the lobectomy group (p<0.05). Furthermore, no significant difference was observed in MVV%, FVC% and FEV1% between the two groups before operation (p>0.05). Meanwhile, the segmentectomy group had evidently lower VAS scores at 1 d, 3 d and 5 d postoperatively than those in the lobectomy group (p<0.05). Besides, there was a much lower total incidence of complications in the segmentectomy group than that in the lobectomy group (p<0.05).
Compared with lobectomy, thoracoscopic segmentectomy is more effective in the treatment of stage I NSCLC, with less bleeding and mild pain, which can alleviate pulmonary function injury and reduce postoperative complications that is conducive to the improved prognosis of patients.</description><identifier>ISSN: 1682-024X</identifier><identifier>EISSN: 1681-715X</identifier><identifier>DOI: 10.12669/pjms.40.8.9124</identifier><identifier>PMID: 39281211</identifier><language>eng</language><publisher>Pakistan: Knowledge Bylanes</publisher><subject>Blood vessels ; Cancer ; Care and treatment ; Comparative analysis ; Dissection ; Extubation ; Lung cancer ; Lung cancer, Non-small cell ; Lung cancer, Small cell ; Lymphatic system ; Medical prognosis ; Prevention ; Prognosis ; Pulmonary arteries ; Surgery ; Thoracic surgery ; Tumors ; Veins & arteries ; Ventilation</subject><ispartof>Pakistan journal of medical sciences, 2024-09, Vol.40 (8), p.1644</ispartof><rights>Copyright: © Pakistan Journal of Medical Sciences.</rights><rights>COPYRIGHT 2024 Knowledge Bylanes</rights><rights>(c)2024 Pakistan Journal of Medical Sciences</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,777,781,861,27905,27906</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/39281211$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Jiang, Hao</creatorcontrib><creatorcontrib>Wu, Tong</creatorcontrib><creatorcontrib>Qie, Peng</creatorcontrib><creatorcontrib>Wang, Huien</creatorcontrib><creatorcontrib>Zhang, Baoxin</creatorcontrib><title>Comparative analysis of the clinical effects of different thoracoscopic resection in the treatment of Stage I Non-Small Cell Lung Cancer</title><title>Pakistan journal of medical sciences</title><addtitle>Pak J Med Sci</addtitle><description>To compare and analyze the clinical effects of thoracoscopic lobectomy and segmentectomy in stage I non-small cell lung cancer (NSCLC).
This was a retrospective study. Eighty patients with stage I NSCLC treated in Cangzhou People's Hospital from December 2019 to January 2022 were randomly divided into the segmentectomy group and lobectomy group, with 40 cases in each group. Further comparative analysis was carried out focusing on perioperative indexes, maximum ventilation volume (MVV), forced vital capacity (FVC), forced expiratory volume in the first second (FEV1), VAS score of postoperative pain and complications.
There was no significant difference in the number of dissected lymph nodes and extubation time between the two groups (p>0.05). The operation time was longer, while intraoperative blood loss was less and the stay of stay in hospital was shorter in the segmentectomy group significantly than those in the lobectomy group (p<0.05). Furthermore, no significant difference was observed in MVV%, FVC% and FEV1% between the two groups before operation (p>0.05). Meanwhile, the segmentectomy group had evidently lower VAS scores at 1 d, 3 d and 5 d postoperatively than those in the lobectomy group (p<0.05). Besides, there was a much lower total incidence of complications in the segmentectomy group than that in the lobectomy group (p<0.05).
Compared with lobectomy, thoracoscopic segmentectomy is more effective in the treatment of stage I NSCLC, with less bleeding and mild pain, which can alleviate pulmonary function injury and reduce postoperative complications that is conducive to the improved prognosis of patients.</description><subject>Blood vessels</subject><subject>Cancer</subject><subject>Care and treatment</subject><subject>Comparative analysis</subject><subject>Dissection</subject><subject>Extubation</subject><subject>Lung cancer</subject><subject>Lung cancer, Non-small cell</subject><subject>Lung cancer, Small cell</subject><subject>Lymphatic system</subject><subject>Medical prognosis</subject><subject>Prevention</subject><subject>Prognosis</subject><subject>Pulmonary arteries</subject><subject>Surgery</subject><subject>Thoracic surgery</subject><subject>Tumors</subject><subject>Veins & arteries</subject><subject>Ventilation</subject><issn>1682-024X</issn><issn>1681-715X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNptkl1rFDEUhgdRbK1eeycBQXoz02QyH8llWbQWFr2oQu_C2czJbpaZZE0yQv-BP9vMtn5UJJAcDs_7cnJ4i-I1oxWru05eHPZTrBpaiUqyunlSnLJOsLJn7e3TY12XtG5uT4oXMe4pbbqmrZ8XJ1zWgtWMnRY_Vn46QIBkvyMBB-NdtJF4Q9IOiR6tsxpGgsagTsf-YHMd0KVM-ADaR-0PVpOAMSPWO2LdUZwCQpoWMKtuEmyRXJNP3pU3E4wjWWG-1rPbkhU4jeFl8czAGPHVw3tWfP3w_svqY7n-fHW9ulyXmjcilRsuN9CYAWjfSdm3rK-NRNHSTWdoB21vNLbScDQcBs2h5pSh7FotgFGZO2fF-b3vIfhvM8akJht1HgYc-jkqzmhHuWC0zejbf9C9n0Pe0ZGiQsqW1X-oLYyorDM-5bUspupS0J73vegXr-o_VD4DTlZ7h8bm_iPBu78EO4Qx7aIf52XF8TF4cQ_q4GMMaNQh2AnCnWJUHUOilpCohiqhlpBkxZuHf82bCYff_K9U8J9dJreD</recordid><startdate>20240930</startdate><enddate>20240930</enddate><creator>Jiang, Hao</creator><creator>Wu, Tong</creator><creator>Qie, Peng</creator><creator>Wang, Huien</creator><creator>Zhang, Baoxin</creator><general>Knowledge Bylanes</general><general>AsiaNet Pakistan (Pvt) Ltd</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>20240930</creationdate><title>Comparative analysis of the clinical effects of different thoracoscopic resection in the treatment of Stage I Non-Small Cell Lung Cancer</title><author>Jiang, Hao ; Wu, Tong ; Qie, Peng ; Wang, Huien ; Zhang, Baoxin</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c348t-b39ba4fda0769975172f9e850b6f06a57fce59f3ef3adc3a2301e965c8a109dc3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Blood vessels</topic><topic>Cancer</topic><topic>Care and treatment</topic><topic>Comparative analysis</topic><topic>Dissection</topic><topic>Extubation</topic><topic>Lung cancer</topic><topic>Lung cancer, Non-small cell</topic><topic>Lung cancer, Small cell</topic><topic>Lymphatic system</topic><topic>Medical prognosis</topic><topic>Prevention</topic><topic>Prognosis</topic><topic>Pulmonary arteries</topic><topic>Surgery</topic><topic>Thoracic surgery</topic><topic>Tumors</topic><topic>Veins & arteries</topic><topic>Ventilation</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Jiang, Hao</creatorcontrib><creatorcontrib>Wu, Tong</creatorcontrib><creatorcontrib>Qie, Peng</creatorcontrib><creatorcontrib>Wang, Huien</creatorcontrib><creatorcontrib>Zhang, Baoxin</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>Pakistan journal of medical sciences</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Jiang, Hao</au><au>Wu, Tong</au><au>Qie, Peng</au><au>Wang, Huien</au><au>Zhang, Baoxin</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Comparative analysis of the clinical effects of different thoracoscopic resection in the treatment of Stage I Non-Small Cell Lung Cancer</atitle><jtitle>Pakistan journal of medical sciences</jtitle><addtitle>Pak J Med Sci</addtitle><date>2024-09-30</date><risdate>2024</risdate><volume>40</volume><issue>8</issue><spage>1644</spage><pages>1644-</pages><issn>1682-024X</issn><eissn>1681-715X</eissn><abstract>To compare and analyze the clinical effects of thoracoscopic lobectomy and segmentectomy in stage I non-small cell lung cancer (NSCLC).
This was a retrospective study. Eighty patients with stage I NSCLC treated in Cangzhou People's Hospital from December 2019 to January 2022 were randomly divided into the segmentectomy group and lobectomy group, with 40 cases in each group. Further comparative analysis was carried out focusing on perioperative indexes, maximum ventilation volume (MVV), forced vital capacity (FVC), forced expiratory volume in the first second (FEV1), VAS score of postoperative pain and complications.
There was no significant difference in the number of dissected lymph nodes and extubation time between the two groups (p>0.05). The operation time was longer, while intraoperative blood loss was less and the stay of stay in hospital was shorter in the segmentectomy group significantly than those in the lobectomy group (p<0.05). Furthermore, no significant difference was observed in MVV%, FVC% and FEV1% between the two groups before operation (p>0.05). Meanwhile, the segmentectomy group had evidently lower VAS scores at 1 d, 3 d and 5 d postoperatively than those in the lobectomy group (p<0.05). Besides, there was a much lower total incidence of complications in the segmentectomy group than that in the lobectomy group (p<0.05).
Compared with lobectomy, thoracoscopic segmentectomy is more effective in the treatment of stage I NSCLC, with less bleeding and mild pain, which can alleviate pulmonary function injury and reduce postoperative complications that is conducive to the improved prognosis of patients.</abstract><cop>Pakistan</cop><pub>Knowledge Bylanes</pub><pmid>39281211</pmid><doi>10.12669/pjms.40.8.9124</doi><oa>free_for_read</oa></addata></record> |
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subjects | Blood vessels Cancer Care and treatment Comparative analysis Dissection Extubation Lung cancer Lung cancer, Non-small cell Lung cancer, Small cell Lymphatic system Medical prognosis Prevention Prognosis Pulmonary arteries Surgery Thoracic surgery Tumors Veins & arteries Ventilation |
title | Comparative analysis of the clinical effects of different thoracoscopic resection in the treatment of Stage I Non-Small Cell Lung Cancer |
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