کد مقاله | کد نشریه | سال انتشار | مقاله انگلیسی | نسخه تمام متن |
---|---|---|---|---|
6253326 | 1288387 | 2016 | 5 صفحه PDF | دانلود رایگان |
BackgroundWhether dissecting the inferior pulmonary ligaments (IPLs) during superior video-assisted thoracoscopic (VATS) lobectomy for early stage lung cancer remains controversial. This study aimed to evaluate the influence of dissecting the IPLs during VATS superior lobectomy on bronchial distortion and recovery of pulmonary function.Materials and methodsThis was a retrospective study of 72 patients with non-small cell lung cancer who underwent VATS superior lobectomy from March 2012-August 2013 at the First People's Hospital of Yunnan Province. Patients were grouped according to IPLs preservation (group P) or dissection (group D). The preoperative and postoperative pulmonary function and the postoperative complications were analyzed. The changes in bronchi angles and pulmonary capacity were measured using computed tomography.ResultsThere were no significant differences in the complication rate and volume of chest drainage between the two groups. The changes in bronchus angle in group P were significantly smaller than those in group D after left lung operation (PÂ =Â 0.046 at 3Â mo; PÂ =Â 0.038 at 6Â mo); in the right lung, the changes were not significant between the two groups (PÂ =Â 0.057 at 3Â mo; PÂ =Â 0.541 at 6Â mo). The forced expiratory volume of 2% and forced expiratory volume in 1Â s (FEV1%) were significantly better in group P than those in group D at 3 and 6Â mo (PÂ <Â 0.05). The pulmonary capacity in group P was significantly larger than that in group D at 6Â mo (PÂ =Â 0.002).ConclusionsPreservation of IPLs during VATS lobectomy might have an impact on the bronchus angle, lung function, and lung volume.
Journal: Journal of Surgical Research - Volume 201, Issue 1, March 2016, Pages 208-212