Abstract：【Objective】 To investigate the efficacy of thoracoscopic segmentectomy in elderly patients with stage Ⅰ non-small cell lung cancer (NSCLC).【Methods】 A total of 123 patients with stage Ⅰ NSCLC who underwent surgical treatment were enrolled and divided into a lobectomy group (n=47, thoracoscopic lobectomy) and a segmentectomy group (n=76, thoracoscopic segmentectomy). Intraoperative and postoperative outcomes, as well as pulmonary function at 3 and 6 months after surgery, were compared between the two groups. 【Results】 The segmentectomy group had significantly less intraoperative blood loss, shorter postoperative chest tube drainage duration, and shorter hospital stay than the lobectomy group, while the operative time of the observation group was longer than that of the control group (all P<0.05). There was no significant difference in postoperative complication rates between the two groups (P>0.05). No cases of recurrence, metastasis, or death were observed during follow-up at 3 and 6 months after surgery in both groups. At both 3 and 6 months postoperatively, pulmonary function parameters in the segmentectomy group were significantly better than those in the lobectomy group (P<0.05). 【Conclusion】 Thoracoscopic segmentectomy and lobectomy provide comparable safety and oncologic outcomes in elderly patients with stage Ⅰ NSCLC. However, segmentectomy offers greater minimally invasive advantages, including reduced intraoperative blood loss, faster postoperative recovery, and better short-term preservation of pulmonary function. Therefore, it is worthy of wider clinical application.
王道猛, 潘忠, 何小勇. 胸腔镜肺段切除术治疗老年Ⅰ期非小细胞肺癌患者的临床疗效[J]. 医学临床研究, 2026, 43(2): 239-241.
WANG Daomeng, PAN Zhong, HE Xiaoyong. Clinical Efficacy of Thoracoscopic Segmentectomy in Elderly Patients with Stage Ⅰ Lung Cancer. JOURNAL OF CLINICAL RESEARCH, 2026, 43(2): 239-241.
2026, Vol. 43 
