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| Comparison of the Effects of Single-Port Thoracoscopic Segmentectomy and Single-Port Thoracoscopic Wedge Resection in Elderly Patients with Early-Stage NSCLC |
| XU Zhiguo, FANG Zemin, LIU Xiaofei |
| Lankao County Central Hospital, Kaifeng Henan 475300 |
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Abstract 【Objective】 To compare the clinical effects of single-port thoracoscopic segmentectomy and single-port thoracoscopic wedge resection in the treatment of elderly patients with early-stage non-small cell lung cancer(NSCLC).【Methods】 The clinical data of 98 elderly patients with early-stage NSCLC admitted to the department of thoracic surgery of Lankao County Central Hospital from June 2022 to April 2024 were prospectively selected. According to different surgical methods, the patients were divided into the observation group(treated with single-port thoracoscopic segmentectomy) and the control group(treated with single-port thoracoscopic wedge resection), with 49 cases in each group. The results of rapid pathological examination, perioperative indicators, postoperative pain and incidence of complications were compared between the two groups.【Results】 There was no statistically significant difference in the results of rapid lymph node pathological examination between the two groups(P>0.05). The operation time and postoperative drainage tube indwelling time in the observation group were longer than those in the control group, and the postoperative drainage volume and intraoperative blood loss were greater than those in the control group, with statistically significant differences(P<0.05). The Visual Analogue Scale(VAS) scores of the two groups at 9 h and 18 h after surgery were higher than those at 3 h after surgery, and the VAS scores at 36 h after surgery were lower than those at 9 h and 18 h after surgery; the VAS scores of the observation group at 9 h, 18 h and 36 h after surgery were lower than those of the control group, with statistically significant differences(P<0.05). The forced vital capacity and peak expiratory flow of the observation group at 3 months and 6 months after surgery were higher than those of the control group(P<0.05). There was no statistically significant difference in the total incidence of complications between the two groups(P>0.05).【Conclusion】 Compared with single-port thoracoscopic wedge resection, single-port thoracoscopic segmentectomy is more conducive to improving lung function in NSCLC patients, can better alleviate postoperative pain, and is safe and reliable
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Received: 12 July 2025
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[1] 姬生威,王萍. NSCLC根治性切除术后复发转移多因素Logistic分析及预测模型的构建与验证[J].中国现代手术学杂志,2022,26(5):360-364.
[2] 钱鹏,朱峰,马冬春,等. 接受单孔胸腔镜肿瘤切除术治疗非小细胞肺癌患者术后出现持续性咳嗽的危险因素[J].山东医药,2021,61(9):74-76.
[3] 宁光耀,陈杨,夏万里,等. 单孔胸腔镜肺楔形切除术和单孔胸腔镜解剖性肺段切除术治疗早期肺癌的效果[J].局解手术学杂志,2023,32(1):36-40.
[4] 郝延红,龚嫚. 单孔胸腔镜肺段切除术与肺叶切除术治疗早期非小细胞肺癌的临床观察[J].贵州医药,2022,46(8):1191-1192.
[5] ETTINGER D S,AISNER D L,WOOD D E, et al. NCCN guidelines insights: Non-Small Cell Lung Cancer,Version 5.2018[J].J Natl Compr Canc Netw,2019, 16(7):807-821.
[6] 袁应选,李桥涛,袁琳. 同步放化疗联合DC-CIK细胞免疫治疗对NSCLC患者的预后及其肿瘤标志物的影响[J].医学临床研究,2022,39(8):1202-1205.
[7] 刘鑫,王晓坤.胸腔镜手术与开胸手术治疗NSCLC的疗效及对患者血清炎性因子水平的影响[J].医学临床研究,2021,38(8):1241-1243.
[8] 邓修平,彭守兴,冯再辉,等. 单孔或多孔胸腔镜下肺叶切除术治疗非小细胞肺癌临床对比分析[J].解放军医学杂志,2020,32(12):1-4.
[9] 颜建华,向泓宪,张志功,等. 单孔胸腔镜后入路解剖性右上肺叶切除术[J].中国微创外科杂志,2020,20(8):696-699.
[10] 于文江,岳志,曹海伦,等. 单孔胸腔镜肺段切除术在治疗Ⅰa期非小细胞肺癌中的应用效果[J].临床和实验医学杂志,2021,20(1):46-49.
[11] 李田,王高祥,徐世斌,等. 单孔胸腔镜肺段切除术治疗早期非小细胞肺癌的临床研究[J].安徽医科大学学报,2021,56(11):1816-1819.
[12] 刘彦军. 早期非小细胞肺癌患者经单孔全胸腔镜解剖性肺段切除术治疗疗效评价[J].中国药物与临床,2021,21(11):1921-1923.
[13] 张博友,刘宇康,钱邦伦,等. 单孔胸腔镜解剖性肺段切除与肺叶切除治疗Ⅰa期非小细胞肺癌近期疗效比较[J].中国现代手术学杂志,2019,23(5):354-359.
[14] 曾敏,徐利强. 单孔胸腔镜下肺段切除术治疗非小细胞肺癌的疗效观察[J].现代肿瘤医学,2020,28(20):3560-3564.
[15] 汤隽,赵俊刚,郑福爽,等. 老年外周型早期非小细胞肺癌行单孔胸腔镜下肺段切除术的疗效及安全性[J].中国老年学杂志,2018,38(13):3130-3131. |
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2025, Vol. 42 
