Clinical Application of Single-port Thoracoscopic Pulmonary Subsegmental/Segmentectomy in Elderly Patients with Pulmonary Nodules<2 cm
Objective:To investigate the clinical application of single-port thoracoscopic pulmonary subsegmental/segmental resection in elderly patients with pulmonary nodules<2 cm.Method:A total of 100 elderly patients with pulmonary nodules<2 cm who were admitted to the Department of Thoracic Surgery of Wuxi Huishan District People's Hospital from June 2021 to June 2023 were selected as the study subjects,and were divided into observation group and control group according to the random number table method,with 50 cases in each group.The control group underwent single-port thoracoscopic segmental resection,while the observation group underwent single-port thoracoscopic subsegmental resection.The operation-related indexes,postoperative pain degree[visual analogue scale(VAS)]and incidence of complications in the two groups were observed.Result:The operation time and hospital stay in the observation group were shorter than those in the control group,and the intraoperative blood loss and postoperative drainage volume were lower than those in the control group,the differences were statistically significant(P<0.05).The VSA scores of both groups at 5 days postoperatively were lower than those at 1 and 3 days postoperatively,and the VAS scores at 3 days postoperatively were lower than those at 1 day postoperatively,the differences were statistically significant(P<0.05);the VAS scores of the observation group at 1,3 and 5 d after operation were lower than those of the control group,the differences were statistically significant(P<0.05).The incidence of complications in the observation group was 6.00%,while it in the control group was 12.00%,the difference was not statistically significant(P>0.05).Conclusion:Compared with single-port thoracoscopic segmentectomy,single-port thoracoscopic subsegmentectomy is less invasive for elderly patients with pulmonary nodules<2 cm,which is more effective in improving surgery-related indicators,reducing postoperative pain.
万方数据
维普
