Author(s)

Tao Zhang, Yuanfu Wei

Corresponding Author

Yuanfu Wei

ABSTRACT

Objective: to discuss feasibility and safety of pulmonary segmentectomy under total thoracoscope in treatment of peripheral early lung cancer and pulmonary metastasis tumor. Method: the clinical data of 25 patients with peripheral early lung cancer and pulmonary metastasis tumor who received pulmonary segmentectomy under total thoracoscope in our hospital from February 2016 to February 2018 were retrospectively analyzed. Results: the operation was completed successfully for all 25 patients. Intraoperative bleeding volume (105.66.2)ml, duration of operation (137.68.0)min, duration of postoperative drainage (2.60.7)d, duration of hospitalization (7.11.3)d. Pulmonary atelectasis happened to 3 patients after the operation. After the corresponding treatment was given, the symptom disappeared. Bronchopleural fistula, respiratory failure, infection of incisional wound and other severe complications were not found. The wound healing was good, and scar tissue was not found. During 2-year postoperative follow-up visit, tumor metastasis or relapse was not seen. Conclusion: pulmonary segmentectomy under total thoracoscope has high safety in treatment of peripheral early lung cancer and pulmonary metastasis tumor. Besides, it has good feasibility. Therefore, it deserves to be promoted.

KEYWORDS

Peripheral lung cancer, thoracoscope, pulmonary segmentectomy, prognosis