作者: Maria F. Echavarria , Anna M. Cheng , Frank O. Velez-Cubian , Emily P. Ng , Carla C. Moodie
DOI: 10.1016/J.AMJSURG.2016.09.017
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摘要: Abstract Background Lobectomy is standard treatment for early-stage lung cancer, but sublobar resection remains debated. We compared outcomes after robotic-assisted video-assisted thoracoscopic (R-VATS) segmentectomy vs lobectomy. Methods retrospectively analyzed data from 251 consecutive patients who underwent R-VATS lobectomy (n = 208) or 43) by a single surgeon over 36 months. Pulmonary function tests and perioperative were using Chi-squared test, unpaired Student t Kruskal–Wallis with significance at P ≤ .05. Results Intraoperative complications not significantly different, median operative times longer segmentectomies ( .032) of effusions empyema .011) segmentectomies. Predicted changes forced expiratory volume in 1 second diffusion constant the carbon monoxide are less Conclusions should be considered as an alternative to conserving respiratory-compromised cancer patients, although oncologic efficacy undetermined.