Clinical outcomes and changes in lung function after segmentectomy versus lobectomy for lung cancer cases.

摘要: Objective We compared the clinical outcomes and changes in pulmonary function test (PFT) results after segmentectomy or lobectomy for non–small cell lung cancer. Methods The retrospective study included 212 patients who had undergone (group S) 2336 patients L) from 1997 to 2012. follow-up medical record data were collected. used all longitudinal PFT within 24 months postoperatively performed linear mixed modeling. analyzed 5-year overall disease-free survival stage IA patients. We used propensity score case matching minimize bias due imbalanced group comparisons. Results During perioperative period, 1 death (0.4%) S 7 (0.3%) L occurred. hospital stay 2 groups was similar (median, 5.0 vs days; range, 2-99 2-58). mean period of those with T1a seemed be (4.2 4.5 years, P  = .06; 4.1 4.4  = .07, respectively). Compared segmentectomy, yielded marginally significantly better (4.4 3.9  = .05) (4.1 vs 3.6 years; T1b. did not find a different effect on PFTs lobectomy. Conclusions Both surgical types safe. would advocate disease, especially A large sample size more detailed information should conducted evaluation, additional stratification by lobe laterality.