No-waiting segmentectomy: an optimized approach for segmentectomy

doi:10.21037/jtd-20-2661

	No-waiting segmentectomy: an optimized approach for segmentectomy
	Wang, Changchun 1,2; Cai, Lei 1,2; Chen, Qian 1,2; Xu, Xiaofang 1,2; Liang, Jinxiao 1,2; Mao, Weimin 1,2,3; Chen, Qixun 1,2,3
刊名	JOURNAL OF THORACIC DISEASE
	2021-02-01
卷号	13
关键词	Pulmonary segmentectomy no-waiting modified inflation-deflation method intersegmental planes
ISSN号	2072-1439
DOI	10.21037/jtd-20-2661
通讯作者	Mao, Weimin(maowm1218@163.com) ; Chen, Qixun(chenqixun64@163.com)
英文摘要	Background: Currently, modified inflation-deflation is considered the easiest way to identify the intersegmental plane during pulmonary segmentectomy. However, this approach requires a wait of about 10- 20 min during the operative procedure. Therefore, we optimized the procedure, which we call no-waiting segmentectomy. In this study, we compared no-waiting segmentectomy with the modified inflation-deflation method. Methods: We studied 123 consecutive patients with pulmonary ground-glass nodules who underwent segmentectomy by uniportal video-assisted thoracoscopic surgery in a single medical group from January 2019 to April 2020. Forty-five patients underwent the modified inflation-deflation method and 78 patients underwent the no-waiting method. The no-waiting procedure involved severing of the target segmental pulmonary artery, inflating the lung with atmospheric air, dissecting the hilum, and dividing the target segmental bronchus. The entire procedure could be performed at a stretch and no pause was needed. We compared the two methods for surgery time, bleeding volume, drainage time, and postoperative hospital stay. Propensity-score matching was used to adjust the baseline characteristics. Results: Thirty-three pairs of 123 patients were successfully matched. Before propensity-score matching, there was no difference between the two methods in terms of surgery time, bleeding volume, drainage time, and postoperative hospital stay. After propensity-score matching, the surgery time in the no-waiting group was significantly shorter than that in the modified inflation-deflation method group (80.12 +/- 35.53 vs. 102.97 +/- 48.07 min, P=0.03). There was no difference between the two methods in terms of bleeding volume, drainage time, and postoperative hospital stay. Conclusions: No-waiting segmentectomy was associated with a reduced surgery time, compared to that associated with modified inflation-deflation segmentectomy. Furthermore, no-waiting segmentectomy did not increase bleeding volume, drainage time, and postoperative hospital stay. Thus, no-waiting segmentectomy is an optional optimized approach for segmentectomy.
资助项目	Zhejiang Provincial Natural Science -Mathematical Medicine Association Joint Fund[LSY19H160001] ; Medical Science and Technology Project of Zhejiang Province[2013KYA031] ; Medical Science and Technology Project of Zhejiang Province[2021KY560]
WOS关键词	INFRARED THORACOSCOPY ; INTERSEGMENTAL PLANES ; IDENTIFICATION ; SURGERY
WOS研究方向	Respiratory System
语种	英语
出版者	AME PUBL CO
WOS记录号	WOS:000624138600029
资助机构	Zhejiang Provincial Natural Science -Mathematical Medicine Association Joint Fund ; Medical Science and Technology Project of Zhejiang Province
内容类型	期刊论文
源URL	[http://ir.hfcas.ac.cn:8080/handle/334002/120844]
专题	中国科学院合肥物质科学研究院
通讯作者	Mao, Weimin; Chen, Qixun
作者单位	1.Chinese Acad Sci, Inst Canc & Basic Med ICBM, Hangzhou 310022, Peoples R China 2.Univ Chinese Acad Sci, Zhejiang Canc Hosp, Canc Hosp, Dept Thorac Surg, Hangzhou 310022, Peoples R China 3.Zhejiang Canc Hosp, Dept Thorac Surg, Zhejiang Key Lab Diag & Treatment Technol Thorac, Hangzhou 310022, Peoples R China
推荐引用方式 GB/T 7714	Wang, Changchun,Cai, Lei,Chen, Qian,et al. No-waiting segmentectomy: an optimized approach for segmentectomy[J]. JOURNAL OF THORACIC DISEASE,2021,13.
APA	Wang, Changchun.,Cai, Lei.,Chen, Qian.,Xu, Xiaofang.,Liang, Jinxiao.,...&Chen, Qixun.(2021).No-waiting segmentectomy: an optimized approach for segmentectomy.JOURNAL OF THORACIC DISEASE,13.
MLA	Wang, Changchun,et al."No-waiting segmentectomy: an optimized approach for segmentectomy".JOURNAL OF THORACIC DISEASE 13(2021).