دورية أكاديمية
أعرض في EDS

Pulmonary Function Recovery and Displacement Patterns After Anatomic Segmentectomy vs Lobectomy.

التفاصيل البيبلوغرافية
العنوان: Pulmonary Function Recovery and Displacement Patterns After Anatomic Segmentectomy vs Lobectomy.
المؤلفون: Dai J; Department of Thoracic Surgery, Shanghai Pulmonary Hospital, Tongji University School of Medicine, Shanghai, China., Sun F; Department of Thoracic Surgery, Shanghai Pulmonary Hospital, Tongji University School of Medicine, Shanghai, China., Bao M; Department of Thoracic Surgery, Shanghai Pulmonary Hospital, Tongji University School of Medicine, Shanghai, China., Cao J; Department of Radiology, Shanghai Pulmonary Hospital, Tongji University School of Medicine, Shanghai, China., Jin K; Department of Thoracic Surgery, Shanghai Pulmonary Hospital, Tongji University School of Medicine, Shanghai, China., Zhang A; Department of Medical Statistics, Tongji University School of Medicine, Shanghai, China., Zhou Y; Department of Thoracic Surgery, Shanghai Pulmonary Hospital, Tongji University School of Medicine, Shanghai, China., Zhang P; Department of Thoracic Surgery, Shanghai Pulmonary Hospital, Tongji University School of Medicine, Shanghai, China., Shi J; Department of Radiology, Shanghai Pulmonary Hospital, Tongji University School of Medicine, Shanghai, China., Jiang G; Department of Thoracic Surgery, Shanghai Pulmonary Hospital, Tongji University School of Medicine, Shanghai, China. Electronic address: geningjiang@tongji.edu.cn.
المصدر: The Annals of thoracic surgery [Ann Thorac Surg] 2024 Aug; Vol. 118 (2), pp. 365-374. Date of Electronic Publication: 2024 Feb 01.
نوع المنشور: Journal Article; Comparative Study
اللغة: English
بيانات الدورية: Publisher: Elsevier Country of Publication: Netherlands NLM ID: 15030100R Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1552-6259 (Electronic) Linking ISSN: 00034975 NLM ISO Abbreviation: Ann Thorac Surg Subsets: MEDLINE
أسماء مطبوعة: Publication: Amsterdam : Elsevier
Original Publication: Boston.
مواضيع طبية MeSH: Pneumonectomy*/methods , Lung Neoplasms*/surgery , Recovery of Function*, Humans ; Male ; Female ; Aged ; Middle Aged ; Retrospective Studies ; Forced Expiratory Volume/physiology ; Respiratory Function Tests ; Lung/surgery ; Lung/physiopathology
مستخلص: Background: The functional benefit of segmentectomy compared with lobectomy remains controversial. This ambispective study characterizes the changes in pulmonary function as correlated to displacement patterns of residual lung after segmentectomies vs lobectomies.
Methods: Patients with normal preoperative pulmonary function and undergoing segmentectomy or lobectomy between 2017 and 2021 were considered. Pulmonary function testing was scheduled preoperatively and at least 3 months postoperatively. Differences in the proportions of the median forced expiratory volume in 1 second (FEV 1 ) reduction between segmentectomy and lobectomy were calculated. Covariance analysis was used to estimate the adjusted postoperative FEV 1 (apoFEV 1 ) and compare the difference value (DV) in apoFEV 1 between segmentectomy and lobectomy.
Results: The study enrolled 634 patients (334 lobectomies and 300 segmentectomies). Median difference in the proportions of the FEV 1 reduction between segmentectomy and lobectomy was 4.58%, with maximal difference observed in right S6 (9.08%) and minimal difference in left S1+2+3 (2.80%). For resections involving the upper lobe, apoFEV 1 was significantly higher after segmentectomy than after lobectomy (DV, 0.15-0.22 L), except for left S3 and S1+2+3 segmentectomies (DV, 0.08 L and 0.06 L, respectively). Compared with a lower lobe lobectomy, S6 segmentectomy conferred a higher apoFEV 1 , whereas S7+8 and S9+10 had a similar apoFEV 1 (DV, 0.16-0.18 L, 0.07 L, and 0.00-0.06 L, respectively). Functional recovery after segmentectomy was associated with the number of intersegment planes (P < .01) and the presence of an adjacent nonoperated on lobe (P = .03).
Conclusions: Basilar and left S3 segmentectomies did not preserve more pulmonary function compared with their corresponding lobectomies, possibly due to the presence of multiple intersegmental resection planes.
(Copyright © 2024 The Society of Thoracic Surgeons. Published by Elsevier Inc. All rights reserved.)
تواريخ الأحداث: Date Created: 20240203 Date Completed: 20240725 Latest Revision: 20240725
رمز التحديث: 20240726
DOI: 10.1016/j.athoracsur.2024.01.022
PMID: 38309611
قاعدة البيانات: MEDLINE
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