Does segmentectomy really preserve the pulmonary function better than lobectomy for patients with early-stage lung cancer?
| العنوان: | Does segmentectomy really preserve the pulmonary function better than lobectomy for patients with early-stage lung cancer? |
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| المؤلفون: | Takahiro Nakajima, Ichiro Yoshino, Teruaki Mizobuchi, Hidemi Suzuki, Takekazu Iwata, Taiki Fujiwara, Kaoru Nagato, Shigetoshi Yoshida, Junichi Morimoto |
| المصدر: | Surgery Today. 47:463-469 |
| بيانات النشر: | Springer Science and Business Media LLC, 2016. |
| سنة النشر: | 2016 |
| مصطلحات موضوعية: | Male, Vital capacity, medicine.medical_specialty, Lung Neoplasms, medicine.medical_treatment, Vital Capacity, 030204 cardiovascular system & hematology, Pulmonary function testing, 03 medical and health sciences, FEV1/FVC ratio, Pneumonectomy, 0302 clinical medicine, Carcinoma, Non-Small-Cell Lung, Forced Expiratory Volume, medicine, Humans, Lung volumes, Stage (cooking), Lung cancer, Lung, Aged, Neoplasm Staging, Retrospective Studies, business.industry, General Medicine, Middle Aged, respiratory system, medicine.disease, Respiratory Function Tests, respiratory tract diseases, Treatment Outcome, medicine.anatomical_structure, 030220 oncology & carcinogenesis, Female, Surgery, Radiology, Tomography, X-Ray Computed, business, Organ Sparing Treatments |
| الوصف: | Recently, segmentectomy has been considered as an alternative to lobectomy in early peripheral non-small lung cancer (NSCLC); however, controversy has remained regarding the long-term functional advantage after segmentectomy. The aim of this study was to analyze the postoperative lung function after segmentectomy and lobectomy for non-small cell lung cancer. Patients with p-T1aN0M0 NSCLC who had undergone segmentectomy (n = 37) or lobectomy (n = 33) were retrospectively analyzed. The ratios of postoperative to preoperative forced vital capacity (FVC) and forced expiratory volume in 1 s (FEV1) were defined as the recovery rates. The radiological lung volume and weight were evaluated before and more than 6 months after surgery, and the postoperative values were compared with the predicted values that were calculated from the preoperative values, subtracting the resected lobes or segments. The clinical characteristics, including the preoperative lung function showed no significant differences between the groups. No statistical differences were recognized in the trend lines for recovery ratios of FVC and FEV1.0 (P = 0.96 and P = 0.33). The recovery ratios for radiologic lung volume and weight showed no significant differences (P = 0.46 and P = 0.22). The postoperative lung volume and weight were almost the same as the predicted values after segmentectomy, whereas those after lobectomy were significantly higher than the predicted values. No functional advantage for segmentectomy was observed during long-term follow-up, possibly due to compensatory lung growth after lobectomy. |
| تدمد: | 1436-2813 0941-1291 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::87df0f0991c42dac659a2eeaec4b3b08 https://doi.org/10.1007/s00595-016-1387-4 |
| حقوق: | CLOSED |
| رقم الأكسشن: | edsair.doi.dedup.....87df0f0991c42dac659a2eeaec4b3b08 |
| قاعدة البيانات: | OpenAIRE |
Find this article in full text from Springer Verlag. | تدمد: | 14362813 09411291 |
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