Explore the influence of different factors on the relevant information of basal lung resection under thoracoscopic surgery
10.3760/cma.j.cn112434-20240201-00032
- VernacularTitle:不同因素对胸腔镜下肺基底段切除手术相关信息的影响
- Author:
Fei QI
1
;
Hongxiang FENG
;
Yu HAN
;
Fei XIAO
;
Yuhui SHI
;
Chaoyang LIANG
;
Deruo LIU
;
Zhenrong ZHANG
Author Information
1. 中日友好医院中日友好临床医学研究所 北京协和医学院 中国医学科学院，北京 100029
- Keywords:
Basal segmentectomy;
Thoracoscopic surgery;
Lung cancer;
Perioperative period
- From:
Chinese Journal of Thoracic and Cardiovascular Surgery
2024;40(7):392-398
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the influence of pulmonary nodule size, nodule location, fissure, surgical approach, surgical entrance, postoperative pathology, surgical method and other factors on the relevant information of basal segmentectomy under thoracoscopy.Methods:Retrospectively analyze 103 patients who underwent thoracoscopic basal segmentectomy of the lung from January 2023 to February 2024. According to the classification of nodule size, nodule position, development of pulmonary fissure, surgical approach, number of surgical entrance, postoperative pathology, surgical method, tc., the influence of single factor Logistic regression analysis was used to explore the influence of various factors on the relevant information of pulmonary basal segmentectomy under thoracoscopy. Results:When the dependent variable was the surgery duration, single factor analysis showed that CT location( P=0.024), nodule composition( P=0.029), surgical entry( P=0.002), surgical method( P<0.001), and surgical approach( P=0.052) significantly influenced the surgery duration. Variables with P<0.1 in the single factor analysis were included in the multivariate analysis, which showed that surgical entry and surgical method significantly influenced surgery duration( P<0.05). When the dependent variable was the total hospitalization cost, single factor analysis showed that CT location, surgical approach, and surgical method significantly influenced the total hospitalization cost( P<0.1). Multiple factor analysis showed that the surgical method affected the total hospitalization cost, with significantly higher costs when S9 or S10 lung segments were resected( P=0.050). When the dependent variable was postoperative drainage duration, single factor analysis showed that the condition of the lung fissures significantly influenced postoperative drainage duration( P=0.028). Multiple factor regression analysis showed that incomplete lung fissure development significantly increased the possibility of postoperative air leaks( P=0.034). Conclusion:The surgical access may significantly affect the operation time, which is the use of uniport thoracoscopy is shorter than the multi-port operation time, the surgical method does not contain S9/S10 is shorter than that of S9/S10, and the total cost of hospitalization is lower. The completeness of the fissure will significantly decrease the possibility of postoperative pulmonary leakage.
