Comparison of postoperative pulmonary function between segmentectomy and lobectomy in patients with early stage lung cancer: a meta-analysis
10.3760/cma.j.issn.1001-4497.2017.09.006
- VernacularTitle:肺段与肺叶切除术对早期肺癌术后肺功能影响的meta分析
- Author:
Hongwei LV
1
;
Yin LI
;
Meihong ZHOU
;
Wenqun XING
;
Shilei LIU
;
Jiwei CHENG
Author Information
1. 450008,郑州大学附属肿瘤医院胸外科
- Keywords:
Lung cancer;
Segmentectomy;
Lobectomy;
Pulmonary function
- From:
Chinese Journal of Thoracic and Cardiovascular Surgery
2017;33(9):534-538
- CountryChina
- Language:Chinese
-
Abstract:
Objective To systemic evaluate postoperative pulmonary function between segmentectomy and lobectomy in patients with early stage non-small cell lung cancer.Methods Computer searched was performed up to September 2016 at the Cochrane Library,PubMed,EMBASE,CBM,CNKI,VIP and Wanfang database,collected postoperative pulmonary function between segmentectomy and lobectomy in Patients with early stage Non-Small Cell Lung Cancer.Study selection,data collection and critical assessment of the included studies were performed according to the recommendations of the Cochrane Collaboration.Results Eight studies included 308 segmentectomy and 386 lobectomy were identified for inclusion.FVC% (MD =9.91,95% CI:3.53-16.30,P =0.002),postoperation / preoperation FVC% (MD =6.74,95% CI:5.52-7.79,P <0.05),FEV1% (MD =13.25,95% CI:10.25-16.26,P < 0.05),postoperation / preoperation FEV1% (MD =7.18,95 % CI:5.88-8.48,P < 0.05) showed significant difference.Conclusion Pulmonary function index was superior to lobectomy after segmentectomy in patients with early stage lung cancer,and segmentectomy resection was more beneficial to preserve lung function.