Application of Three-dimensional Reconstruction in Single Utility-port Thoracoscopic Segmentectomy for Early Stage Non-small Cell Lung Cancer: A Propensity Score-matched Analysis
10.3971/j.issn.1000-8578.2021.21.0072
- VernacularTitle:三维重建在单操作孔胸腔镜肺段切除术治疗早期非小细胞肺癌中的应用：一项倾向性评分匹配研究
- Author:
Peilin YOU
1
;
Wenshu CHEN
;
Lilan ZHAO
;
Tianxing GUO
;
Lihuan ZHU
;
Pengjie TU
;
Jianyuan HUANG
;
Xiaojie PAN
Author Information
1. Department of Thoracic Surgery, Fujian Provincial Hospital, Shengli Clinical Medical College of Fujian Medical University, Fuzhou 350001, China
- Publication Type:Research Article
- Keywords:
Three-dimensional(3D) reconstruction;
Segmentectomy;
Propensity score matching(PSM);
Single utility-port thoracoscopic surgery;
Early stage lung cancer
- From:
Cancer Research on Prevention and Treatment
2021;48(4):387-392
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the clinical value of 3D reconstruction in the single utility-port thoracoscopic segmentectomy of early stage NSCLC by propensity score matching (PSM). Methods We retrospectively analyzed clinical data of 150 early stage NSCLC patients undergoing single utility-port thoracoscopic segmentectomy. The patients were divided into reconstruction group (n=58) and non-reconstruction group (n=92) according to 3D reconstruction. PSM was performed on two groups to compare perioperative outcomes. Results Procedures were successfully completed on all patients, without perioperative death. In each group, 43 patients were successfully matched after PSM on the basis of 8 confounding factors, age, gender, smoking status, BMI, maximum tumor diameter on CT, tumor location, % FEV1 and type of planned segmentectomy. After PSM, in complex segmentectomy, the patients in the reconstruction group had shorter operation time (155.77±30.17 vs. 212.94±66.49min, P < 0.001) and less blood loss (46.00±25.94 vs. 88.79±68.36ml, P=0.002), compared with the non- reconstruction group. Conclusion Preoperative 3D reconstruction could help improve the efficiency of single utility-port thoracoscopic surgery for complex segmentectomy and reduce intraoperative bleeding.
