Comparison of short-term outcomes between fluorescence method versus modified inflation-deflation method on thoracoscopic anatomical segmentectomy: a study based on propensity score matching
10.3760/cma.j.cn112434-20220127-00032
- VernacularTitle:基于倾向性评分匹配法的荧光法与改良膨胀－萎陷法解剖性肺段切除术的近期效果比较
- Author:
Baoming WANG
1
;
Feng WU
;
Dongchun MA
;
Mingming WANG
;
Tangbin LIU
;
Congshu HUA
;
Chaodong ZHANG
;
Wensheng WANG
;
Xiang DING
;
Jian ZHAO
;
Chen DAI
Author Information
1. 安徽省胸科医院胸外一科，合肥 230022
- Keywords:
Segmentectomy;
Fluorescence;
Indocyanine green;
Modified inflation-deflation
- From:
Chinese Journal of Thoracic and Cardiovascular Surgery
2023;39(3):134-141
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the application value of fluorescence imaging in single-port thoracoscopic anatomic segmentectomy.Methods:The clinical data of 280 patients (145 patients with fluorescence method and 135 patients with modified inflation-deflation method) who underwent thoracoscopic anatomic segmentectomy were retrospectively studied in the Anhui Chest Hospital from June 2020 to June 2021. There were 113 patients in the simple segmentectomy group and 167 patients in the complex segmentectomy group. The baseline data of the fluorescence method and the modified inflation-deflation method in the complex segmentectomy group were corrected by propensity score matching, and the perioperative results were compared between the groups.Results:There were no significant differences in segmental resection time, intraoperative blood loss, postoperative drainage, postoperative pain, postoperative extubation time, length of hospital stay, incidence of complications and cost of hand-holding between the fluorescence method and the modified method of the simple segmentectomy group.In the complex segmentectomy group, the time of segmental resection with the fluorescence method was significantly shorter than that with the modified inflation-deflation method( P<0.05), and other indexes had no significant difference. Conclusion:Fluorescence method single-port thoracoscopic anatomic segmentectomy has the same perioperative safety and short-term efficacy as modified inflation-deflation method, which can significantly shorten the operative time and improve the operative efficiency in complex anatomic segmentectomy.
