@article{JTD20373,
author = {Koyo Shirahashi and Hirotaka Yamamoto and Mitsuyoshi Matsumoto and Yusaku Miyamaoto and Hiroyasu Komuro and Kiyoshi Doi and Hisashi Iwata},
title = {Thoracoscopic segmentectomy: hybrid approach for clinical stage I non-small cell lung cancer},
journal = {Journal of Thoracic Disease},
volume = {10},
number = {Suppl 10},
year = {2018},
keywords = {},
abstract = {Background: Recently, minimally invasive surgical approaches have been developed, typified by video-assisted thoracic surgery (VATS). A meticulous surgical procedure to prevent local recurrence is required during segmentectomy for clinical stage I non-small-cell primary lung cancer. In this article, we demonstrated the validity of hybrid VATS segmentectomy.
Methods: Of these 125 patients, 62 (49.6%) underwent intensively radical segmentectomy (RS). The remaining 63 (50.4%) patients underwent palliative segmentectomy (PS). We used two 2-cm ports and performed a muscle-sparing mini-thoracotomy in which a partially open metal retractor allowed direct, thoracoscopic visualization as hybrid VATS segmentectomy in 63.2% of our cases.
Results: The consolidation/tumor ratio obtained with thin-sliced computed tomography was significantly lower in RS cases than in PS cases (P=0.001). The proportion of pathological stage IA cases was significantly higher in RS cases (95.2%) than in PS cases (66.7%; P},
issn = {2077-6624}, url = {https://jtd.amegroups.org/article/view/20373}
}