Volume 20 Issue 11
Nov.  2022
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Article Navigation >  Chinese Journal of General Practice  > 2022  >  20(11): 1866-1869
WANG Fang-qing, CHEN Gang, RUAN Wei-min, HU Wei-jian, CHEN Sheng, LI Sheng-ping, WANG Jin-qian. The application of horseshoe-shaped intersegmental plane processing method with energy equipment in thoracoscopic accurate pulmonary nodules segmentectomy[J]. Chinese Journal of General Practice, 2022, 20(11): 1866-1869. doi: 10.16766/j.cnki.issn.1674-4152.002722
Citation: WANG Fang-qing, CHEN Gang, RUAN Wei-min, HU Wei-jian, CHEN Sheng, LI Sheng-ping, WANG Jin-qian. The application of horseshoe-shaped intersegmental plane processing method with energy equipment in thoracoscopic accurate pulmonary nodules segmentectomy[J]. Chinese Journal of General Practice, 2022, 20(11): 1866-1869. doi: 10.16766/j.cnki.issn.1674-4152.002722
shu

The application of horseshoe-shaped intersegmental plane processing method with energy equipment in thoracoscopic accurate pulmonary nodules segmentectomy

doi: 10.16766/j.cnki.issn.1674-4152.002722

  • Ward 1, Department of Thoracic Surgery, Tongling People ' s Hospital, Tongling, Anhui 244000, China

Funds:

 JXYY202211

 202104j07020 003

 卫科研[2019]1号

  • Received Date: 2021-10-25
    Available Online: 2022-12-30
    Abstract
  •   Objective  To explore the effectiveness and safety of the application of horseshoe-shaped intersegmental plane processing method with energy equipment in thoracoscopic accurate pulmonary nodules segmentectomy.  Methods  Total 100 patients underwent thoracoscopic segmentectomy for the treatment of pulmonary nodules in Tongling People ' s Hospital from January 2019 to June 2021 were randomly divided into horseshoe-shaped intersegmental plane incision group with energy equipment (observation group) and intersegmental plane incision group with cutting suture device (control group) according to the random digital table method, with 50 cases in each group. The preoperative and postoperative clinical data was compared and analyzed. The main indexes included the drainage volume within 3 days after operation, the time of pulmonary leakage, arterial blood gas and pulmonary function.  Results  There was no difference in indexes like intraoperative blood loss, operation time, postoperative drainage volume within 3 days, postoperative drainage tube indwelling time, postoperative pulmonary air leakage time, postoperative hospitalization time and postoperative complications between the two groups (all P>0.05). Hospitalization costs in the observation group were significantly less than those in the control group (P < 0.001). At 1 month after operation, the arterial blood gas and the pulmonary function of the observation group was significantly better than that of the control group (all P < 0.05). The postoperative PaO2 in the observation group was higher than that of the control group, the postoperative PaCO2 in the observation group was lower than that of the control group, the postoperative forced vital capacity in the observation group [(2.58±0.43) L] was higher than that of the control group [(2.21±0.34) L], and the postoperative forced expiratory volume in one second in the observation group [(2.32±0.39) L] was higher that of the control group [(1.96±0.32) L]. The differences were statistically significant (all P < 0.05).  Conclusion  The application of horseshoe-shaped intersegmental plane processing method with energy equipment in thoracoscopic accurate pulmonary nodules segmentectomy is a safe and effective method with better pulmonary expansion and high-value consumables saving, which is worth popularizing.

     

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