Xie Hongya, Tang Jinxing, Zhu Donglin, Yuan Guangda, Wei Tengteng, Liu Xiaoqiang, Yang Yong
Department of Thoracic Surgery, The Affiliated Suzhou Hospital of Nanjing Medical University, Suzhou, China.
Department of Thoracic Surgery, Henan Provincial People's Hospital, Henan, China.
Wideochir Inne Tech Maloinwazyjne. 2021 Sep;16(3):571-579. doi: 10.5114/wiitm.2021.106829. Epub 2021 Jun 4.
The literature regarding the application of uniportal video-assisted thoracoscopic segmental resection of the lung in patients aged over 65 years with non-small cell lung cancer (NSCLC) is sparse. This paper reports 175 cases of uniportal video-assisted thoracoscopic segmental resection of the lung performed at one center, of which 63 patients were over 65 years old.
To investigate the safety and feasibility of uniportal video-assisted thoracoscopic segmental resection of the lung in elderly patients aged over 65 years with NSCLC.
A retrospective analysis of 175 NSCLC patients who underwent uniport video-assisted thoracoscopic segmental resection of the lung in the center from August 2018 to August 2020 was conducted, and based on the age of 65 years, patients were divided into elderly and non-elderly groups. The general data and perioperative indicators of the two groups were compared.
The procedures were completed in all patients without death or conversion to open surgery. In the general data of the two groups of patients, the prevalence of emphysema in the elderly group was significantly higher than that in the non-elderly group (p = 0.001). However, there was no statistically significant difference between the two groups in surgery time, intraoperative blood loss, thoracic drainage tube retention time, postoperative hospital stay, incision satisfaction, or postoperative complications (p > 0.05).
Uniportal video-assisted thoracoscopic segmental resection of the lung is feasible and safe in elderly patients with NSCLC aged over 65 years.
关于65岁以上非小细胞肺癌（NSCLC）患者单孔电视辅助胸腔镜肺段切除术应用的文献较少。本文报告了在一个中心进行的175例单孔电视辅助胸腔镜肺段切除术，其中63例患者年龄超过65岁。
探讨65岁以上老年NSCLC患者单孔电视辅助胸腔镜肺段切除术的安全性和可行性。
对2018年8月至2020年8月在该中心接受单孔电视辅助胸腔镜肺段切除术的175例NSCLC患者进行回顾性分析，并根据65岁的年龄界限将患者分为老年组和非老年组。比较两组的一般资料和围手术期指标。
所有患者手术均顺利完成，无死亡或中转开胸情况。在两组患者的一般资料中，老年组肺气肿患病率显著高于非老年组（p = 0.001）。然而，两组在手术时间、术中出血量、胸腔引流管留置时间、术后住院时间、切口满意度或术后并发症方面差异无统计学意义（p > 0.05）。
单孔电视辅助胸腔镜肺段切除术在65岁以上老年NSCLC患者中可行且安全。
