Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Wertheim cung cấp cho các bạn kiến thức về ngành y đề tài: Combined subsegmentectomy: postoperative pulmonary function compared to multiple segmental resection. | Yoshimoto et al. Journal of Cardiothoracic Surgery 2011 6 17 http content 6 1 17 JCTS JOURNAL OF CARDIOTHORACIC SURGERY RESEARCH ARTICLE Open Access Combined subsegmentectomy postoperative pulmonary function compared to multiple segmental resection 1 1 1 11 Kentaro Yoshimoto Hiroaki Nomori Takeshi Mori Yasuomi Ohba Kenji Shiraishi Koei Ikeda Abstract Background For small peripheral C-T1N0M0 non-small cell lung cancers involving multiple segments we have conducted a resection of subsegments belonging to different segments . combined subsegmentectomy CSS to avoid resection of multiple segments or lobectomy. Tumor size location of tumor and forced expiratory volume in 1 second FEV1 of each preserved lobe were compared among the CSS resection of single segment and that of multiple segments. Methods FEV1 of each preserved lobe were examined in 17 patients who underwent CSS 56 who underwent resection of single segment and 41 who underwent resection of multiple segments by measuring pulmonary function and lung-perfusion single-photon-emission computed tomography and computed tomography before and after surgery. Results Tumor size in the CSS was significantly smaller than that in the resection of multiple segments vs. cm p . Tumors in the CSS were located in the right upper lobe more frequently than those in the resection of multiple segments 53 vs. 5 p . Postoperative of FEV1 of each lobe after the CSS was higher than that after the resection of multiple segments vs. l p . Mean FEV1 of each preserved lobe per subsegment after CSS was significantly higher than that after resection of multiple segments vs. l p . There was no significant difference of these factors between the CSS and resection of single segment. Conclusions The CSS is effective for preserving pulmonary function of each lobe especially for small sized lung cancer involving multiple segments in the .
