Head-to-Head Prospective Comparison of Quantitative Lung Scintigraphy and Segment Counting in Predicting Pulmonary Function in Lung Cancer Patients Undergoing Video-Assisted Thoracoscopic Lobectomy

Arnon-Sheleg, Elite; Haberfeld, Ori; Kremer, Ran; Keidar, Zohar; Weiler-Sagie, Michal

doi:10.2967/jnumed.119.234526

Cited by 4 publications

(3 citation statements)

References 24 publications

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“…e results of the present study showed that there was no statistical significance in the incidence of postoperative complications between the two groups of patients. e safety of treatment in patients with early-stage non-small cell lung cancer is also reliable [19]. e results showed that there was no recurrence or metastasis in the two groups of patients during the 12-month follow-up [20].…”

Section: Discussionmentioning

confidence: 97%

Thoracoscopic Lobectomy versus Segmentectomy in the Treatment of Patients with Early-Stage Lung Cancer

Yang

et al. 2022

Evidence-Based Complementary and Alternative Medicine

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Objective. To assess the clinical efficacy of thoracoscopic lobectomy and segmentectomy in the treatment of patients with early-stage lung cancer. Methods. A total of 70 patients with early-stage non-small cell lung cancer who were treated in our hospital from April 2018 to May 2020 were recruited and assigned at a ratio of 1 : 1 to receive either segmentectomy (observation group) or lobectomy (control group). Outcome measures included clinical efficacy, surgery-related indicators, pulmonary function indicators (forced vital capacity (FVC) and forced expiratory volume in one second (FEV1)), postoperative complications, and recurrence and metastasis. Results. There was no significant difference in the clinical efficacy between the two groups ( P > 0.05 ). Segmentectomy was associated with a longer operation time and shorter hospital stay compared to lobectomy ( P < 0.05 ). There was no statistical significance in the amount of intraoperative blood loss and the number of lymph nodes dissected ( P > 0.05 ). Segmentectomy resulted in significantly higher FVC and FEV1 levels in patients compared to lobectomy ( P < 0.05 ). There was no significant difference in the incidence of postoperative complications between the two groups ( P > 0.05 ). The two groups of patients were followed up for 12 months after the operation, and there was no recurrence or metastasis in either group. Conclusion. The two surgical methods have similar efficacy and safety profiles, but for the treatment of patients with early-stage lung cancer, thoracoscopic segmentectomy is associated with a shorter hospital stay and better protection of the lung function of patients compared to lobectomy.

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Section: Discussionmentioning

confidence: 97%

Thoracoscopic Lobectomy versus Segmentectomy in the Treatment of Patients with Early-Stage Lung Cancer

Yang

et al. 2022

Evidence-Based Complementary and Alternative Medicine

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“…Related studies found that the occurrence of lung cancer is mainly caused by the comprehensive effect of in vivo and in vitro factors in patients. In addition, it is also correlated with smoking or smoking history, harmful substances in the environment, family history of diseases, lung or respiratory diseases, and dietary habits [ 8 , 9 ]. Clinical diagnosis depends on pathological examination.…”

Section: Introductionmentioning

confidence: 99%

Nomogram Prediction Model Analysis of Risk Factors for Conversion to Thoracotomy after Thoracoscopic Resection of Lung Cancer and Prognostic Value of Lung Cancer

Zhu

et al. 2022

Computational and Mathematical Methods in Medicine

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This study was aimed at exploring the risk factors for thoracotomy in patients undergoing thoracoscopic resection of lung cancer and further analyzing the factors affecting the prognosis of patients. Ninety-six patients with non-small-cell lung cancer who underwent thoracoscopic pulmonary resection were recruited as the subjects, and they were enrolled into the thoracoscopic group ( n = 88 ) and the thoracotomy group ( n = 8 ) according to whether thoracotomy was performed. Univariate analysis and logistic multivariate regression were performed to analyze the risk factors for conversion to thoracotomy, and nomogram prediction model was employed to analyze the prognostic factors. The results revealed that the proportion of patients over 65 years old, with history of coronary heart disease, diabetes, and pulmonary tuberculosis, etc., in the thoracotomy group and the thoracoscopic group was significantly different ( P < 0.05 ). There were statistically significant differences in the development of interlobular cleft, pleural adhesion, tumor diameter > 3.5 cm, vascular and lymph node invasion, and tumor TNM stage between the thoracotomy group and the thoracoscopic group ( P < 0.05 ). Overall, the age of patients ≥ 65 years old, tumor diameter > 3.5 cm, hypoplasia of interlobular fissure, history of pulmonary tuberculosis, pleural adhesion, and TNM stage IIIa were all independent risk factors for thoracoscopic resection of lung cancer to thoracotomy. Cox model and nomogram prediction model analysis showed that surgery methods, tumor diameter > 3.5 cm, chemotherapy cycle < 4 , chemotherapy, and TNM stage IIIa were all independent factors influencing the prognosis of patients undergoing thoracoscopic lung cancer resection. This nomogram prediction model had high application value in patient prognosis prediction.

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“…1). Die Zählmethode reicht im Normalfall aus für eine hinreichend genaue Schätzung der ppo-Funktion, die Korrelation mit der planaren Perfusionsszintigrafie und mit der SPECT ist gut [18].…”

Section: Zählmethodeunclassified

Evaluation der funktionellen Operabilität vor thoraxchirurgischen Eingriffen

Schuhan

Ludwig

2022

Zentralbl Chir

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Die meisten thoraxchirurgischen Operationen sind geplante Eingriffe. Die Patientenselektion im Vorfeld spielt daher eine entscheidende Rolle, dem „richtigen Patienten“ die „richtige Operation“ zukommen zu lassen. Eine standardisierte präoperative Lungenfunktionsanalyse soll erreichen, dass keinem funktionell operablen Patienten die Operation verwehrt wird, andererseits kein funktionell inoperabler Patient einer Lungenresektion zugeführt wird.

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Head-to-Head Prospective Comparison of Quantitative Lung Scintigraphy and Segment Counting in Predicting Pulmonary Function in Lung Cancer Patients Undergoing Video-Assisted Thoracoscopic Lobectomy

Cited by 4 publications

References 24 publications

Thoracoscopic Lobectomy versus Segmentectomy in the Treatment of Patients with Early-Stage Lung Cancer

Thoracoscopic Lobectomy versus Segmentectomy in the Treatment of Patients with Early-Stage Lung Cancer

Nomogram Prediction Model Analysis of Risk Factors for Conversion to Thoracotomy after Thoracoscopic Resection of Lung Cancer and Prognostic Value of Lung Cancer

Evaluation der funktionellen Operabilität vor thoraxchirurgischen Eingriffen

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