Application of Three-dimensional Reconstruction in Single Utility-port Thoracoscopic Segmentectomy for Early Stage Non-small Cell Lung Cancer: A Propensity Scorematched Analysis

• Published in: Zhongliu fangzhi yanjiu Vol. 48; no. 4; p. 387
• Main Authors: You, Peilin, Chen, Wenshu, Zhao, Lilan, Guo, Tianxing, Zhu, Lihuan, Tu, Pengjie, Huang, Jianyuan, Pan, Xiaojie
• Format: Journal Article
• Language: Chinese
• Published: Tianjin China Anti-Cancer Association 01.04.2021
• Subjects: Diameters; Lung cancer; Non-small cell lung carcinoma; Patients; Small cell lung carcinoma; Surgery; Tumors
• ISSN: 1000-8578
• DOI: 10.3971/j.issn.1000-8578.2021.21.0072

Objective To evaluate the clinical value of 3D reconstruction in the single utility-port thoracoscopic segmentectomy of early stage NSCLC by propensity score matching (PSM). Methods We retrospectively analyzed clinical data of 150 early stage NSCLC patients undergoing single utilityport thoracoscopic segmentectomy. The patients were divided into reconstruction group (n=58) and nonreconstruction group (n=92) according to 3D reconstruction. PSM was performed on two groups to compare perioperative outcomes. Results Procedures were successfully completed on all patients, without perioperative death. In each group, 43 patients were successfully matched after PSM on the basis of 8 confounding factors, age, gender, smoking status, BMI, maximum tumor diameter on CT, tumor location, % FEV1 and type of planned segmentectomy. After PSM, in complex segmentectomy, the patients in the reconstruction group had shorter operation time (155.77±30.17 vs. 212.94±66.49min, P<0.001) and less blood loss (46.00±25.94 vs. 88.79±68.36