title: Comparison of short-term effect of thoracoscopic segmentectomy and thoracoscopic lobectomy for the solitary pulmonary nodule and early-stage lung cancer.
abstract: OBJECTIVE
  To compare the short-term effect of anatomic video-assisted thoracoscopic surgery (VATS) segmentectomy and VATS lobectomy.
  
  
  METHODS
  From January 2011 to December 2012, 21 patients underwent VATS segmentectomy and 61 underwent VATS lobectomy. Intraoperative blood loss, operating time, postoperative drainage time, length of hospital stay, postoperative complications, local recurrence, and survival were compared between the two groups.
  
  
  RESULTS
  The intraoperative blood loss and average hospital stay were less in the segmentectomy group than in the lobectomy group (P<0.05). There was no significant difference in the operating time, number of lymph nodes dissected, postoperative drainage time, or 1-year survival between the two groups (P>0.05). Only one patient died because of heart disease. The two groups had a similar incidence of postoperative complications (P>0.05). There was one (4.8%) local recurrence after segmentectomy and two (3.3%) after lobectomy (P>0.05).
  
  
  CONCLUSIONS
  VATS segmentectomy could be performed safely and is a method with favorable 1-year survival. It may be the ideal surgical procedure for patients with solitary pulmonary nodules in early stage lung cancer, especially for those with limited cardiopulmonary reserve or significant comorbidities.
authors.affiliation: Department of Thoracic Surgery, Cangzhou Central Hospital, Hebei, People's Republic of China.
authors.forename: Mingming
authors.initials: M
authors.lastname: Ren
authors.affiliation: Department of Thoracic Surgery, Cangzhou Central Hospital, Hebei, People's Republic of China.
authors.forename: Qingjun
authors.initials: Q
authors.lastname: Meng
authors.affiliation: Department of Thoracic Surgery, Cangzhou Central Hospital, Hebei, People's Republic of China.
authors.forename: Wenyan
authors.initials: W
authors.lastname: Zhou
authors.affiliation: Department of Thoracic Surgery, Cangzhou Central Hospital, Hebei, People's Republic of China.
authors.forename: Fanyi
authors.initials: F
authors.lastname: Kong
authors.affiliation: Department of Thoracic Surgery, Cangzhou Central Hospital, Hebei, People's Republic of China.
authors.forename: Bo
authors.initials: B
authors.lastname: Yang
authors.affiliation: Department of Thoracic Surgery, Cangzhou Central Hospital, Hebei, People's Republic of China.
authors.forename: Jun
authors.initials: J
authors.lastname: Yuan
authors.affiliation: The Xiangya Medical School of Central-South University, Changsha, People's Republic of China.
authors.forename: Dongwen
authors.initials: D
authors.lastname: Wu
authors.affiliation: Tianjin Medical University, Tianjin, People's Republic of China.
authors.forename: Jing
authors.initials: J
authors.lastname: Zhang
authors.affiliation: The Xiangya Medical School of Central-South University, Changsha, People's Republic of China.
authors.forename: Qiaqia
authors.initials: Q
authors.lastname: Li
authors.affiliation: Tianjin Medical University, Tianjin, People's Republic of China.
authors.forename: Yunshou
authors.initials: Y
authors.lastname: Lin
authors.affiliation: Harvard University, Cambridge, MA, USA.
authors.forename: Vidya Bhavani
authors.initials: VB
authors.lastname: Viswanathan
authors.affiliation: Department of Thoracic Surgery, Cangzhou Central Hospital, Hebei, People's Republic of China.
authors.forename: Xiang
authors.initials: X
authors.lastname: Song
keywords: lobectomy; segmentectomy; solitary pulmonary nodules; thoracoscopes
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