Assessment of therapeutic effect of muscle-sparing mini-thoractomy and video-assisted thoracoscopic surgery for patients with solitary pulmonary nodule
WU Jian-qiang
CHENG Hong-zhong
WANG Ping
PENG Hao
ZHANG Li-bin
XU Zhe-yuan
Abstract：Objective To investigate the best surgical approach which will be minimally invasive for various types of patients with solitary pulmonary nodule (SPN). Methods One hundred and fifty-six SPN patients were divided into the MST (89 cases) and the VATS (67 cases) group. And then they were randomized into the benign MST group, the benign VATS group, the malignant MST group, and the malignant VATS group based on the pathological findings and final operation method. The related data, including operation time, blood loss during operation, length of hospital stay after surgery, the number of lymph nodes dissected form malignant SPN patient, cost of hospital stay, complications rate postoperative, situation of following-up of benign MST group and benign VATS group, malignant MST group and malignant VATS group were collected for analysis. Results Seven cases in the original VATS group were converted to the MST group, with the converting rate of 10.44%. The operation time and cost of hospitalization were lower in the MST group than those in the VATS group (P<0.05). Conclusion The MST and VATS possess some similar advantages, such as less bleeding, rapid recovery, and fewer complications. So, if the SPN can be located easily, the VATS should be recommended for the patients with no chest disease history, on the contrary, the MST is preferred.
Keywords：Coin lesionpulmonaryVideo-assisted thoracoscopic surgeryMuscle-sparing mini-thoractomy
Publication Date：2014-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：4( 447-450 )