Video-assisted thoracoscopic apicoposterior segmentectomy

Research on the application of uniportal video-assisted thoracoscopic segmental resection of the lung in elderly patients with non-small cell lung cancer aged over 65 years.

“…Moreover, with the increase of age, the internal organ function and immunity of elderly patients become poor, with complications of chronic diseases such as hypertension and diabetes before surgery [32,33]. Surgical methods with longer postoperative recovery time and greater trauma will undoubtedly have a greater impact on patients' physiology and psychology [34,35], while the application of uniportal video-assisted thoracoscopic segmental resection of the lung has advantages that do not exist in traditional thoracotomy: 1) Small surgical trauma, avoids damage to the ribs and muscles, reduces intraoperative blood loss and shortens postoperative recovery time, thereby avoiding a series of complications such as severe postoperative pain and poor wound healing due to large surgical wounds in elderly patients [36]; 2) Uniportal VATS has a clearer local exposure and a good visual angle, which is similar to the surgical field under the direct vision of thoracotomy. It can ensure the accuracy of the surgery, accurately identify the location of lesions and lymph lesions, and under the guidance of 3D images, can completely utilize the advantages of fine anatomy, maximize the remaining lung function of elderly patients, and improve the postoperative quality of life [37]; 3) The more esthetic wound makes the patient more sat-isfied with the prognosis, avoids the psychological and life disorders due to postoperative scar, is more conducive to the long-term recovery of the patients, and reduces the long-term impact of the surgery on the patient's mind and movement [38].…”