V6 vein-preserving superior segmentectomy: A potentially preferable option

Area of Science:

• Thoracic surgery
• Surgical oncology
• Pulmonary medicine

Background:

• Increasing pulmonary nodule identification necessitates advanced surgical techniques.
• Segmentectomy is a complex procedure requiring optimization for clinical efficacy.
• Superior segmentectomy is a critical intervention for specific lung pathologies.

Purpose of the Study:

• To evaluate the safety and efficacy of V6-preserving superior segmentectomy.
• To compare V6-preserving superior segmentectomy with non-V6 preserving techniques.
• To assess short- and long-term outcomes, including survival and complications.

Main Methods:

• Retrospective analysis of thoracoscopic superior segmentectomy patients (January 2019 - June 2020).
• Categorization into V6 vein-preserving segmentectomy (VVPS) and Non V6 vein-preserving segmentectomy (NVVPS) groups.
• Evaluation of surgical margins, 3-year survival rates (OS, DFS), complication rates, operative time, blood loss, hospital stay, and costs.

Main Results:

• No significant differences in 3-year overall survival (OS) and disease-free survival (DFS) between VVPS and NVVPS groups (p > 0.05).
• NVVPS group showed significantly lower median hospitalization costs (p < 0.05).
• No statistically significant differences in postoperative complications or length of stay between groups (p > 0.05).

Conclusions:

• V6-preserving superior segmentectomy is a safe and optimized surgical approach.
• The simplified procedure aids adoption in primary healthcare settings.
• This technique represents a superior option for performing superior segmentectomies.