ArticleJournal of thoracic disease2026
Age-related differences in pleural adhesion and perioperative outcomes in uniportal video-assisted thoracoscopic surgery segmentectomy.
Article in Journal of thoracic disease, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Background: Advanced age is often associated with increased technical difficulty during lung resection; however, the mechanisms underlying age-related operative burden during segmentectomy remain unclear. This study aimed to evaluate age-related differences in pleural adhesion, operative complexity, and perioperative outcomes in patients undergoing uniportal video-assisted thoracoscopic surgery (VATS) segmentectomy for lung cancer. Methods: Consecutive patients who underwent uniportal VATS segmentectomy were retrospectively reviewed. Patients were stratified into two groups according to age (<70 Results: A total of 814 patients were included, of whom 683 were aged <70 years and 131 were aged ≥70 years. Pleural adhesion was significantly more frequent in patients aged ≥70 years than in those aged <70 years (26.7% Conclusions: Elderly patients undergoing uniportal VATS segmentectomy exhibited a significantly higher incidence of pleural adhesion and were associated with longer operative time and postoperative drainage, as well as higher complication rates. Nevertheless, acceptable postoperative outcomes can be achieved, supporting the feasibility of segmentectomy in carefully selected elderly patients.
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