Preservation vs. Dissection of Inferior Pulmonary Ligament for Thoracoscopic Upper Lobectomy

Inclusion criteria

• 18 years old < age < 70 years old;
• Meet the indications for thoracoscopic left/right upper lobectomy;
• Gave informed consent and were willing to undergo thoracoscopic left/right upper lobectomy;
• Preoperative pulmonary function test: FEV1>1L and FEV1>60% of the predicted value;
• Preoperative ECOG score of 0-1;
• Preoperative ASA score I-II.

Exclusion criteria

• Inferior mediastinal lymphadenopathy was found in preoperative screening;
• Found that other lobe operations were required at the same time due to multiple lesions in the preoperative discussion;
• Pregnant or lactating women;
• Suffering from severe mental illness;
• History of thoracic surgery (including intrathoracic surgery only, excluding surface surgery such as mastectomy);
• History of unstable angina or myocardial infarction within the past six months;
• History of cerebral infarction or cerebral hemorrhage within the past six months;
• History of continuous systemic corticosteroid therapy within the past month;
• Abnormal coagulation function, bleeding tendency, or receiving antithrombotic or antiplatelet therapy recently;
• Suffering from severe liver, kidney, and other systemic diseases;
• Other situations that are not suitable for surgery.