单孔电视辅助胸腔镜肺切除手术的临床应用(附100例报告)

doi:10.13481/j.1671-587x.20150132

Abstract

Abstract:

Objective To study the feasibility of uniportal video-assisted thoracoscopic pulmonary resection in treatment of lung diseases, and to provide our experience in the application of this new technique. Methods 100 patients with lung diseases were underwent uniportal video-assisted thoracoscopic pulmonary resection (lobectomy and limited resection) from March 2013 to September 2014, and the clinical data in all patients were retrospectively analyzed. Results There were 39 male, 61 female and the average age was (54.6±10.9) years in the total 100 patients.The uniportal video-assisted thoracoscopic lobectomy and limited pulmonary resection were successfully performed in 52 and 44 patients respectively.There were only 4 cases converted into thoracotomy because of the severe hila adhesion (1 case) and uncontrolled intraoperative hemorrhage (2 for interlobar pulmonary artery rupture and 1 for pulmonary vein rupture).The mean operative time was (124±66)min, the mean intraoperative blood loss was (100±65) mL, the mean thoracic drainage time was (4.1±3.0) d, and the mean hospital stay was (8.3±3.6) d.All patients were discharged uneventfully without perioperative complications and postoperative death in 30 d. Conclusion The uniportal video-assisted thoracoscopic pulmonary resection is a safe and feasible new method of minimally invasive technique, and it is worthy to apply in thoracic surgery.

Key words: uniportal video-assisted thoracoscopic surgery, lobectomy, limited pulmonary resection

CLC Number:

R655.3

JIA Teng, LI Yang, ZHANG Kewei, GAO Xinliang, ZHANG Kejian, LIU Wei. Clinical application of uniportal video-assisted thoracoscopic pulmonary resection with 100 cases report[J].Journal of Jilin University Medicine Edition, 2015, 41(01): 165-168.

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Clinical application of uniportal video-assisted thoracoscopic pulmonary resection with 100 cases report

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