Single Utility Port Video-assisted Thoracoscopic Lobectomy for Benign Pulmonary Diseases_Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Authors：

LIGuang-bin , ZHAOJun , NIbin , LIChang , XUChun ,  MAHai-tao

Department of Cardiothoracic Surgery, The First Affiliated Hospital of Soochow University, Suzhou 215006, Jiangsu, P. R. China;

Corresponding?author：

MAHai-tao, Email: MHT7403@163.com

Keywords：

Single utility port; Video-assisted thoracoscopic surgery; Lobectomy; Benign pulmonary disease

DOI：

10.7507/1007-4848.20150145

Video：

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Objective To evaluate the safety and efficacy of single utility port video-assisted thoracoscopic lobec-tomy in the treatment of benign pulmonary diseases. Methods From January 2011 to April 2014, 48 patients with benign pulmonary diseases underwent single utility port video-assisted thoracoscopic lobectomy in the First Affiliated Hospital of Soochow University. The patients included 21 males and 27 females, with their mean age of 47.4 years. There were 5 patients received right upper lobectomy, right middle lobectomy in 5 patients, right lower lobectomy in 5 patients, left upper lobectomy in 8 patients, and left lower lobectomy in 20 patients. the clinical outcomes included operation time, intraoperative blood loss, chest drainage duration, postoperative hospital stay and postoperative complications. Results There were 2 patients conversion to open surgery. The average operation time was 147.2±50.4 min, intraopera-tive blood loss was 160.2±25.3 ml, postoperative chest drainage duration was 4.8±2.8 d, postoperative hospital stay was 7.4±1.9 d. There was no hospital death or serious postoperative complications. Postoperative pathological diagnosis showed bronchiectasis in 17 patients, inflammatory pseudotumor in 11 patients, tuberculosis in 9 patients, aspergillosis in 4 patients, pulmonary sequestration in 3 patients, bronchogenic cyst in 2 patients, pulmonary abscess in 1 patient, and hamartoma in 1 patient. No long-term complications were noticed in 48 patients during a mean follow-up of 6 months. Conclusion Single utility port video-assisted thoracoscopic lobectomy is safe and feasible in the treatment of benign pulmonary diseases.

Citation： LIGuang-bin, ZHAOJun, NIbin, LIChang, XUChun, MAHai-tao. Single Utility Port Video-assisted Thoracoscopic Lobectomy for Benign Pulmonary Diseases. Chinese Journal of Clinical Thoracic and Cardiovascular Surgery, 2015, 22(6): 569-571. doi: 10.7507/1007-4848.20150145 Copy

1.	?Whitson BA, Groth SS, Duval SJ, et al. Surgery for early-stage nonsmall cell lung cancer: a systematic review of the video-assisted thoracoscopic surgery versus thoracotomy approaches to lobectomy. Ann Thorac Surg, 2008, 86(6): 2008-2016.
2.	Tomaszek SC, Cassivi SD, Shen KR, et al. Clinical outcomes of video-assisted thoracoscopic lobectomy. Mayo Clin Proc, 2009, 84(6): 509-513.
3.	李強, 何金濤, 莊翔, 等. 電視胸腔鏡微創手術與常規肺癌手術淋巴結清掃的對照研究. 中國肺癌雜志, 2010, 13(12): 1141-1144.
4.	葉仕新, 曾志勇, 徐馳, 等. 電視胸腔鏡在肺部小結節診斷與治療中的應用. 中國胸心血管外科臨床雜志, 2012, 19(5): 567-568.
5.	Karasaki T, Nakajima J, Murakawa T, et al. Video-assisted thoracic surgery lobectomy preserves more latissimus dorsi muscle than conventional surgery. Interact Cardiovasc Thorac Surg, 2009, 8(3): 316-319.
6.	Petasen RH, Hansen HJ. Learning thoracoscopic lobectomy. Eur J Cardiothorac Surg, 2010, 37(3): 516-520.
7.	Wildgaard K, Ringsted TK, Hansen HJ, et al. Quantitative sensory testing of persistent pain after video-assisted thoracic surgery lobectomy. Br J Anaesth, 2012, 108(1): 126-133.
8.	初向陽, 薛志強, 劉毅, 等. 單操作孔電視胸腔鏡肺葉切除術治療早期肺癌的臨床研究. 中國胸心血管外科臨床雜志, 2012, 19(2): 113-115.
9.	李暢, 馬海濤, 何靖康, 等. 單操作孔肺葉切除術治療周圍型肺癌的臨床研究. 中國肺癌雜志, 2013, 16(2): 487-491.
10.	車國衛, 梅龍勇, 梅建東, 等. 單操作孔電視胸腔鏡手術治療肺部疾病158 例臨床分析. 中國胸心血管外科臨床雜志, 2012, 19(2): 116-119.
11.	Yim APC, Ko KM, Ma CC, et al. Thoracoscopic lobectomy for benign disease. Chest, 1996, 109(2): 554-556.
12.	Weber A, Stammberger U, Inci I, et al. Thoracoscopie lobectemy for benign disease-a single centre study on 64 cases. Eur J Cardiothorac Surg, 2001, 20(3): 443-448.
13.	郭占林, 黃少君, 孫嘉陽, 等. 電視胸腔鏡手術治療胸部疾病164例. 中國胸心血管外科臨床雜志, 2012, 19(4): 453-454.
14.	楊帆, 李運, 劉軍, 等. 全胸腔鏡肺葉切除術治療肺良性疾病. 中華外科雜志, 2009, 47(6): 454-456.
15.	李運, 楊帆, 劉彥國, 等. 全胸腔鏡肺葉切除術中轉開胸手術指征的探討. 中國胸心血管外科臨床雜志, 2010, 17(1): 32-35.
16.	Sakaguchi K, Horio H, Yamamoto M. Bleeding by staple in videoassisted thoracoscopic interlobar plasty of the lung. Kyobu Geka, 2007, 60(10): 907-909.
17.	Peter BK, Didier S, Sven H, et al. Thoracoscopic treatment of pulmonary sequestration. Eur J Cardiothorac Surg, 2006, 29(5): 815-818.
18.	馮明祥, 譚黎杰, 汪灝, 等. 胸腔鏡肺葉切除術治療肺良性疾病. 中國微創外科雜志, 2009, 9(9): 779-780.
19.	Zhang P, Zhang F, Jiang S, et a1. Video-assisted thoracic surgery for bronchiectasis. Ann Thorac Surg, 2011, 91(1): 239-243.

1. ?Whitson BA, Groth SS, Duval SJ, et al. Surgery for early-stage nonsmall cell lung cancer: a systematic review of the video-assisted thoracoscopic surgery versus thoracotomy approaches to lobectomy. Ann Thorac Surg, 2008, 86(6): 2008-2016.
2. Tomaszek SC, Cassivi SD, Shen KR, et al. Clinical outcomes of video-assisted thoracoscopic lobectomy. Mayo Clin Proc, 2009, 84(6): 509-513.
3. 李強, 何金濤, 莊翔, 等. 電視胸腔鏡微創手術與常規肺癌手術淋巴結清掃的對照研究. 中國肺癌雜志, 2010, 13(12): 1141-1144.
4. 葉仕新, 曾志勇, 徐馳, 等. 電視胸腔鏡在肺部小結節診斷與治療中的應用. 中國胸心血管外科臨床雜志, 2012, 19(5): 567-568.
5. Karasaki T, Nakajima J, Murakawa T, et al. Video-assisted thoracic surgery lobectomy preserves more latissimus dorsi muscle than conventional surgery. Interact Cardiovasc Thorac Surg, 2009, 8(3): 316-319.
6. Petasen RH, Hansen HJ. Learning thoracoscopic lobectomy. Eur J Cardiothorac Surg, 2010, 37(3): 516-520.
7. Wildgaard K, Ringsted TK, Hansen HJ, et al. Quantitative sensory testing of persistent pain after video-assisted thoracic surgery lobectomy. Br J Anaesth, 2012, 108(1): 126-133.
8. 初向陽, 薛志強, 劉毅, 等. 單操作孔電視胸腔鏡肺葉切除術治療早期肺癌的臨床研究. 中國胸心血管外科臨床雜志, 2012, 19(2): 113-115.
9. 李暢, 馬海濤, 何靖康, 等. 單操作孔肺葉切除術治療周圍型肺癌的臨床研究. 中國肺癌雜志, 2013, 16(2): 487-491.
10. 車國衛, 梅龍勇, 梅建東, 等. 單操作孔電視胸腔鏡手術治療肺部疾病158 例臨床分析. 中國胸心血管外科臨床雜志, 2012, 19(2): 116-119.
11. Yim APC, Ko KM, Ma CC, et al. Thoracoscopic lobectomy for benign disease. Chest, 1996, 109(2): 554-556.
12. Weber A, Stammberger U, Inci I, et al. Thoracoscopie lobectemy for benign disease-a single centre study on 64 cases. Eur J Cardiothorac Surg, 2001, 20(3): 443-448.
13. 郭占林, 黃少君, 孫嘉陽, 等. 電視胸腔鏡手術治療胸部疾病164例. 中國胸心血管外科臨床雜志, 2012, 19(4): 453-454.
14. 楊帆, 李運, 劉軍, 等. 全胸腔鏡肺葉切除術治療肺良性疾病. 中華外科雜志, 2009, 47(6): 454-456.
15. 李運, 楊帆, 劉彥國, 等. 全胸腔鏡肺葉切除術中轉開胸手術指征的探討. 中國胸心血管外科臨床雜志, 2010, 17(1): 32-35.
16. Sakaguchi K, Horio H, Yamamoto M. Bleeding by staple in videoassisted thoracoscopic interlobar plasty of the lung. Kyobu Geka, 2007, 60(10): 907-909.
17. Peter BK, Didier S, Sven H, et al. Thoracoscopic treatment of pulmonary sequestration. Eur J Cardiothorac Surg, 2006, 29(5): 815-818.
18. 馮明祥, 譚黎杰, 汪灝, 等. 胸腔鏡肺葉切除術治療肺良性疾病. 中國微創外科雜志, 2009, 9(9): 779-780.
19. Zhang P, Zhang F, Jiang S, et a1. Video-assisted thoracic surgery for bronchiectasis. Ann Thorac Surg, 2011, 91(1): 239-243.

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Single Utility Port Video-assisted Thoracoscopic Lobectomy for Benign Pulmonary Diseases

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