Total Thoracoscopy versus Thoracotomy for Pulmonary Lobectomy in Lung Benign Diseases: A Case Control Study_Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Authors：

WANGJun-feng ¹ , DAIYu ² ,  FUYu-dong ¹ , KANQiang-bo ¹ , JIHong-bo ¹ , HOUBo ¹ , LIMing-xue ¹ , ZHAOZhang-yong ¹

1. Department of Thoracic and Cardiovascular Surgery, The First People's Hospital of Qujing, Qujing 655000 Yunnan, P. R. China;
2. medical college of Qujing, Qujing 655000 Yunnan, P. R. China;

Corresponding?author：

FUYu-dong, Email: wjf541100@sina.com

Keywords：

Video-assisted thoracoscopic surgery; Thoracotomy; Lobectomy; Benign lung disease

DOI：

10.7507/1007-4848.20160210

Video：

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Objective To investigate the efficacy of total thoracoscopy (VATS) lobectomy and the thoracotomy for the treatment of benign lung disease. Methods We retrospectively analyzed the clinical data of 70 patients with benign lung diseases in the First People's Hospital of Qujing between January 2012 and September 2013. According to the surgical way, the patients were divided into two groups including a total VATS group involved in 35 patients with 25 males and 10 females, aged 18 to 71 years, mean age of 41.3±6.4 years and a thoracotomy group involved in 35 patients with 26 males and 9 females, aged 19 to 72 years, mean age of 42.4±5.6 years. Then we compared the efficacy of the two groups. Results There was no statistical difference (P > 0.05) in operative time and postoperative survival rate comparison. While in the total VATS group, the total thoracoscopic incision length, bleeding volume or pain time, postoperative day time of analgesia, thoracic drainage volume, postoperative drainage tube pulling time and hospitalization time were all lower than those in the thoracotomy group with statistical differeces (P < 0.05). Conclusion The thoracoscopic lobectomy for treatment of benign pulmonary lesions is superior to the conventional thoracotomy with much less bleeding and pain, more faster postoperative recovery and less impact on the patient's body. It's suitable for clinical application in normal hospital.

Citation： WANGJun-feng, DAIYu, FUYu-dong, KANQiang-bo, JIHong-bo, HOUBo, LIMing-xue, ZHAOZhang-yong. Total Thoracoscopy versus Thoracotomy for Pulmonary Lobectomy in Lung Benign Diseases: A Case Control Study. Chinese Journal of Clinical Thoracic and Cardiovascular Surgery, 2016, 23(9): 877-879. doi: 10.7507/1007-4848.20160210 Copy

1.	Petersen RH, Hansen HJ. Learning thoracoscopic lobectomy. Eur J Cardiothorac Surg, 2010, 37(9):516-520.
2.	徐廣文, 馬冬春.完全胸腔鏡肺葉切除術診治肺良性疾病50例分析.臨床肺科雜志, 2013, 18(3):487-488.
3.	蒲強, 劉倫旭, 車國衛, 等.單向式全胸腔鏡肺葉切除手術治療良性疾病的臨床研究.四川大學學報(醫學版), 2010, 41(3):548-550.
4.	張亮, 劉永煜, 趙翔.單向式全胸腔鏡肺葉切除手術治療肺良性疾病的可行性和安全性分析.四川醫學, 2012, 33(12):2150-2151.
5.	劉宗亮.胸腔鏡與開胸手術治療早期非小細胞肺癌的臨床療效觀察.當代醫學, 2010, 16(26):107-108.
6.	Cioffi U, De Simone M, Baisi A. Is videoassisted thoracic lobectomy safe and successful for locally advanced non-small cell lung cancer. J Thorac Cardiovasc Surg, 2013, 146(5):1302-1303.
7.	曾劍, 劉金石.胸腔鏡輔助肺癌切除術后生活質量的研究.中國肺癌雜志, 2014, 17(3):209-214.
8.	楊帆, 李曉, 任斌輝, 等.多中心全胸腔鏡肺葉切除手術600例.中華胸心血管外科雜志, 2010, 26(5):307-309.
9.	Li JF, Yang F, LI Y, et al. Continuous 100 cases of completely thoracoscopic lobectomy for clinical analysis. J Thorac Cardiovasc Surg, 2009, 16(1):1-4.
10.	劉倫旭, 車國衛, 王允, 等.電視胸腔鏡手術治療肺良性疾病128例.中國胸心血管外科臨床雜志, 2008, 15(1):29-31.
11.	劉倫旭.胸腔鏡肺癌切除:多樣化的手術切口和流程.醫學與哲學(臨床決策論壇版), 2011, 32(9):11-13.
12.	Puri V, Meyers BF. Videoassisted thoracoscopic surgery lobecto-my for lung cancer. Surg Oncol Clin N Am, 2013, 22(1):27-38.
13.	劉永靖, 于奇, 繆軍, 等.單操作孔全胸腔鏡肺葉切除術的臨床應用.臨床肺科雜志, 2014, 19(10):1855-1857.
14.	楊富濤.電視胸腔鏡肺葉切除術和傳統開胸肺葉切除術治療Ⅰ-Ⅱ期非小細胞肺癌的療效.中國臨床藥理學雜志, 2013, 29(5):328-330.
15.	陳康, 艾孜子·阿不來提.全胸腔鏡肺葉切除術治療非小細胞肺癌臨床療效分析.河北醫學, 2014, 20(10):1641-1644.
16.	張雪飛, 史小男, 韓彪.胸腔鏡與開胸肺葉切除術治療非小細胞肺癌近期療效的系統評價.中國肺癌雜志, 2012, 15(7):422-428.
17.	王俊, 李運, 劉軍, 等.全胸腔鏡下肺葉切除治療早期非小細胞肺癌.中華胸心血管外科雜志, 2008, 24(3):147-150.
18.	朱樂偉, 楊劼, 葉國麟, 等.全電視胸腔鏡肺葉切除術治療肺良性疾病58例臨床分析.中國胸心血管外科臨床雜志, 2011, 18(6):580-581.
19.	鄭軼峰, 姜建青, 楊列, 等.胸腔鏡肺葉切除術治療肺良性疾病的臨床分析.西南國防醫藥, 2012, 22(12):1336-1338.
20.	何靖康, 唐興, 黃海濤, 等.電視胸腔鏡肺葉切除術在肺良性疾病中的應用.中國胸心血管外科臨床雜志, 2013, 20(4):482-483.

1. Petersen RH, Hansen HJ. Learning thoracoscopic lobectomy. Eur J Cardiothorac Surg, 2010, 37(9):516-520.
2. 徐廣文, 馬冬春.完全胸腔鏡肺葉切除術診治肺良性疾病50例分析.臨床肺科雜志, 2013, 18(3):487-488.
3. 蒲強, 劉倫旭, 車國衛, 等.單向式全胸腔鏡肺葉切除手術治療良性疾病的臨床研究.四川大學學報(醫學版), 2010, 41(3):548-550.
4. 張亮, 劉永煜, 趙翔.單向式全胸腔鏡肺葉切除手術治療肺良性疾病的可行性和安全性分析.四川醫學, 2012, 33(12):2150-2151.
5. 劉宗亮.胸腔鏡與開胸手術治療早期非小細胞肺癌的臨床療效觀察.當代醫學, 2010, 16(26):107-108.
6. Cioffi U, De Simone M, Baisi A. Is videoassisted thoracic lobectomy safe and successful for locally advanced non-small cell lung cancer. J Thorac Cardiovasc Surg, 2013, 146(5):1302-1303.
7. 曾劍, 劉金石.胸腔鏡輔助肺癌切除術后生活質量的研究.中國肺癌雜志, 2014, 17(3):209-214.
8. 楊帆, 李曉, 任斌輝, 等.多中心全胸腔鏡肺葉切除手術600例.中華胸心血管外科雜志, 2010, 26(5):307-309.
9. Li JF, Yang F, LI Y, et al. Continuous 100 cases of completely thoracoscopic lobectomy for clinical analysis. J Thorac Cardiovasc Surg, 2009, 16(1):1-4.
10. 劉倫旭, 車國衛, 王允, 等.電視胸腔鏡手術治療肺良性疾病128例.中國胸心血管外科臨床雜志, 2008, 15(1):29-31.
11. 劉倫旭.胸腔鏡肺癌切除:多樣化的手術切口和流程.醫學與哲學(臨床決策論壇版), 2011, 32(9):11-13.
12. Puri V, Meyers BF. Videoassisted thoracoscopic surgery lobecto-my for lung cancer. Surg Oncol Clin N Am, 2013, 22(1):27-38.
13. 劉永靖, 于奇, 繆軍, 等.單操作孔全胸腔鏡肺葉切除術的臨床應用.臨床肺科雜志, 2014, 19(10):1855-1857.
14. 楊富濤.電視胸腔鏡肺葉切除術和傳統開胸肺葉切除術治療Ⅰ-Ⅱ期非小細胞肺癌的療效.中國臨床藥理學雜志, 2013, 29(5):328-330.
15. 陳康, 艾孜子·阿不來提.全胸腔鏡肺葉切除術治療非小細胞肺癌臨床療效分析.河北醫學, 2014, 20(10):1641-1644.
16. 張雪飛, 史小男, 韓彪.胸腔鏡與開胸肺葉切除術治療非小細胞肺癌近期療效的系統評價.中國肺癌雜志, 2012, 15(7):422-428.
17. 王俊, 李運, 劉軍, 等.全胸腔鏡下肺葉切除治療早期非小細胞肺癌.中華胸心血管外科雜志, 2008, 24(3):147-150.
18. 朱樂偉, 楊劼, 葉國麟, 等.全電視胸腔鏡肺葉切除術治療肺良性疾病58例臨床分析.中國胸心血管外科臨床雜志, 2011, 18(6):580-581.
19. 鄭軼峰, 姜建青, 楊列, 等.胸腔鏡肺葉切除術治療肺良性疾病的臨床分析.西南國防醫藥, 2012, 22(12):1336-1338.
20. 何靖康, 唐興, 黃海濤, 等.電視胸腔鏡肺葉切除術在肺良性疾病中的應用.中國胸心血管外科臨床雜志, 2013, 20(4):482-483.

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Total Thoracoscopy versus Thoracotomy for Pulmonary Lobectomy in Lung Benign Diseases: A Case Control Study

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