Treatment of chest disease with video-assisted thoracoscopic surgery in municipal Hospital_Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Authors：

WANG Yi , YANG Yanhui , LUO Lei ,  XIE Xiaoyang

Department of Thoracic Surgery, The First People's Hospital of Neijiang, Neijiang Affiliated Hospital of Chongqing Medical University, Neijiang, 641000, Sichuan P.R.China;

Corresponding?author：

XIE Xiaoyang, Email: 13990559066@163.com

Keywords：

Municipal hospital; video-assisted thoracoscopic surgery; chest disease

DOI：

10.7507/1007-4848.201610020

Video：

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Objective To explore the safety, feasibility and learning curve of video-assisted thoracoscopic surgery(VATS) in treatment of thoracic diseases. Method We retrospectively analyzed the clinical data of 591 patients of thoracic surgery in our hospital between September 2009 and September 2016. There were 378 males and 213 females at age of 14–82 years. Result All patients were successfully completed surgery. Twelve patients converted to open chest with conversion rate of 2.0%. Postoperative complications occurred in 24 patients (4.1%). Four patients died during the perioperative period, and mortality rate was 0.7%. The learning curve of VATS for lung cancer was about 25 patients. And the learning curve of video-assisted laparoscopy for resection of esophageal cancer was about 15 patients. Conclusion VATS is safety and feasible for the chest disease patients in municipal hospital, and is worthy to popularize.

Citation： WANG Yi, YANG Yanhui, LUO Lei, XIE Xiaoyang. Treatment of chest disease with video-assisted thoracoscopic surgery in municipal Hospital. Chinese Journal of Clinical Thoracic and Cardiovascular Surgery, 2017, 24(9): 725-729. doi: 10.7507/1007-4848.201610020 Copy

1.	丁凱, 周曉燕, 呂劍, 等. 完全電視胸腔鏡手術在胸部疾病診療中的應用. 山東醫藥, 2015, 55(1): 84-85.
2.	支修益, 石遠凱, 于金明. 中國原發性肺癌診療規范(2015 年版). 中華腫瘤雜志, 2015, 37(1): 67-68.
3.	方文濤, 傅劍華, 沈毅, 等. 胸腺腫瘤的診療:基于中國胸腺腫瘤協作組多中心回顧性研究的共識. 中國肺癌雜志, 2016, 17(7): 414-417.
4.	殷章居, 李國仁. 食管癌外科的風險因素、評估及對策的思考. 中國胸心血管外科臨床雜志, 2016, 23(9): 851-858.
5.	周志國, 甄嬋軍, 梁軍利, 等. 食管癌 AJCC/UICC 第 6、7 版 TNM 分期分段方法在放療患者中的比較. 腫瘤防治研究, 2015, 42(8): 772-776.
6.	蒲強, 馬林, 車國衛, 等. 單向式胸腔鏡肺葉切除安全性及技術可行性研究—附 1 040 例報告. 四川大學學報(醫學版), 2013, 44(1): 109-113.
7.	杜恒, 廖虎, 宋志芳, 等. 胸腔鏡手術在中國地市級醫院胸外科應用現狀的問卷調查. 中國胸心血管外科臨床雜志, 2013, 20(3): 347-351.
8.	黃榮金, 林炳煌. 胸腔鏡肺葉切除術扶鏡技術的配合. 中國胸心血管外科臨床雜志, 2016, 23(4): 411-413.
9.	Tulay CM, Ozsoy IE. spontaneous pneumothorax recurrence and surgery. Indian J Surg, 2015, 77(2): 463-465.
10.	李華偉, 張興博, 趙寧, 等. 胸腔鏡手術下治療原發性自發性氣胸的臨床療效及復發因素分析. 中國胸心血管外科臨床雜志, 2016, 23(7): 692-697.
11.	Hatz RA, Kaps MF, Meimarakis G, et al. Long-term results after video-assisted thoracoscopic surgery for first—time and recurrent spontaneous pneumothorax. Ann Thorac Surg, 2000, 70(1): 253.
12.	李運, 楊帆, 趙輝, 等. 全胸腔鏡肺葉切除術中轉開胸的淋巴結影響. 中華胸心血管外科雜志, 2013, 29(10): 591-594.
13.	Mu JW, Gao SH, Huang GF, et al. A propensity matched comparison of effects between video assisted thoracoscopic single-port, two-port and three-port pulmonary resection on lung cancer. J Thorac Dis, 2016, 8(7): 1469-1476.
14.	Cerfolio RJ, Bryant AS, Skylizard L, et al. Optimal technique for the removal of chest tubes after pulmonary resection. J Thorac Cardiovasc Surg, 2013, 145(6): 1535-1539.
15.	施慶彤, 范黃新, 刁亞利. 管狀胃寬度與食管癌術后抗胃食管反流的臨床研究. 中華胸部外科電子雜志, 2016, 3(1): 25-28.
16.	胡文滕, 蔡謙謙, 藺瑞江, 等. 食管胃側側吻合對術后并發癥影響的系統評價與 Meta 分析. 中國胸心血管外科臨床雜志, 2016, 23(3): 224-229.
17.	盧強, 李小飛, 陳召, 等. 新型" 三孔式”微創術式治療重癥肌無力. 中華胸心血管外科雜志, 2016, 32(5): 287-288.
18.	許建功, 蔡瑞君. 胸腔鏡聯合腹腔鏡食管癌根治術學習曲線研究. 中國全科醫學, 2012, 15(6): 631-634.

1. 丁凱, 周曉燕, 呂劍, 等. 完全電視胸腔鏡手術在胸部疾病診療中的應用. 山東醫藥, 2015, 55(1): 84-85.
2. 支修益, 石遠凱, 于金明. 中國原發性肺癌診療規范(2015 年版). 中華腫瘤雜志, 2015, 37(1): 67-68.
3. 方文濤, 傅劍華, 沈毅, 等. 胸腺腫瘤的診療:基于中國胸腺腫瘤協作組多中心回顧性研究的共識. 中國肺癌雜志, 2016, 17(7): 414-417.
4. 殷章居, 李國仁. 食管癌外科的風險因素、評估及對策的思考. 中國胸心血管外科臨床雜志, 2016, 23(9): 851-858.
5. 周志國, 甄嬋軍, 梁軍利, 等. 食管癌 AJCC/UICC 第 6、7 版 TNM 分期分段方法在放療患者中的比較. 腫瘤防治研究, 2015, 42(8): 772-776.
6. 蒲強, 馬林, 車國衛, 等. 單向式胸腔鏡肺葉切除安全性及技術可行性研究—附 1 040 例報告. 四川大學學報(醫學版), 2013, 44(1): 109-113.
7. 杜恒, 廖虎, 宋志芳, 等. 胸腔鏡手術在中國地市級醫院胸外科應用現狀的問卷調查. 中國胸心血管外科臨床雜志, 2013, 20(3): 347-351.
8. 黃榮金, 林炳煌. 胸腔鏡肺葉切除術扶鏡技術的配合. 中國胸心血管外科臨床雜志, 2016, 23(4): 411-413.
9. Tulay CM, Ozsoy IE. spontaneous pneumothorax recurrence and surgery. Indian J Surg, 2015, 77(2): 463-465.
10. 李華偉, 張興博, 趙寧, 等. 胸腔鏡手術下治療原發性自發性氣胸的臨床療效及復發因素分析. 中國胸心血管外科臨床雜志, 2016, 23(7): 692-697.
11. Hatz RA, Kaps MF, Meimarakis G, et al. Long-term results after video-assisted thoracoscopic surgery for first—time and recurrent spontaneous pneumothorax. Ann Thorac Surg, 2000, 70(1): 253.
12. 李運, 楊帆, 趙輝, 等. 全胸腔鏡肺葉切除術中轉開胸的淋巴結影響. 中華胸心血管外科雜志, 2013, 29(10): 591-594.
13. Mu JW, Gao SH, Huang GF, et al. A propensity matched comparison of effects between video assisted thoracoscopic single-port, two-port and three-port pulmonary resection on lung cancer. J Thorac Dis, 2016, 8(7): 1469-1476.
14. Cerfolio RJ, Bryant AS, Skylizard L, et al. Optimal technique for the removal of chest tubes after pulmonary resection. J Thorac Cardiovasc Surg, 2013, 145(6): 1535-1539.
15. 施慶彤, 范黃新, 刁亞利. 管狀胃寬度與食管癌術后抗胃食管反流的臨床研究. 中華胸部外科電子雜志, 2016, 3(1): 25-28.
16. 胡文滕, 蔡謙謙, 藺瑞江, 等. 食管胃側側吻合對術后并發癥影響的系統評價與 Meta 分析. 中國胸心血管外科臨床雜志, 2016, 23(3): 224-229.
17. 盧強, 李小飛, 陳召, 等. 新型" 三孔式”微創術式治療重癥肌無力. 中華胸心血管外科雜志, 2016, 32(5): 287-288.
18. 許建功, 蔡瑞君. 胸腔鏡聯合腹腔鏡食管癌根治術學習曲線研究. 中國全科醫學, 2012, 15(6): 631-634.

Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Treatment of chest disease with video-assisted thoracoscopic surgery in municipal Hospital

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