Uniportal complete video-assisted thoracoscopic surgery of 133 patients_Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Authors：

XIANG Run , HE Jintao , LI Qiang , MA Ke , WU Hong ,  ZHU Jiang

Division of Thoracic Surgery, Sichuan Cancer Hospital & Institute, Sichuan Cancer Center, School of Medicine, University of Electronic Science and Technology of China, Chengdu, 610041, P.R.China;

Corresponding?author：

ZHU Jiang, Email: 13008148289@163.com

Keywords：

Lung cancer; lobectomy; video-assisted thoracoscopic surgery; uniportal

DOI：

10.7507/1007-4848.201701032

Video：

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Objective To explore the learning curve and evaluate the safety of uniportal complete video-assisted thoracoscopic surgery (VATS) lobectomy. Methods We reviewed retrospectively the clinical data of 133 patients, who underwent uniportal VATS between March 2015 and October 2016 in Sichuan Provincial Cancer Hospital. There were 79 males and 54 females at age of 52.21±10.77 years. Results All the 127 patients completed uniportal VATS, 4.51% (6/133) converted to open surgery. There were 78 patients with lobectomy, 6 patients with segmentectomy, 37 patients with wedge resection, 6 patients with pleural, mediastinal lymph node biopsy or mediastinal tumor resection. In the lobectomy group, mean surgical time was 148.75±34.12 min, mean blood loss was 118.87±59.96 ml, mean number of lymph nodes was 11.25±6.15, the mean duration of chest-tube placement was 2.17±1.35 days, and mean length of stay was 7.58±2.59 days. Conclusion Based on skillful performance of the conventional thoracoscopic lobectomy, the learning curve for single port thoracoscopic lobectomy comprises at least 20 patients. The uniportal VATS lobectomy is a safe and operable method of minimally invasive technique, and it is worthy to be applied in thoracic surgery.

Citation： XIANG Run, HE Jintao, LI Qiang, MA Ke, WU Hong, ZHU Jiang. Uniportal complete video-assisted thoracoscopic surgery of 133 patients. Chinese Journal of Clinical Thoracic and Cardiovascular Surgery, 2018, 25(1): 74-77. doi: 10.7507/1007-4848.201701032 Copy

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2.	劉成武, 劉倫旭. 肺癌微創外科治療進展. 中華胸部外科電子雜志, 2016, 3(02): 65-69.
3.	Swanson SJ, Herndon JE, D'Amico TA, et al. Video-assisted thoracic surgery lobectomy: report of CALGB 39802—a prospective, multi-institution feasibility study. J Clin Oncol, 2007, 25(31): 4993-4997.
4.	Rocco G, Martin-Ucar A, Passera E. Uniportal VATS wedge pulmonary resections. Ann Thorac Surg, 2004, 77(2): 726-728.
5.	Gonzalez D, Paradela M, Garcia J, et al. Single-port video-assisted thoracoscopic lobectomy. Interact Cardiovasc Thorac Surg, 2011, 12(3): 514-515.
6.	Gonzalez-Rivas D, Fieira E, Mendez L, et al. Single-port video-assisted thoracoscopic anatomic segmentectomy and right upper lobectomy. Eur J Cardiothorac Surg, 2012, 42(6): e169-e171.
7.	Gonzalez-Rivas D, Fernandez R, Fieira E, et al. Uniportal video-assisted thoracoscopic bronchial sleeve lobectomy: first report. J Thorac Cardiovasc Surg, 2013, 145(6): 1676-1677.
8.	何建行. 微創傷胸外科手術歷史、現狀和未來. 國際病理科學與臨床志, 2013, 33(01): 1-7.
9.	車國衛, 劉倫旭. 肺癌微創治療進展. 癌癥進展, 2011, 9(6): 605-609.
10.	吳一旻, 柴瑩. 單孔胸腔鏡在肺癌外科中的應用進展. 國際外科學雜志, 2016, 43(5): 357-360.
11.	張毅, 支修益. 微創外科手術治療早期肺癌. 首都醫科大學學報, 2015, 36(6): 992-997.
12.	肖波, 任光國, 陳利華, 等. 胸腔鏡對惡性胸腔積液的診治探討. 中國腫瘤臨床與康復, 2005, 12(01): 73-75.
13.	王光鎖, 王正, 王健, 等. 單孔全胸腔鏡手術:單中心連續 106 例回歸分析. 中國內鏡雜志, 2014, 20(2): 118-123.
14.	鄧豫, 郝志鵬, 付向寧. " 精準醫療”理念下單孔 VATS 肺癌根治術的發展現狀、應用細節和展望.中國肺癌雜志, 2016, 19(6): 371-376.
15.	劉倫旭, 劉成武, 楊俊杰, 等. 胸腔鏡肺葉切除術:技術優化與應用拓展. 四川大學學報(醫學版), 2013, 44(1): 104-108.
16.	Andrade RS, Maddaus MA.Thoracoscopic lobectomy for Stage I non-small cell lung cancer. Semin Thoracic Surg, 2010, 22:14-21.
17.	車國衛, 劉倫旭. 單孔電視胸腔鏡手術臨床應用的現狀與進展. 中國胸心血管外科臨床雜志, 2012, 19(2): 181-184.
18.	劉成武, 劉倫旭. 單孔胸腔鏡: 微創肺癌切除的再次升華.中國肺癌雜志, 2014, 17(7): 527-530.

1. 張毅, 支修益. 微創外科手術治療早期肺癌. 首都醫科大學學報, 2015, 6: 992-997.
2. 劉成武, 劉倫旭. 肺癌微創外科治療進展. 中華胸部外科電子雜志, 2016, 3(02): 65-69.
3. Swanson SJ, Herndon JE, D'Amico TA, et al. Video-assisted thoracic surgery lobectomy: report of CALGB 39802—a prospective, multi-institution feasibility study. J Clin Oncol, 2007, 25(31): 4993-4997.
4. Rocco G, Martin-Ucar A, Passera E. Uniportal VATS wedge pulmonary resections. Ann Thorac Surg, 2004, 77(2): 726-728.
5. Gonzalez D, Paradela M, Garcia J, et al. Single-port video-assisted thoracoscopic lobectomy. Interact Cardiovasc Thorac Surg, 2011, 12(3): 514-515.
6. Gonzalez-Rivas D, Fieira E, Mendez L, et al. Single-port video-assisted thoracoscopic anatomic segmentectomy and right upper lobectomy. Eur J Cardiothorac Surg, 2012, 42(6): e169-e171.
7. Gonzalez-Rivas D, Fernandez R, Fieira E, et al. Uniportal video-assisted thoracoscopic bronchial sleeve lobectomy: first report. J Thorac Cardiovasc Surg, 2013, 145(6): 1676-1677.
8. 何建行. 微創傷胸外科手術歷史、現狀和未來. 國際病理科學與臨床志, 2013, 33(01): 1-7.
9. 車國衛, 劉倫旭. 肺癌微創治療進展. 癌癥進展, 2011, 9(6): 605-609.
10. 吳一旻, 柴瑩. 單孔胸腔鏡在肺癌外科中的應用進展. 國際外科學雜志, 2016, 43(5): 357-360.
11. 張毅, 支修益. 微創外科手術治療早期肺癌. 首都醫科大學學報, 2015, 36(6): 992-997.
12. 肖波, 任光國, 陳利華, 等. 胸腔鏡對惡性胸腔積液的診治探討. 中國腫瘤臨床與康復, 2005, 12(01): 73-75.
13. 王光鎖, 王正, 王健, 等. 單孔全胸腔鏡手術:單中心連續 106 例回歸分析. 中國內鏡雜志, 2014, 20(2): 118-123.
14. 鄧豫, 郝志鵬, 付向寧. " 精準醫療”理念下單孔 VATS 肺癌根治術的發展現狀、應用細節和展望.中國肺癌雜志, 2016, 19(6): 371-376.
15. 劉倫旭, 劉成武, 楊俊杰, 等. 胸腔鏡肺葉切除術:技術優化與應用拓展. 四川大學學報(醫學版), 2013, 44(1): 104-108.
16. Andrade RS, Maddaus MA.Thoracoscopic lobectomy for Stage I non-small cell lung cancer. Semin Thoracic Surg, 2010, 22:14-21.
17. 車國衛, 劉倫旭. 單孔電視胸腔鏡手術臨床應用的現狀與進展. 中國胸心血管外科臨床雜志, 2012, 19(2): 181-184.
18. 劉成武, 劉倫旭. 單孔胸腔鏡: 微創肺癌切除的再次升華.中國肺癌雜志, 2014, 17(7): 527-530.

Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Uniportal complete video-assisted thoracoscopic surgery of 133 patients

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