Preliminary experience of uniportal thoracoscopic surgery for benign thoracic diseases without chest tube placement after surgery_Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Authors：

楊彥輝 , 王毅 , 石紅 , 羅雷 , 謝曉陽

四川省內江市第一人民醫院胸外科（四川內江 ?641000）;

Corresponding?author：

謝曉陽, Email:

Keywords：

單孔胸腔鏡手術; 胸部良性疾病; 胸腔引流管

DOI：

10.7507/1007-4848.201701040

Video：

Export PDF Favorites Scan Get Citation

Abstract Full text Figures/Tables Video References Cited by

目的介紹胸部良性疾病經單孔胸腔鏡切除術后免胸腔引流管的臨床經驗。方法回顧性分析 2015 年 10 月至 2016 年 10 月我院胸外科 17 例行單孔胸腔鏡手術患者的臨床資料，其中男 9 例、女 8 例，年齡 33.8（17～58）歲。行肺大皰切除術 7 例，肺楔形切除術 9 例，交感神經烙斷術 1 例。結果所有患者均經單孔胸腔鏡手術有效切除，期間無中轉開胸或再次開操作孔，術后不放置胸腔引流管，手術時間為（60.3±8.2）min，術中出血量為（15.2±5.1）ml，術后第 1 d、2 d、3 d 疼痛視覺模擬評分（VAS）為 6.5±2.2，5.8±2.1，3.5±1.3，術后舒適度評分分別為 8.6±1.3，術后早期下床活動時間為（1.0±0.3）d，切口甲級愈合率 100.0%。17 例患者均無心律失常、肺部感染等并發癥，術后隨訪 6 個月氣胸均無復發。結論合理選擇及嚴格基線評估，胸部良性疾病經單孔胸腔鏡切除術后免胸腔引流管是安全可行的，可能有利于患者術后快速康復。

Citation： 楊彥輝, 王毅, 石紅, 羅雷, 謝曉陽. Preliminary experience of uniportal thoracoscopic surgery for benign thoracic diseases without chest tube placement after surgery. Chinese Journal of Clinical Thoracic and Cardiovascular Surgery, 2017, 24(12): 994-997. doi: 10.7507/1007-4848.201701040 Copy

1.	Chen F, Zhang D, Wang YL, et al. Video-assisted thoracoscopic surgery lobectomy versus open lobectomy in patients with clinical stage non-small cell lung cancer: a meta-analysis. Eur J Surg Oncol, 2013, 39(9): 957-963.
2.	Watanabe A, Mishina T, Ohori S, et al. Is video-assisted thoracoscopic surgery a feasible approach for clinical N0 and postoperatively pathological N2 non-small cell lung cancer? Eur J Cardiothorac Surg, 2008, 33(5): 812-818.
3.	Migliore M. Efficacy and safety of single-trocar technique for minimally invasive surgery of the chest in the treatment of complex pleural disease. J Thorac Cardiovasc Surg, 2003, 126(5): 1618-1623.
4.	Swanson, SJ, Meyers BF, Gunnarson CL, et al. Vedio-assited thoracoscopic lobectomy is less costly and morbid than open lobectomy: a retropecive multiinstitutional database analysis. Ann Thorac Surg, 2012, 93(4): 1027-1032.
5.	Bjerregaard LS, Jensen K, Petrsn RH, et al. Early chest tube removal after video-assisted thoracic surgery lobectomy with serous fluid poductiom up to 500 ml/day. Eur J Cacdiothoac Surg, 2014, 45(2): 241-246.
6.	周洪霞, 楊梅, 車國衛, 等. 胸腔鏡肺葉切除術后 16F 尿管胸腔引流可行性的前瞻性隊列研究. 中國胸心血管外科臨床雜志, 2016, 23(4): 334-340.
7.	Chen PR, Chen CK, Fang HY, et al. Single-incision thoracoscopic surgery for primary spontaneous pneumothorax. J Cardiothorac Surg, 2011, 6(1): 58.
8.	Watanabe A, Watanabe T, Ohsawa H, et al. Avoiding chest tube placement after video-assisted thoracoscopic wedge resection of the lung. Eur J Cardiothorac Surg, 2004, 25(5): 872-876.
9.	Cerfolio RJ, Bryant AS. Result of a prospective algorithm to remove chest tubes after pulmonary resection with high output. J Thorac Cardiovasc Surg, 2008, 135(2): 269-273.
10.	Koc T, Routledge T, Chambers A, et al. Do patients undergoing lung biopsy need a postoperative chest drain at all? Interact Cardiovasc Thorac Surg, 2010, 10(6): 1022-1025.
11.	車國衛, 李為民, 劉倫旭. 快速肺康復需要圍手術期流程優化. 中國胸心血管外科臨床雜志, 2016, 23(3): 216-220.
12.	周渝斌, 劉倫旭, 蘇建華, 等. 胸腔鏡肺葉切除術后心肺功能的快速康復. 中國胸心血管外科臨床雜志, 2013, 20(2): 168-171.
13.	Nakashima S, Watanabe A, Mishina T, et al. Feasibility and safety of postoperative management without chest tube placement after thoracoscopic wedge resection of the lung. Surg Today, 2011, 41(6): 774-779.

1. Chen F, Zhang D, Wang YL, et al. Video-assisted thoracoscopic surgery lobectomy versus open lobectomy in patients with clinical stage non-small cell lung cancer: a meta-analysis. Eur J Surg Oncol, 2013, 39(9): 957-963.
2. Watanabe A, Mishina T, Ohori S, et al. Is video-assisted thoracoscopic surgery a feasible approach for clinical N0 and postoperatively pathological N2 non-small cell lung cancer? Eur J Cardiothorac Surg, 2008, 33(5): 812-818.
3. Migliore M. Efficacy and safety of single-trocar technique for minimally invasive surgery of the chest in the treatment of complex pleural disease. J Thorac Cardiovasc Surg, 2003, 126(5): 1618-1623.
4. Swanson, SJ, Meyers BF, Gunnarson CL, et al. Vedio-assited thoracoscopic lobectomy is less costly and morbid than open lobectomy: a retropecive multiinstitutional database analysis. Ann Thorac Surg, 2012, 93(4): 1027-1032.
5. Bjerregaard LS, Jensen K, Petrsn RH, et al. Early chest tube removal after video-assisted thoracic surgery lobectomy with serous fluid poductiom up to 500 ml/day. Eur J Cacdiothoac Surg, 2014, 45(2): 241-246.
6. 周洪霞, 楊梅, 車國衛, 等. 胸腔鏡肺葉切除術后 16F 尿管胸腔引流可行性的前瞻性隊列研究. 中國胸心血管外科臨床雜志, 2016, 23(4): 334-340.
7. Chen PR, Chen CK, Fang HY, et al. Single-incision thoracoscopic surgery for primary spontaneous pneumothorax. J Cardiothorac Surg, 2011, 6(1): 58.
8. Watanabe A, Watanabe T, Ohsawa H, et al. Avoiding chest tube placement after video-assisted thoracoscopic wedge resection of the lung. Eur J Cardiothorac Surg, 2004, 25(5): 872-876.
9. Cerfolio RJ, Bryant AS. Result of a prospective algorithm to remove chest tubes after pulmonary resection with high output. J Thorac Cardiovasc Surg, 2008, 135(2): 269-273.
10. Koc T, Routledge T, Chambers A, et al. Do patients undergoing lung biopsy need a postoperative chest drain at all? Interact Cardiovasc Thorac Surg, 2010, 10(6): 1022-1025.
11. 車國衛, 李為民, 劉倫旭. 快速肺康復需要圍手術期流程優化. 中國胸心血管外科臨床雜志, 2016, 23(3): 216-220.
12. 周渝斌, 劉倫旭, 蘇建華, 等. 胸腔鏡肺葉切除術后心肺功能的快速康復. 中國胸心血管外科臨床雜志, 2013, 20(2): 168-171.
13. Nakashima S, Watanabe A, Mishina T, et al. Feasibility and safety of postoperative management without chest tube placement after thoracoscopic wedge resection of the lung. Surg Today, 2011, 41(6): 774-779.

Previous Article
The application of cerebral oxygen saturation monitoring in cardiac and thoracic surgery
Next Article
Clinical analysis of 37 unplanned re-operations of esophageal and cardiac carcinoma

Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Preliminary experience of uniportal thoracoscopic surgery for benign thoracic diseases without chest tube placement after surgery

Abstract Full text Figures/Tables Video References Cited by

Previous Article

Next Article

Format

Content