Is it time to optimize thoracoscope instruments package of lobectomy in patients with lung cancer?_Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Authors：

TU Xuehua ¹ , ZHANG Xiangrong ¹ , HAO Miao ¹ , XU Ninghui ¹ , WANG Wenping ² ,  CHE Guowei ²

1. Department of Operation Room, West China Hospital, Sichuan University, Chengdu, 610041, P.R.China;
2. Department of Thoracic Surgery, West China Hospital, Sichuan University, Chengdu, 610041, P.R.China;

Corresponding?author：

CHE Guowei, Email: guowei_che@yahoo.com

Keywords：

Thoracoscopic surgery; surgical instruments package; lung cancer

DOI：

10.7507/1007-4848.201802027

Video：

Export PDF Favorites Scan Get Citation

Abstract Full text Figures/Tables Video References Cited by

Objective To evaluate the advantages about video-assisted thoracoscopic surgery (VATS) lobectomy with optimized management of surgical instruments package. Methods A total of 200 patients with lung cancer were enrolled, which included 78 males and 122 females, aged 24-83 years at median age of 56.8 years. All of them were divided into 2 groups including a routine group (n=100) and an optimized management of surgical instruments group (n=100). The total operation time, bleeding, instrument weights, utilization rate of instruments, counted and cleaning time in 2 groups were recorded and analyzed. Results The average operation time and average lost blood of the routine group was 117.62±42.52 min and 53.14±50.69 ml, respectively, and the one of the optimized instruments group was 120.48±40.62 min, 56.10±49.87 ml, respectively, with no significant difference between the two groups (P=0.112, P=0.231, respectively). The utilization rate of instruments in the routine group (58.02%±2.39%) was significantly lower than that of the optimized instruments group (94.00%±1.48%, P=0.014). The counted time, the loading and unloading time and the cleaning time of instruments in the routine group was 112.00±26.00 s, 70.00±15.00 s, 1 010.00±130.00 s, respectively, much longer than the time of the optimized instruments group, which was 65.00±23.00 s, 20.00±4.00 s, 665.00±69.00 s, respectively. There was a statistical difference between the two groups (P=0.028, P=0.011, P=0.039, respectively). The value of instruments in the routine group (177 574.00±14 438.00 yuan) was apparently higher than that of the optimized instruments group(132 027.00±10 311.00 yuan), with a statistical difference (P=0.032). Conclusion It is demonstrated that optimized management of surgical instruments package in VATS lobectomy can greatly improve the utilization rate of instruments and work efficiency, with no effects on the operation time and amount of bleeding in lobectomy.

Citation： TU Xuehua, ZHANG Xiangrong, HAO Miao, XU Ninghui, WANG Wenping, CHE Guowei. Is it time to optimize thoracoscope instruments package of lobectomy in patients with lung cancer?. Chinese Journal of Clinical Thoracic and Cardiovascular Surgery, 2018, 25(11): 967-970. doi: 10.7507/1007-4848.201802027 Copy

1.	車國衛, 劉倫旭. 單操作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, 9(2): 175-178.
2.	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.
3.	何惠芬, 賴英桃, 黃秀玲, 等. 手術器械包模塊化分類管理的效果評價. 解放軍護理雜志, 2012, 29(24): 63-64.
4.	車國衛. 肺癌患者加速肺康復外科體系的建立與優化. 中國肺癌雜志, 2017, 20(12): 795-799.
5.	Liu L, Che G, Pu Q, et al. A new concept of endoscopic lung cancer resection: Single -direction thoracoscopic lobectomy. Surg Oncol, 2010, 19(2): e71-e77.
6.	Zhi XY, Yu JM, Shi YK. Chinese guidelines on the diagnosis and treatment of primary lung cancer (2015 version). Cancer, 2015, 121(Suppl 17): 3165-3181.
7.	韓兆杰, 宋志芳, 蘇建華, 等. 單胸腔引流管在肺癌術后快速康復中的應用. 中國胸心血管外科臨床雜志, 2014, 21(1): 17-20.
8.	周洪霞, 楊梅, 廖虎, 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.
9.	楊梅, 樊駿, 周紅霞, 等. 胸腔鏡肺癌肺葉切除術后 16F 較 28F 胸腔引流管應用的臨床優勢. 中國肺癌雜志, 2015, 18(8): 512-517.
10.	林琳戢, 艷麗, 車國衛, 等. 肺癌胸腔鏡肺葉切除術后不同藥物鎮痛效果的隨機對照試驗. 中國胸心血管外科臨床雜志, 2017, 24(11): 830-834.
11.	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.
12.	He HF, Lai YT, Huang XL, et al. Effect evaluation of modular category management of surgical instrument package. Nur J Chin People's Liber Arm, 2012, 29(24): 63-64.
13.	王子豪, 廖虎, 張含露, 等. 胸腔鏡前縱隔腫瘤手術中超聲刀與電凝鉤應用的對照研究. 中國胸心血管外科臨床雜志, 2018, 25(1): 9-11.
14.	劉倫旭. 胸腔鏡手術超聲刀規范使用專家共識 (2017 版). 中國胸心血管外科臨床雜志, 2017, 24(6): 407-412.
15.	楊思悅, 蘇蘭, 龔仁蓉, 等. 胸腔鏡肺葉切除術:器械包模塊化應用的臨床評價. 生物醫學工程與臨床, 2014, 18(3): 255-258.
16.	朱云柯, 蒲強, 車國衛, 等. 單向式胸腔鏡肺葉切除術的于術時間. 四川大學學報: 醫學版, 2013, 44(1): 119-121.

1. 車國衛, 劉倫旭. 單操作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, 9(2): 175-178.
2. 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.
3. 何惠芬, 賴英桃, 黃秀玲, 等. 手術器械包模塊化分類管理的效果評價. 解放軍護理雜志, 2012, 29(24): 63-64.
4. 車國衛. 肺癌患者加速肺康復外科體系的建立與優化. 中國肺癌雜志, 2017, 20(12): 795-799.
5. Liu L, Che G, Pu Q, et al. A new concept of endoscopic lung cancer resection: Single -direction thoracoscopic lobectomy. Surg Oncol, 2010, 19(2): e71-e77.
6. Zhi XY, Yu JM, Shi YK. Chinese guidelines on the diagnosis and treatment of primary lung cancer (2015 version). Cancer, 2015, 121(Suppl 17): 3165-3181.
7. 韓兆杰, 宋志芳, 蘇建華, 等. 單胸腔引流管在肺癌術后快速康復中的應用. 中國胸心血管外科臨床雜志, 2014, 21(1): 17-20.
8. 周洪霞, 楊梅, 廖虎, 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.
9. 楊梅, 樊駿, 周紅霞, 等. 胸腔鏡肺癌肺葉切除術后 16F 較 28F 胸腔引流管應用的臨床優勢. 中國肺癌雜志, 2015, 18(8): 512-517.
10. 林琳戢, 艷麗, 車國衛, 等. 肺癌胸腔鏡肺葉切除術后不同藥物鎮痛效果的隨機對照試驗. 中國胸心血管外科臨床雜志, 2017, 24(11): 830-834.
11. 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.
12. He HF, Lai YT, Huang XL, et al. Effect evaluation of modular category management of surgical instrument package. Nur J Chin People's Liber Arm, 2012, 29(24): 63-64.
13. 王子豪, 廖虎, 張含露, 等. 胸腔鏡前縱隔腫瘤手術中超聲刀與電凝鉤應用的對照研究. 中國胸心血管外科臨床雜志, 2018, 25(1): 9-11.
14. 劉倫旭. 胸腔鏡手術超聲刀規范使用專家共識 (2017 版). 中國胸心血管外科臨床雜志, 2017, 24(6): 407-412.
15. 楊思悅, 蘇蘭, 龔仁蓉, 等. 胸腔鏡肺葉切除術:器械包模塊化應用的臨床評價. 生物醫學工程與臨床, 2014, 18(3): 255-258.
16. 朱云柯, 蒲強, 車國衛, 等. 單向式胸腔鏡肺葉切除術的于術時間. 四川大學學報: 醫學版, 2013, 44(1): 119-121.

Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Is it time to optimize thoracoscope instruments package of lobectomy in patients with lung cancer?

Abstract Full text Figures/Tables Video References Cited by

Previous Article

Next Article

Format

Content