Outcomes of subxiphoid uniportal video-assisted thoracoscopic surgery for bilateral chest diseases_Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Authors：

LIANG Baolei ^1,2 ,  CAI Qingyong ¹ , LIANG Guiyou ¹ , WEI Hao ¹ , SHI Ke ¹ , SHAO Changhai ¹ , TANG Yang ¹ , CHEN Anping ¹ , XU gang ¹

1. Department of Thoracic Surgery, Affiliated Hospital of Zunyi Medical College, Zunyi, 563000, Guizhou, P.R.China;
2. Department of Thoracic Surgery, Heilongjiang Forestry Second Hospital, Yichun, 153100, Heilongjiang, P.R.China;

Corresponding?author：

CAI Qingyong, Email: cqy008cqy@163.com

Keywords：

Subxiphoid; video-assisted thoracoscopic surgery; bilateral chest diseases

DOI：

10.7507/1007-4848.201804009

Video：

Export PDF Favorites Scan Get Citation

Abstract Full text Figures/Tables Video References Cited by

Objective To summarize clinical outcomes of subxiphoid uniportal video-assisted thoracoscopic surgery for bilateral chest diseases simultaneously. Methods The clinical data of 60 patients with bilateral chest diseases treated by uniportal thoracoscopic surgery via subxiphoid approach in the Department of Thoracic Surgery, Affiliated Hospital of Zunyi Medical College from August 2016 to December 2017 were retrospectively analyzed. There were 35 males and 25 females, aged 25.5±8.8 years ranging from 13 to 51 years. There were 40 patients wtih palmar hyperhidrosis, and 20 patients with bilateral pulmonary bullae and onset of one-side pneumothorax. All patients adopted subxiphoid uniportal video-assisted thoracoscopic surgery. Among them 36 patients with palmar hyperhidrosis underwent resection of R3 bilateral sympathetic nerves, 1 resection of R4 bilateral sympathetic nerves, 3 resection of R3+R4 bilateral sympathetic nerves, and 20 patients with pulmonary bullae underwent bilateral bullectomy and pleurodesis. Results Fifty-five patients cured within 1 to 4 days and discharged after surgery. One patient with incision infection and pulmonary infection after bullectomy, cured and discharged after 3 weeks anti-inflammation and incision dressing change. Four patients with Grade B healing recovered after 1 to 2 weeks dressing change. During the follow-up, no pneumothorax or hand perspiration relapsed. Conclusion Subxiphoid uniportal video-assisted thoracoscopic surgery for simple bilateral chest disease simultaneously is safe and feasible, which not only avoids simultaneous trauma of bilateral punch, but also alleviates the pain of patients.

Citation： LIANG Baolei, CAI Qingyong, LIANG Guiyou, WEI Hao, SHI Ke, SHAO Changhai, TANG Yang, CHEN Anping, XU gang. Outcomes of subxiphoid uniportal video-assisted thoracoscopic surgery for bilateral chest diseases. Chinese Journal of Clinical Thoracic and Cardiovascular Surgery, 2018, 25(12): 1064-1067. doi: 10.7507/1007-4848.201804009 Copy

1.	White A, Swanson SJ. Video-assisted thoracic surgery (VATS) segmentectomy: State of the art. Minerva Chir, 2016, 71(1): 61-66.
2.	Kim KS. Single-staged uniportal VATS in the supine position for simultaneous bilateral primary spontaneous pneumothorax. J Cardiothoracic Surg, 2017, 12(1): 1-5.
3.	Yang X, Wang L. Subxiphoid uniportal video-assisted thoracoscopic surgery for synchronous bilateral lung resection. Postgrad Med, 2017, 130(1): 142-145.
4.	蔡昊旻, 林磊, 吳亮, 等. 經劍突下單孔胸腔鏡同期雙肺下葉切除術 2 例. 中華胸心血管外科雜志, 2017, 33(10): 608-609.
5.	喬貴賓, 陳剛. 自發性氣胸的處理: 廣東胸外科行業共識(2016 年版). 中國胸心血管外科臨床雜志, 2017, 24(1): 6-15.
6.	Askari A, Kordzadeh A, Lee GH, et al. Endoscopic thoracic sympathectomy for primary hyperhidrosis: A 16-year follow up in a single UK centre. Surge-J R Coll Surg E, 2014, 12(1): 130-133.
7.	Paliouras D, Barbetakis N, Lazaridis G, et al. Video-assisted thoracic surgery and pneumothorax. J Thorac Dis, 2015, 7(1): 56-61.
8.	Herrmann D, Klapdor B, Ewig S, et al. Initial management of primary spontaneous pneumothorax with video-assisted thoracoscopic surgery: a 10-year experience. Eur J Cardio-Thorac, 2016, 49(3): 854-859.
9.	Cardillo G, Bintcliffe OJ, Carleo F, et al. Primary spontaneous pneumothorax: a cohort study of VATS with talc poudrage. Thorax, 2016, 71(9): 847-853.
10.	Bagheri R, Sharifian AA, Haghi SZ, et al. Thoracoscopic sympathicotomy in the treatment of palmar hyperhidrosis. Asian Cardiovasc Thorac Ann, 2016, 24(7): 687-691.
11.	Laje P, Rhodes K, Magee L, et al. Thoracoscopic bilateral T3 sympathectomy for primary focal hyperhidrosis in children. J Pediatr Surg, 2016, 52(2): 313-316.
12.	王先學, 潘道波, 鄧恢偉, 等. 不同節段胸交感神經切斷術對手汗癥患者術后影響的系統評價與 Meta 分析. 中國胸心血管外科臨床雜志, 2017, 24(5): 377-383.
13.	劉濤, 何海麗, 郭建極, 等. 經劍突單孔胸腔鏡同期切除雙側肺腫瘤 11 例. 中華實驗外科雜志, 2017, 34(4): 706-706.
14.	Wang BY, Chang YC, Chang YC, et al. Thoracoscopic surgery via a single-incision subxiphoid approach is associated with less postoperative pain than single-incision transthoracic or three-incision transthoracic approaches for spontaneous pneumothorax. J Thorac Dis, 2016, 8(Suppl 3): S272-S278.
15.	張國瑜, 張雙林, 張清勇, 等. 經劍突下單孔胸腔鏡治療雙側胸部疾病. 中華實驗外科雜志, 2015, 32(10): 2581-2582.
16.	章智榮, 毛友生, 高樹庚, 等. 雙側同時多原發性非小細胞肺癌外科治療療效分析. 中華腫瘤雜志, 2016, 38(6): 460-465.
17.	Li X, Hu B, Miao J, et al. Reduce chest pain using modified silicone fluted drain tube for chest drainage after video-assisted thoracic surgery (VATS) lung resection. J Thorac Dis, 2016, 8(Suppl 1): S93-S98.
18.	Chou YP, Lin HL, Wu TC. Video-assisted thoracoscopic surgery for retained hemothorax in blunt chest trauma. Curr Opin Pulm Med, 2015, 21(4): 393-398.
19.	Suda T, Sugimura H, Tochii D, et al. Single-port thymectomy through an infrasternal approach. Ann Thorac Surg, 2012, 93(1): 334-336.
20.	Berry MF. Pulmonary artery bleeding during video-assisted thoracoscopic surgery: intraoperative bleeding and control. Thorac Surg Clin, 2015, 25(3): 239-247.
21.	Agostini P, Lugg ST, Adams K, et al. S61 Risk factors and short-term outcomes of developing postoperative pulmonary complications after vats lobectomy. Thorax, 2016, 71(3): 36-37.
22.	陳舒晨, 余紹斌, 林濟紅, 等. 經劍突下入路胸腔鏡下前縱隔腫瘤切除術學習曲線分析. 福建醫科大學學報, 2017, 51(5): 311-315.

1. White A, Swanson SJ. Video-assisted thoracic surgery (VATS) segmentectomy: State of the art. Minerva Chir, 2016, 71(1): 61-66.
2. Kim KS. Single-staged uniportal VATS in the supine position for simultaneous bilateral primary spontaneous pneumothorax. J Cardiothoracic Surg, 2017, 12(1): 1-5.
3. Yang X, Wang L. Subxiphoid uniportal video-assisted thoracoscopic surgery for synchronous bilateral lung resection. Postgrad Med, 2017, 130(1): 142-145.
4. 蔡昊旻, 林磊, 吳亮, 等. 經劍突下單孔胸腔鏡同期雙肺下葉切除術 2 例. 中華胸心血管外科雜志, 2017, 33(10): 608-609.
5. 喬貴賓, 陳剛. 自發性氣胸的處理: 廣東胸外科行業共識(2016 年版). 中國胸心血管外科臨床雜志, 2017, 24(1): 6-15.
6. Askari A, Kordzadeh A, Lee GH, et al. Endoscopic thoracic sympathectomy for primary hyperhidrosis: A 16-year follow up in a single UK centre. Surge-J R Coll Surg E, 2014, 12(1): 130-133.
7. Paliouras D, Barbetakis N, Lazaridis G, et al. Video-assisted thoracic surgery and pneumothorax. J Thorac Dis, 2015, 7(1): 56-61.
8. Herrmann D, Klapdor B, Ewig S, et al. Initial management of primary spontaneous pneumothorax with video-assisted thoracoscopic surgery: a 10-year experience. Eur J Cardio-Thorac, 2016, 49(3): 854-859.
9. Cardillo G, Bintcliffe OJ, Carleo F, et al. Primary spontaneous pneumothorax: a cohort study of VATS with talc poudrage. Thorax, 2016, 71(9): 847-853.
10. Bagheri R, Sharifian AA, Haghi SZ, et al. Thoracoscopic sympathicotomy in the treatment of palmar hyperhidrosis. Asian Cardiovasc Thorac Ann, 2016, 24(7): 687-691.
11. Laje P, Rhodes K, Magee L, et al. Thoracoscopic bilateral T3 sympathectomy for primary focal hyperhidrosis in children. J Pediatr Surg, 2016, 52(2): 313-316.
12. 王先學, 潘道波, 鄧恢偉, 等. 不同節段胸交感神經切斷術對手汗癥患者術后影響的系統評價與 Meta 分析. 中國胸心血管外科臨床雜志, 2017, 24(5): 377-383.
13. 劉濤, 何海麗, 郭建極, 等. 經劍突單孔胸腔鏡同期切除雙側肺腫瘤 11 例. 中華實驗外科雜志, 2017, 34(4): 706-706.
14. Wang BY, Chang YC, Chang YC, et al. Thoracoscopic surgery via a single-incision subxiphoid approach is associated with less postoperative pain than single-incision transthoracic or three-incision transthoracic approaches for spontaneous pneumothorax. J Thorac Dis, 2016, 8(Suppl 3): S272-S278.
15. 張國瑜, 張雙林, 張清勇, 等. 經劍突下單孔胸腔鏡治療雙側胸部疾病. 中華實驗外科雜志, 2015, 32(10): 2581-2582.
16. 章智榮, 毛友生, 高樹庚, 等. 雙側同時多原發性非小細胞肺癌外科治療療效分析. 中華腫瘤雜志, 2016, 38(6): 460-465.
17. Li X, Hu B, Miao J, et al. Reduce chest pain using modified silicone fluted drain tube for chest drainage after video-assisted thoracic surgery (VATS) lung resection. J Thorac Dis, 2016, 8(Suppl 1): S93-S98.
18. Chou YP, Lin HL, Wu TC. Video-assisted thoracoscopic surgery for retained hemothorax in blunt chest trauma. Curr Opin Pulm Med, 2015, 21(4): 393-398.
19. Suda T, Sugimura H, Tochii D, et al. Single-port thymectomy through an infrasternal approach. Ann Thorac Surg, 2012, 93(1): 334-336.
20. Berry MF. Pulmonary artery bleeding during video-assisted thoracoscopic surgery: intraoperative bleeding and control. Thorac Surg Clin, 2015, 25(3): 239-247.
21. Agostini P, Lugg ST, Adams K, et al. S61 Risk factors and short-term outcomes of developing postoperative pulmonary complications after vats lobectomy. Thorax, 2016, 71(3): 36-37.
22. 陳舒晨, 余紹斌, 林濟紅, 等. 經劍突下入路胸腔鏡下前縱隔腫瘤切除術學習曲線分析. 福建醫科大學學報, 2017, 51(5): 311-315.

Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Outcomes of subxiphoid uniportal video-assisted thoracoscopic surgery for bilateral chest diseases

Abstract Full text Figures/Tables Video References Cited by

Previous Article

Next Article

Format

Content