Single Utility Port Video-assisted Thoracoscopic Lobectomy for Benign Pulmonary Diseases_Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Authors：

LIGuang-bin , ZHAOJun , NIbin , LIChang , XUChun ,  MAHai-tao

Department of Cardiothoracic Surgery, The First Affiliated Hospital of Soochow University, Suzhou 215006, Jiangsu, P. R. China;

Corresponding author：

MAHai-tao, Email: MHT7403@163.com

Keywords：

Single utility port; Video-assisted thoracoscopic surgery; Lobectomy; Benign pulmonary disease

DOI：

10.7507/1007-4848.20150145

Video：

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Objective To evaluate the safety and efficacy of single utility port video-assisted thoracoscopic lobec-tomy in the treatment of benign pulmonary diseases. Methods From January 2011 to April 2014, 48 patients with benign pulmonary diseases underwent single utility port video-assisted thoracoscopic lobectomy in the First Affiliated Hospital of Soochow University. The patients included 21 males and 27 females, with their mean age of 47.4 years. There were 5 patients received right upper lobectomy, right middle lobectomy in 5 patients, right lower lobectomy in 5 patients, left upper lobectomy in 8 patients, and left lower lobectomy in 20 patients. the clinical outcomes included operation time, intraoperative blood loss, chest drainage duration, postoperative hospital stay and postoperative complications. Results There were 2 patients conversion to open surgery. The average operation time was 147.2±50.4 min, intraopera-tive blood loss was 160.2±25.3 ml, postoperative chest drainage duration was 4.8±2.8 d, postoperative hospital stay was 7.4±1.9 d. There was no hospital death or serious postoperative complications. Postoperative pathological diagnosis showed bronchiectasis in 17 patients, inflammatory pseudotumor in 11 patients, tuberculosis in 9 patients, aspergillosis in 4 patients, pulmonary sequestration in 3 patients, bronchogenic cyst in 2 patients, pulmonary abscess in 1 patient, and hamartoma in 1 patient. No long-term complications were noticed in 48 patients during a mean follow-up of 6 months. Conclusion Single utility port video-assisted thoracoscopic lobectomy is safe and feasible in the treatment of benign pulmonary diseases.

Citation： LIGuang-bin, ZHAOJun, NIbin, LIChang, XUChun, MAHai-tao. Single Utility Port Video-assisted Thoracoscopic Lobectomy for Benign Pulmonary Diseases. Chinese Journal of Clinical Thoracic and Cardiovascular Surgery, 2015, 22(6): 569-571. doi: 10.7507/1007-4848.20150145 Copy

1.	Whitson BA, Groth SS, Duval SJ, et al. Surgery for early-stage nonsmall cell lung cancer: a systematic review of the video-assisted thoracoscopic surgery versus thoracotomy approaches to lobectomy. Ann Thorac Surg, 2008, 86(6): 2008-2016.
2.	Tomaszek SC, Cassivi SD, Shen KR, et al. Clinical outcomes of video-assisted thoracoscopic lobectomy. Mayo Clin Proc, 2009, 84(6): 509-513.
3.	李强, 何金涛, 庄翔, 等. 电视胸腔镜微创手术与常规肺癌手术淋巴结清扫的对照研究. 中国肺癌杂志, 2010, 13(12): 1141-1144.
4.	叶仕新, 曾志勇, 徐驰, 等. 电视胸腔镜在肺部小结节诊断与治疗中的应用. 中国胸心血管外科临床杂志, 2012, 19(5): 567-568.
5.	Karasaki T, Nakajima J, Murakawa T, et al. Video-assisted thoracic surgery lobectomy preserves more latissimus dorsi muscle than conventional surgery. Interact Cardiovasc Thorac Surg, 2009, 8(3): 316-319.
6.	Petasen RH, Hansen HJ. Learning thoracoscopic lobectomy. Eur J Cardiothorac Surg, 2010, 37(3): 516-520.
7.	Wildgaard K, Ringsted TK, Hansen HJ, et al. Quantitative sensory testing of persistent pain after video-assisted thoracic surgery lobectomy. Br J Anaesth, 2012, 108(1): 126-133.
8.	初向阳, 薛志强, 刘毅, 等. 单操作孔电视胸腔镜肺叶切除术治疗早期肺癌的临床研究. 中国胸心血管外科临床杂志, 2012, 19(2): 113-115.
9.	李畅, 马海涛, 何靖康, 等. 单操作孔肺叶切除术治疗周围型肺癌的临床研究. 中国肺癌杂志, 2013, 16(2): 487-491.
10.	车国卫, 梅龙勇, 梅建东, 等. 单操作孔电视胸腔镜手术治疗肺部疾病158 例临床分析. 中国胸心血管外科临床杂志, 2012, 19(2): 116-119.
11.	Yim APC, Ko KM, Ma CC, et al. Thoracoscopic lobectomy for benign disease. Chest, 1996, 109(2): 554-556.
12.	Weber A, Stammberger U, Inci I, et al. Thoracoscopie lobectemy for benign disease-a single centre study on 64 cases. Eur J Cardiothorac Surg, 2001, 20(3): 443-448.
13.	郭占林, 黄少君, 孙嘉阳, 等. 电视胸腔镜手术治疗胸部疾病164例. 中国胸心血管外科临床杂志, 2012, 19(4): 453-454.
14.	杨帆, 李运, 刘军, 等. 全胸腔镜肺叶切除术治疗肺良性疾病. 中华外科杂志, 2009, 47(6): 454-456.
15.	李运, 杨帆, 刘彦国, 等. 全胸腔镜肺叶切除术中转开胸手术指征的探讨. 中国胸心血管外科临床杂志, 2010, 17(1): 32-35.
16.	Sakaguchi K, Horio H, Yamamoto M. Bleeding by staple in videoassisted thoracoscopic interlobar plasty of the lung. Kyobu Geka, 2007, 60(10): 907-909.
17.	Peter BK, Didier S, Sven H, et al. Thoracoscopic treatment of pulmonary sequestration. Eur J Cardiothorac Surg, 2006, 29(5): 815-818.
18.	冯明祥, 谭黎杰, 汪灏, 等. 胸腔镜肺叶切除术治疗肺良性疾病. 中国微创外科杂志, 2009, 9(9): 779-780.
19.	Zhang P, Zhang F, Jiang S, et a1. Video-assisted thoracic surgery for bronchiectasis. Ann Thorac Surg, 2011, 91(1): 239-243.

1. Whitson BA, Groth SS, Duval SJ, et al. Surgery for early-stage nonsmall cell lung cancer: a systematic review of the video-assisted thoracoscopic surgery versus thoracotomy approaches to lobectomy. Ann Thorac Surg, 2008, 86(6): 2008-2016.
2. Tomaszek SC, Cassivi SD, Shen KR, et al. Clinical outcomes of video-assisted thoracoscopic lobectomy. Mayo Clin Proc, 2009, 84(6): 509-513.
3. 李强, 何金涛, 庄翔, 等. 电视胸腔镜微创手术与常规肺癌手术淋巴结清扫的对照研究. 中国肺癌杂志, 2010, 13(12): 1141-1144.
4. 叶仕新, 曾志勇, 徐驰, 等. 电视胸腔镜在肺部小结节诊断与治疗中的应用. 中国胸心血管外科临床杂志, 2012, 19(5): 567-568.
5. Karasaki T, Nakajima J, Murakawa T, et al. Video-assisted thoracic surgery lobectomy preserves more latissimus dorsi muscle than conventional surgery. Interact Cardiovasc Thorac Surg, 2009, 8(3): 316-319.
6. Petasen RH, Hansen HJ. Learning thoracoscopic lobectomy. Eur J Cardiothorac Surg, 2010, 37(3): 516-520.
7. Wildgaard K, Ringsted TK, Hansen HJ, et al. Quantitative sensory testing of persistent pain after video-assisted thoracic surgery lobectomy. Br J Anaesth, 2012, 108(1): 126-133.
8. 初向阳, 薛志强, 刘毅, 等. 单操作孔电视胸腔镜肺叶切除术治疗早期肺癌的临床研究. 中国胸心血管外科临床杂志, 2012, 19(2): 113-115.
9. 李畅, 马海涛, 何靖康, 等. 单操作孔肺叶切除术治疗周围型肺癌的临床研究. 中国肺癌杂志, 2013, 16(2): 487-491.
10. 车国卫, 梅龙勇, 梅建东, 等. 单操作孔电视胸腔镜手术治疗肺部疾病158 例临床分析. 中国胸心血管外科临床杂志, 2012, 19(2): 116-119.
11. Yim APC, Ko KM, Ma CC, et al. Thoracoscopic lobectomy for benign disease. Chest, 1996, 109(2): 554-556.
12. Weber A, Stammberger U, Inci I, et al. Thoracoscopie lobectemy for benign disease-a single centre study on 64 cases. Eur J Cardiothorac Surg, 2001, 20(3): 443-448.
13. 郭占林, 黄少君, 孙嘉阳, 等. 电视胸腔镜手术治疗胸部疾病164例. 中国胸心血管外科临床杂志, 2012, 19(4): 453-454.
14. 杨帆, 李运, 刘军, 等. 全胸腔镜肺叶切除术治疗肺良性疾病. 中华外科杂志, 2009, 47(6): 454-456.
15. 李运, 杨帆, 刘彦国, 等. 全胸腔镜肺叶切除术中转开胸手术指征的探讨. 中国胸心血管外科临床杂志, 2010, 17(1): 32-35.
16. Sakaguchi K, Horio H, Yamamoto M. Bleeding by staple in videoassisted thoracoscopic interlobar plasty of the lung. Kyobu Geka, 2007, 60(10): 907-909.
17. Peter BK, Didier S, Sven H, et al. Thoracoscopic treatment of pulmonary sequestration. Eur J Cardiothorac Surg, 2006, 29(5): 815-818.
18. 冯明祥, 谭黎杰, 汪灏, 等. 胸腔镜肺叶切除术治疗肺良性疾病. 中国微创外科杂志, 2009, 9(9): 779-780.
19. Zhang P, Zhang F, Jiang S, et a1. Video-assisted thoracic surgery for bronchiectasis. Ann Thorac Surg, 2011, 91(1): 239-243.

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