Application of Silk Ligation for Pulmonary Artery in Video-assisted Thoracoscopic Lobectomy_Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Authors：

CHENJian ,  LIUJian , ZHANBi-cheng , LIUYong-zhi , WANGHuan

Department of Cardiothoracic Surgery, Anqing Municipal Hospital, Anhui Medical University, Anqing 246003 Anhui, P. R. China;

Corresponding author：

LIUJian, Email: Lj-zhenjiang@yahoo.com.cn

Keywords：

Pulmonary artery; Ligation; Video-assisted thoracic surgery; Lobectomy

DOI：

10.7507/1007-4848.20160108

Video：

Export PDF Favorites Scan Get Citation

Abstract Full text Figures/Tables Video References Cited by

Objective To investigate the security and feasibility of silk ligating for pulmonary artery in video-assisted thoracoscopic lobectomy, and to summarize the clinical skills. Methods We retrospectively analyzed the clinical data of 68 patients underwent the video-assisted thoracoscopic lobectomy from April 2013 to March 2015. There were 49 males and 19 females with the mean age of 59.6±10.3 years, ranging from 38 to 76 years. We divided the patients into an ECR60W cut-up group (31 patients) and a silk ligation group (37 patients). There were 22 males and 9 females patients with the average age of 59.3±9.9 years with ECR60W. There were 27 males and 10 females patients with the average age of 59.9±10.5 years with silk ligation. We observed the effect of hemostasis, and analyzed the amount of bleeding loss during operation, postoperative suction drainage and the cost of operation material between the two groups. Results There were 4 patients out of 68 converted to the open lobectomy, and all of them used ECR60W. The application of silk ligation for pulmo-nary artery could effectively control bleeding loss and avoid massive amount of bleeding due to the vascular tear in opera-tions. Furthermore, the application can reduce the rate of severe complications such as massive bleeding resulting from postoperative silk ligation slippage. There was a statistical difference between the two groups on the cost of operation mate-rials (P < 0.01). Conclusions Silk ligation for pulmonary artery in video-assisted thoracoscopic lobectomy is simple and prac-tical to apply. Compared with the ECR60W, it can significantly reduce the cost of operation material. It's worth to popularize in clinic.

Citation： CHENJian, LIUJian, ZHANBi-cheng, LIUYong-zhi, WANGHuan. Application of Silk Ligation for Pulmonary Artery in Video-assisted Thoracoscopic Lobectomy. Chinese Journal of Clinical Thoracic and Cardiovascular Surgery, 2016, 23(5): 459-462. doi: 10.7507/1007-4848.20160108 Copy

1.	陈海兵, 朱全, 陈亮. 连续231例全电视胸腔镜肺叶切除术治疗非小细胞肺癌近、远期疗效分析. 中国胸心血管外科临床杂志, 2013, 20(6):673-678.
2.	刘伦旭. 开胸手术将逐渐"升级"为胸腔镜微创手术的补充. 中国胸心血管外科临床杂志, 2012, 19(2):109-112.
3.	黄佳, 赵晓菁, 林皓, 等. 单向四孔法全胸腔镜肺叶切除术治疗非小细胞肺癌的临床研究. 中国胸心血管外科临床杂志, 2012, 9(2):125-129.
4.	田界勇, 马冬春, 徐美清, 等. 全胸腔镜肺叶切除术治疗周围型肺癌的临床分析. 中国胸心血管外科临床杂志, 2012, 19(5):479-483.
5.	Wang BY, Tu CC, Liu CY, et al. Single-incision thoracoscopic lobectomy and segmentectomy with radical lymph node dissection. Ann Thorac Surg, 2013, 96(3):977-982.
6.	Zhou ZL, Zhao H, Li Y. Completely thoracoscopic lobectomy for the surgical management of bronchiectasis. Chin Med J, 2013, 126(5):875-878.
7.	罗东, 尹杰, 柯有力. 电视胸腔镜肺叶切除术治疗早期非小细胞肺癌临床分析. 微创医学, 2015, 10(1):22-24.
8.	林宗武, 徐松涛, 王群. 半俯卧位单孔胸腔镜肺叶切除术的初步探讨. 中国临床医学, 2015, 22(2):159-164.
9.	Stephens N, Rice D, Correa A, et al. Thoracoscopic lobectomy is associated with improved short-term and equivalent oncological outcomes compared with open lobectomy for clinical stage I non-small-cell lung cancer, a propensity-matched analysis of 963 cases. Eur J Cardiothorac Surg, 2014, 46(4):607-620.
10.	Klapper J, D'Amico TA. VATS versus open surgery for lung cancer resection:Moving toward a minimally invasive approach. J Natl Compr Canc Netw, 2015, 13(2):162-164.
11.	Nwogu CE, D'Cunha J, Pang H. VATS lobectomy has better perioperative outcomes than open lobectomy:CALGB 31001,An ancillary analysis of CALGB 140202(Alliance).Ann Thorac Surg, 2015, 99(2):399-404.
12.	Linden PA, Nwogu CE, Reyna R. VATS lobectomy has better perioperative outcomes than open lobectomy:CALGB 31001, An ancillary analysis of CALGB 140202(Alliance). Ann Thorac Surg, 2015, 99(2):404-405.
13.	蒋伟, 奚俊杰, 汪灏, 等. 全胸腔镜肺叶切除术治疗临床早期非小细胞肺癌的疗效评价. 中国胸心血管外科临床杂志, 2012, 19(2):120-124.
14.	王强, 吴勇, 徐文举, 等. 非昂贵耗材的完全胸腔镜手工肺叶切除术. 中国微创外科杂志, 2012, 12(11):966-968.
15.	刘伦旭, 刘成武, 杨俊杰. 胸腔镜肺叶切除术:技术优化与应用拓展. 四川大学学报(医学版), 2013, 44(1):104-108.
16.	李运, 杨帆, 赵辉, 等. 全胸腔镜肺叶切除术中转开胸的淋巴结影响. 中华胸心血管外科杂志, 2013, 29(10):591-594.
17.	Lee HS, Jang HJ. Thoracoscopic mediastinal lymph node dissection for lung cancer. Semin Thorac Cardiovasc Surg, 2012, 24:131-141.
18.	Nakamura Y, Iwazaki M, Watanabe R, et al. Pulmonary inflam-matory pseudotumor observed by bronchoscopy and resected using video-assisted thoracic surgery. Gen Thorac Cardiovasc Surg, 2013, 61(4):234-237.
19.	Samson P,Guitron J,Reed MF,et al. Predictors of conversion to Thoracotomy for video-assisted thoracoscopic lobectomy:a retrospective analysis and the influence of computed tomography-based caleification assessment. J Thorac Cardiovasc Surg, 2013, 145(6):1512-1518.
20.	周逸鸣, 姜格宁, 朱余明, 等. 单中心连续2000例全胸腔镜肺叶切除中转开胸分析.中华胸心血管外科杂志, 2013, 29(8):477-479.
21.	Okamoto J, Kubokura H, Usuda J. Safe transection of aberrant arteries associated with pulmonary sequestrations. BMC Surg, 2015, 15(1):9.
22.	Nakanishi R, Yamashita T, Oka S. Initial experience of video-assisted thoracic surgery lobectomy with partial removal of the pulmonary artery. Interact Cardiovasc Thorac surg, 2008, 7(6):996-1000.
23.	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.
24.	Nosotti M, Cioffi U, De Simone M, et al. Systematic mediastinal nodal dissection and video-assisted thoracic surgery. Eur J Cardio-thorac Surg, 2012, 42(2):385-386.

1. 陈海兵, 朱全, 陈亮. 连续231例全电视胸腔镜肺叶切除术治疗非小细胞肺癌近、远期疗效分析. 中国胸心血管外科临床杂志, 2013, 20(6):673-678.
2. 刘伦旭. 开胸手术将逐渐"升级"为胸腔镜微创手术的补充. 中国胸心血管外科临床杂志, 2012, 19(2):109-112.
3. 黄佳, 赵晓菁, 林皓, 等. 单向四孔法全胸腔镜肺叶切除术治疗非小细胞肺癌的临床研究. 中国胸心血管外科临床杂志, 2012, 9(2):125-129.
4. 田界勇, 马冬春, 徐美清, 等. 全胸腔镜肺叶切除术治疗周围型肺癌的临床分析. 中国胸心血管外科临床杂志, 2012, 19(5):479-483.
5. Wang BY, Tu CC, Liu CY, et al. Single-incision thoracoscopic lobectomy and segmentectomy with radical lymph node dissection. Ann Thorac Surg, 2013, 96(3):977-982.
6. Zhou ZL, Zhao H, Li Y. Completely thoracoscopic lobectomy for the surgical management of bronchiectasis. Chin Med J, 2013, 126(5):875-878.
7. 罗东, 尹杰, 柯有力. 电视胸腔镜肺叶切除术治疗早期非小细胞肺癌临床分析. 微创医学, 2015, 10(1):22-24.
8. 林宗武, 徐松涛, 王群. 半俯卧位单孔胸腔镜肺叶切除术的初步探讨. 中国临床医学, 2015, 22(2):159-164.
9. Stephens N, Rice D, Correa A, et al. Thoracoscopic lobectomy is associated with improved short-term and equivalent oncological outcomes compared with open lobectomy for clinical stage I non-small-cell lung cancer, a propensity-matched analysis of 963 cases. Eur J Cardiothorac Surg, 2014, 46(4):607-620.
10. Klapper J, D'Amico TA. VATS versus open surgery for lung cancer resection:Moving toward a minimally invasive approach. J Natl Compr Canc Netw, 2015, 13(2):162-164.
11. Nwogu CE, D'Cunha J, Pang H. VATS lobectomy has better perioperative outcomes than open lobectomy:CALGB 31001,An ancillary analysis of CALGB 140202(Alliance).Ann Thorac Surg, 2015, 99(2):399-404.
12. Linden PA, Nwogu CE, Reyna R. VATS lobectomy has better perioperative outcomes than open lobectomy:CALGB 31001, An ancillary analysis of CALGB 140202(Alliance). Ann Thorac Surg, 2015, 99(2):404-405.
13. 蒋伟, 奚俊杰, 汪灏, 等. 全胸腔镜肺叶切除术治疗临床早期非小细胞肺癌的疗效评价. 中国胸心血管外科临床杂志, 2012, 19(2):120-124.
14. 王强, 吴勇, 徐文举, 等. 非昂贵耗材的完全胸腔镜手工肺叶切除术. 中国微创外科杂志, 2012, 12(11):966-968.
15. 刘伦旭, 刘成武, 杨俊杰. 胸腔镜肺叶切除术:技术优化与应用拓展. 四川大学学报(医学版), 2013, 44(1):104-108.
16. 李运, 杨帆, 赵辉, 等. 全胸腔镜肺叶切除术中转开胸的淋巴结影响. 中华胸心血管外科杂志, 2013, 29(10):591-594.
17. Lee HS, Jang HJ. Thoracoscopic mediastinal lymph node dissection for lung cancer. Semin Thorac Cardiovasc Surg, 2012, 24:131-141.
18. Nakamura Y, Iwazaki M, Watanabe R, et al. Pulmonary inflam-matory pseudotumor observed by bronchoscopy and resected using video-assisted thoracic surgery. Gen Thorac Cardiovasc Surg, 2013, 61(4):234-237.
19. Samson P,Guitron J,Reed MF,et al. Predictors of conversion to Thoracotomy for video-assisted thoracoscopic lobectomy:a retrospective analysis and the influence of computed tomography-based caleification assessment. J Thorac Cardiovasc Surg, 2013, 145(6):1512-1518.
20. 周逸鸣, 姜格宁, 朱余明, 等. 单中心连续2000例全胸腔镜肺叶切除中转开胸分析.中华胸心血管外科杂志, 2013, 29(8):477-479.
21. Okamoto J, Kubokura H, Usuda J. Safe transection of aberrant arteries associated with pulmonary sequestrations. BMC Surg, 2015, 15(1):9.
22. Nakanishi R, Yamashita T, Oka S. Initial experience of video-assisted thoracic surgery lobectomy with partial removal of the pulmonary artery. Interact Cardiovasc Thorac surg, 2008, 7(6):996-1000.
23. 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.
24. Nosotti M, Cioffi U, De Simone M, et al. Systematic mediastinal nodal dissection and video-assisted thoracic surgery. Eur J Cardio-thorac Surg, 2012, 42(2):385-386.

Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Application of Silk Ligation for Pulmonary Artery in Video-assisted Thoracoscopic Lobectomy

Abstract Full text Figures/Tables Video References Cited by

Previous Article

Next Article

Format

Content