Total Thoracoscopy versus Thoracotomy for Pulmonary Lobectomy in Lung Benign Diseases: A Case Control Study_Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Authors：

WANGJun-feng ¹ , DAIYu ² ,  FUYu-dong ¹ , KANQiang-bo ¹ , JIHong-bo ¹ , HOUBo ¹ , LIMing-xue ¹ , ZHAOZhang-yong ¹

1. Department of Thoracic and Cardiovascular Surgery, The First People's Hospital of Qujing, Qujing 655000 Yunnan, P. R. China;
2. medical college of Qujing, Qujing 655000 Yunnan, P. R. China;

Corresponding author：

FUYu-dong, Email: wjf541100@sina.com

Keywords：

Video-assisted thoracoscopic surgery; Thoracotomy; Lobectomy; Benign lung disease

DOI：

10.7507/1007-4848.20160210

Video：

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Objective To investigate the efficacy of total thoracoscopy (VATS) lobectomy and the thoracotomy for the treatment of benign lung disease. Methods We retrospectively analyzed the clinical data of 70 patients with benign lung diseases in the First People's Hospital of Qujing between January 2012 and September 2013. According to the surgical way, the patients were divided into two groups including a total VATS group involved in 35 patients with 25 males and 10 females, aged 18 to 71 years, mean age of 41.3±6.4 years and a thoracotomy group involved in 35 patients with 26 males and 9 females, aged 19 to 72 years, mean age of 42.4±5.6 years. Then we compared the efficacy of the two groups. Results There was no statistical difference (P > 0.05) in operative time and postoperative survival rate comparison. While in the total VATS group, the total thoracoscopic incision length, bleeding volume or pain time, postoperative day time of analgesia, thoracic drainage volume, postoperative drainage tube pulling time and hospitalization time were all lower than those in the thoracotomy group with statistical differeces (P < 0.05). Conclusion The thoracoscopic lobectomy for treatment of benign pulmonary lesions is superior to the conventional thoracotomy with much less bleeding and pain, more faster postoperative recovery and less impact on the patient's body. It's suitable for clinical application in normal hospital.

Citation： WANGJun-feng, DAIYu, FUYu-dong, KANQiang-bo, JIHong-bo, HOUBo, LIMing-xue, ZHAOZhang-yong. Total Thoracoscopy versus Thoracotomy for Pulmonary Lobectomy in Lung Benign Diseases: A Case Control Study. Chinese Journal of Clinical Thoracic and Cardiovascular Surgery, 2016, 23(9): 877-879. doi: 10.7507/1007-4848.20160210 Copy

1.	Petersen RH, Hansen HJ. Learning thoracoscopic lobectomy. Eur J Cardiothorac Surg, 2010, 37(9):516-520.
2.	徐广文, 马冬春.完全胸腔镜肺叶切除术诊治肺良性疾病50例分析.临床肺科杂志, 2013, 18(3):487-488.
3.	蒲强, 刘伦旭, 车国卫, 等.单向式全胸腔镜肺叶切除手术治疗良性疾病的临床研究.四川大学学报(医学版), 2010, 41(3):548-550.
4.	张亮, 刘永煜, 赵翔.单向式全胸腔镜肺叶切除手术治疗肺良性疾病的可行性和安全性分析.四川医学, 2012, 33(12):2150-2151.
5.	刘宗亮.胸腔镜与开胸手术治疗早期非小细胞肺癌的临床疗效观察.当代医学, 2010, 16(26):107-108.
6.	Cioffi U, De Simone M, Baisi A. Is videoassisted thoracic lobectomy safe and successful for locally advanced non-small cell lung cancer. J Thorac Cardiovasc Surg, 2013, 146(5):1302-1303.
7.	曾剑, 刘金石.胸腔镜辅助肺癌切除术后生活质量的研究.中国肺癌杂志, 2014, 17(3):209-214.
8.	杨帆, 李晓, 任斌辉, 等.多中心全胸腔镜肺叶切除手术600例.中华胸心血管外科杂志, 2010, 26(5):307-309.
9.	Li JF, Yang F, LI Y, et al. Continuous 100 cases of completely thoracoscopic lobectomy for clinical analysis. J Thorac Cardiovasc Surg, 2009, 16(1):1-4.
10.	刘伦旭, 车国卫, 王允, 等.电视胸腔镜手术治疗肺良性疾病128例.中国胸心血管外科临床杂志, 2008, 15(1):29-31.
11.	刘伦旭.胸腔镜肺癌切除:多样化的手术切口和流程.医学与哲学(临床决策论坛版), 2011, 32(9):11-13.
12.	Puri V, Meyers BF. Videoassisted thoracoscopic surgery lobecto-my for lung cancer. Surg Oncol Clin N Am, 2013, 22(1):27-38.
13.	刘永靖, 于奇, 缪军, 等.单操作孔全胸腔镜肺叶切除术的临床应用.临床肺科杂志, 2014, 19(10):1855-1857.
14.	杨富涛.电视胸腔镜肺叶切除术和传统开胸肺叶切除术治疗Ⅰ-Ⅱ期非小细胞肺癌的疗效.中国临床药理学杂志, 2013, 29(5):328-330.
15.	陈康, 艾孜子·阿不来提.全胸腔镜肺叶切除术治疗非小细胞肺癌临床疗效分析.河北医学, 2014, 20(10):1641-1644.
16.	张雪飞, 史小男, 韩彪.胸腔镜与开胸肺叶切除术治疗非小细胞肺癌近期疗效的系统评价.中国肺癌杂志, 2012, 15(7):422-428.
17.	王俊, 李运, 刘军, 等.全胸腔镜下肺叶切除治疗早期非小细胞肺癌.中华胸心血管外科杂志, 2008, 24(3):147-150.
18.	朱乐伟, 杨劼, 叶国麟, 等.全电视胸腔镜肺叶切除术治疗肺良性疾病58例临床分析.中国胸心血管外科临床杂志, 2011, 18(6):580-581.
19.	郑轶峰, 姜建青, 杨列, 等.胸腔镜肺叶切除术治疗肺良性疾病的临床分析.西南国防医药, 2012, 22(12):1336-1338.
20.	何靖康, 唐兴, 黄海涛, 等.电视胸腔镜肺叶切除术在肺良性疾病中的应用.中国胸心血管外科临床杂志, 2013, 20(4):482-483.

1. Petersen RH, Hansen HJ. Learning thoracoscopic lobectomy. Eur J Cardiothorac Surg, 2010, 37(9):516-520.
2. 徐广文, 马冬春.完全胸腔镜肺叶切除术诊治肺良性疾病50例分析.临床肺科杂志, 2013, 18(3):487-488.
3. 蒲强, 刘伦旭, 车国卫, 等.单向式全胸腔镜肺叶切除手术治疗良性疾病的临床研究.四川大学学报(医学版), 2010, 41(3):548-550.
4. 张亮, 刘永煜, 赵翔.单向式全胸腔镜肺叶切除手术治疗肺良性疾病的可行性和安全性分析.四川医学, 2012, 33(12):2150-2151.
5. 刘宗亮.胸腔镜与开胸手术治疗早期非小细胞肺癌的临床疗效观察.当代医学, 2010, 16(26):107-108.
6. Cioffi U, De Simone M, Baisi A. Is videoassisted thoracic lobectomy safe and successful for locally advanced non-small cell lung cancer. J Thorac Cardiovasc Surg, 2013, 146(5):1302-1303.
7. 曾剑, 刘金石.胸腔镜辅助肺癌切除术后生活质量的研究.中国肺癌杂志, 2014, 17(3):209-214.
8. 杨帆, 李晓, 任斌辉, 等.多中心全胸腔镜肺叶切除手术600例.中华胸心血管外科杂志, 2010, 26(5):307-309.
9. Li JF, Yang F, LI Y, et al. Continuous 100 cases of completely thoracoscopic lobectomy for clinical analysis. J Thorac Cardiovasc Surg, 2009, 16(1):1-4.
10. 刘伦旭, 车国卫, 王允, 等.电视胸腔镜手术治疗肺良性疾病128例.中国胸心血管外科临床杂志, 2008, 15(1):29-31.
11. 刘伦旭.胸腔镜肺癌切除:多样化的手术切口和流程.医学与哲学(临床决策论坛版), 2011, 32(9):11-13.
12. Puri V, Meyers BF. Videoassisted thoracoscopic surgery lobecto-my for lung cancer. Surg Oncol Clin N Am, 2013, 22(1):27-38.
13. 刘永靖, 于奇, 缪军, 等.单操作孔全胸腔镜肺叶切除术的临床应用.临床肺科杂志, 2014, 19(10):1855-1857.
14. 杨富涛.电视胸腔镜肺叶切除术和传统开胸肺叶切除术治疗Ⅰ-Ⅱ期非小细胞肺癌的疗效.中国临床药理学杂志, 2013, 29(5):328-330.
15. 陈康, 艾孜子·阿不来提.全胸腔镜肺叶切除术治疗非小细胞肺癌临床疗效分析.河北医学, 2014, 20(10):1641-1644.
16. 张雪飞, 史小男, 韩彪.胸腔镜与开胸肺叶切除术治疗非小细胞肺癌近期疗效的系统评价.中国肺癌杂志, 2012, 15(7):422-428.
17. 王俊, 李运, 刘军, 等.全胸腔镜下肺叶切除治疗早期非小细胞肺癌.中华胸心血管外科杂志, 2008, 24(3):147-150.
18. 朱乐伟, 杨劼, 叶国麟, 等.全电视胸腔镜肺叶切除术治疗肺良性疾病58例临床分析.中国胸心血管外科临床杂志, 2011, 18(6):580-581.
19. 郑轶峰, 姜建青, 杨列, 等.胸腔镜肺叶切除术治疗肺良性疾病的临床分析.西南国防医药, 2012, 22(12):1336-1338.
20. 何靖康, 唐兴, 黄海涛, 等.电视胸腔镜肺叶切除术在肺良性疾病中的应用.中国胸心血管外科临床杂志, 2013, 20(4):482-483.

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Total Thoracoscopy versus Thoracotomy for Pulmonary Lobectomy in Lung Benign Diseases: A Case Control Study

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