Clinical application of uniportal video-assisted thoracoscopic lobectomythrough a 2 cm skin incision_Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Authors：

刘冰 , 林钢 , 刘敬伟 , 刘海波 ,  李简

北京大学第一医院胸外科（北京 100034）;

Corresponding author：

李简, Email: pkufts@163.com

Keywords：

单孔; 胸腔镜; 肺癌

DOI：

10.7507/1007-4848.201610035

Video：

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目的探讨 2 cm 单孔胸腔镜肺叶切除术的可行性及安全性。方法回顾性分析 2016 年 3～8 月我院胸外科行 2 cm 单孔胸腔镜下解剖性肺叶切除术 8 例肺癌患者的临床资料，其中男 5 例、女 3 例，年龄41～75（58.5±10.1）岁。在腋前线第 3 肋间做 2 cm 切口置入胸腔镜及手术器械行解剖性肺叶切除术。结果 8 例均顺利完成手术，无中转开胸。手术时间（191.6±41.9）min，术中出血量（186.3±175.0）ml，术后胸腔引流时间（4.5±1.7）d，术后住院时间（5.5±1.7）d。术后病理均为 ⅠA 期非小细胞肺癌。结论 2 cm 单孔胸腔镜下解剖性肺叶切除术治疗早期肺癌安全、可行，减小了胸腔镜手术对患者的创伤，其进一步的推广应用需更多研究的支持。

Citation： 刘冰, 林钢, 刘敬伟, 刘海波, 李简. Clinical application of uniportal video-assisted thoracoscopic lobectomythrough a 2 cm skin incision. Chinese Journal of Clinical Thoracic and Cardiovascular Surgery, 2017, 24(7): 566-568. doi: 10.7507/1007-4848.201610035 Copy

1.	Gonzalez D, Torre MDL, Paradelaet M, et al. Video-assisted thoracic surgery lobectomy: 3-year initial experience with 200 cases. Eur J Cardiothorac Surg, 2011, 40(1): 21-28.
2.	Braimbridge MV. The history of thoracoscopic surgery. Ann Thorac Surg, 1993, 56(3): 610-614.
3.	Luh SP, Liu HP. Video-assisted thoracic surgery--the past, present status and the future. J Zhejiang Univ Sci B, 2006, 7(2): 118-128.
4.	Gonzalez-Rivas D, Torre MDL, Fernandeze R, et al. Single-port video-assisted thoracoscopic left upper lobectomy. Interact Cardiovasc Thorac Surg, 2011, 13(5): 539-541.
5.	程小兰, 赵珺, 金廷会, 等. 单孔胸腔镜下肺癌根治术临床应用的现状分析. 转化医学电子杂志, 2016, 3(6): 49-51.
6.	Yang HC, Noh D. Single incision thoracoscopic lobectomy through a 2.5 cm skin incision. J Thorac Dis, 2015, 7(5): E122-E125.
7.	Migliore M. Initial History of uniportal video-assisted thoracoscopic surgery. Ann Thorac Surg, 2016, 101(1): 412-413.
8.	Xie D, Wang H, Fei K, et al. Single-port video-assisted thoracic surgery in 1063 cases: a single-institution experience. Eur J Cardiothorac Surg, 2016, 49 Suppl 1: i31-i36.
9.	Jutley RS, Khalil MW, Rocco G. Uniportal vs standard three-port VATS technique for spontaneous pneumothorax: comparison of post-operative pain and residual paraesthesia. Eur J Cardiothorac Surg, 2005, 28(1): 43-46.
10.	Yang HC, Cho S, Jheon S. Single-incision thoracoscopic surgery for primary spontaneous pneumothorax using the SILS port compared with conventional three-port surgery. Surg Endosc, 2013, 27(1): 139-145.
11.	黄国刚, 沈学远. 单孔胸腔镜与传统多孔胸腔镜手术治疗肺癌疗效比较的 Meta 分析. 中国循证医学杂志, 2016, 16(9): 1056-1063.
12.	Parshin VD, Belov I, Komarov RN, et al. The evolution of surgical and functional operability in thoracic oncology. Khirurgiia (Mosk), 2012(7): 4-11.
13.	谢冬, 陈昶, 姜格宁. 肺癌外科手术切口的演变与发展趋势. 中国肺癌杂志, 2016, 19(6): 343-346.
14.	Rocco G, Martucci N, Manna C, et al. Ten-year experience on 644 patients undergoing single-port (uniportal) video-assisted thoracoscopic surgery. Ann Thorac Surg, 2013, 96(2): 434-438.
15.	蔡奕欣, 张霓, 韩颢, 等. 3 cm 单孔胸腔镜在肺叶切除术中的应用. 中华胸心血管外科杂志, 2016, 32(2): 110-112.

1. Gonzalez D, Torre MDL, Paradelaet M, et al. Video-assisted thoracic surgery lobectomy: 3-year initial experience with 200 cases. Eur J Cardiothorac Surg, 2011, 40(1): 21-28.
2. Braimbridge MV. The history of thoracoscopic surgery. Ann Thorac Surg, 1993, 56(3): 610-614.
3. Luh SP, Liu HP. Video-assisted thoracic surgery--the past, present status and the future. J Zhejiang Univ Sci B, 2006, 7(2): 118-128.
4. Gonzalez-Rivas D, Torre MDL, Fernandeze R, et al. Single-port video-assisted thoracoscopic left upper lobectomy. Interact Cardiovasc Thorac Surg, 2011, 13(5): 539-541.
5. 程小兰, 赵珺, 金廷会, 等. 单孔胸腔镜下肺癌根治术临床应用的现状分析. 转化医学电子杂志, 2016, 3(6): 49-51.
6. Yang HC, Noh D. Single incision thoracoscopic lobectomy through a 2.5 cm skin incision. J Thorac Dis, 2015, 7(5): E122-E125.
7. Migliore M. Initial History of uniportal video-assisted thoracoscopic surgery. Ann Thorac Surg, 2016, 101(1): 412-413.
8. Xie D, Wang H, Fei K, et al. Single-port video-assisted thoracic surgery in 1063 cases: a single-institution experience. Eur J Cardiothorac Surg, 2016, 49 Suppl 1: i31-i36.
9. Jutley RS, Khalil MW, Rocco G. Uniportal vs standard three-port VATS technique for spontaneous pneumothorax: comparison of post-operative pain and residual paraesthesia. Eur J Cardiothorac Surg, 2005, 28(1): 43-46.
10. Yang HC, Cho S, Jheon S. Single-incision thoracoscopic surgery for primary spontaneous pneumothorax using the SILS port compared with conventional three-port surgery. Surg Endosc, 2013, 27(1): 139-145.
11. 黄国刚, 沈学远. 单孔胸腔镜与传统多孔胸腔镜手术治疗肺癌疗效比较的 Meta 分析. 中国循证医学杂志, 2016, 16(9): 1056-1063.
12. Parshin VD, Belov I, Komarov RN, et al. The evolution of surgical and functional operability in thoracic oncology. Khirurgiia (Mosk), 2012(7): 4-11.
13. 谢冬, 陈昶, 姜格宁. 肺癌外科手术切口的演变与发展趋势. 中国肺癌杂志, 2016, 19(6): 343-346.
14. Rocco G, Martucci N, Manna C, et al. Ten-year experience on 644 patients undergoing single-port (uniportal) video-assisted thoracoscopic surgery. Ann Thorac Surg, 2013, 96(2): 434-438.
15. 蔡奕欣, 张霓, 韩颢, 等. 3 cm 单孔胸腔镜在肺叶切除术中的应用. 中华胸心血管外科杂志, 2016, 32(2): 110-112.

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