Uniportal complete video-assisted thoracoscopic surgery of 133 patients_Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Authors：

XIANG Run , HE Jintao , LI Qiang , MA Ke , WU Hong ,  ZHU Jiang

Division of Thoracic Surgery, Sichuan Cancer Hospital & Institute, Sichuan Cancer Center, School of Medicine, University of Electronic Science and Technology of China, Chengdu, 610041, P.R.China;

Corresponding author：

ZHU Jiang, Email: 13008148289@163.com

Keywords：

Lung cancer; lobectomy; video-assisted thoracoscopic surgery; uniportal

DOI：

10.7507/1007-4848.201701032

Video：

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Objective To explore the learning curve and evaluate the safety of uniportal complete video-assisted thoracoscopic surgery (VATS) lobectomy. Methods We reviewed retrospectively the clinical data of 133 patients, who underwent uniportal VATS between March 2015 and October 2016 in Sichuan Provincial Cancer Hospital. There were 79 males and 54 females at age of 52.21±10.77 years. Results All the 127 patients completed uniportal VATS, 4.51% (6/133) converted to open surgery. There were 78 patients with lobectomy, 6 patients with segmentectomy, 37 patients with wedge resection, 6 patients with pleural, mediastinal lymph node biopsy or mediastinal tumor resection. In the lobectomy group, mean surgical time was 148.75±34.12 min, mean blood loss was 118.87±59.96 ml, mean number of lymph nodes was 11.25±6.15, the mean duration of chest-tube placement was 2.17±1.35 days, and mean length of stay was 7.58±2.59 days. Conclusion Based on skillful performance of the conventional thoracoscopic lobectomy, the learning curve for single port thoracoscopic lobectomy comprises at least 20 patients. The uniportal VATS lobectomy is a safe and operable method of minimally invasive technique, and it is worthy to be applied in thoracic surgery.

Citation： XIANG Run, HE Jintao, LI Qiang, MA Ke, WU Hong, ZHU Jiang. Uniportal complete video-assisted thoracoscopic surgery of 133 patients. Chinese Journal of Clinical Thoracic and Cardiovascular Surgery, 2018, 25(1): 74-77. doi: 10.7507/1007-4848.201701032 Copy

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15.	刘伦旭, 刘成武, 杨俊杰, 等. 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.
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1. 张毅, 支修益. 微创外科手术治疗早期肺癌. 首都医科大学学报, 2015, 6: 992-997.
2. 刘成武, 刘伦旭. 肺癌微创外科治疗进展. 中华胸部外科电子杂志, 2016, 3(02): 65-69.
3. Swanson SJ, Herndon JE, D'Amico TA, et al. Video-assisted thoracic surgery lobectomy: report of CALGB 39802—a prospective, multi-institution feasibility study. J Clin Oncol, 2007, 25(31): 4993-4997.
4. Rocco G, Martin-Ucar A, Passera E. Uniportal VATS wedge pulmonary resections. Ann Thorac Surg, 2004, 77(2): 726-728.
5. Gonzalez D, Paradela M, Garcia J, et al. Single-port video-assisted thoracoscopic lobectomy. Interact Cardiovasc Thorac Surg, 2011, 12(3): 514-515.
6. Gonzalez-Rivas D, Fieira E, Mendez L, et al. Single-port video-assisted thoracoscopic anatomic segmentectomy and right upper lobectomy. Eur J Cardiothorac Surg, 2012, 42(6): e169-e171.
7. Gonzalez-Rivas D, Fernandez R, Fieira E, et al. Uniportal video-assisted thoracoscopic bronchial sleeve lobectomy: first report. J Thorac Cardiovasc Surg, 2013, 145(6): 1676-1677.
8. 何建行. 微创伤胸外科手术历史、现状和未来. 国际病理科学与临床志, 2013, 33(01): 1-7.
9. 车国卫, 刘伦旭. 肺癌微创治疗进展. 癌症进展, 2011, 9(6): 605-609.
10. 吴一旻, 柴莹. 单孔胸腔镜在肺癌外科中的应用进展. 国际外科学杂志, 2016, 43(5): 357-360.
11. 张毅, 支修益. 微创外科手术治疗早期肺癌. 首都医科大学学报, 2015, 36(6): 992-997.
12. 肖波, 任光国, 陈利华, 等. 胸腔镜对恶性胸腔积液的诊治探讨. 中国肿瘤临床与康复, 2005, 12(01): 73-75.
13. 王光锁, 王正, 王健, 等. 单孔全胸腔镜手术:单中心连续 106 例回归分析. 中国内镜杂志, 2014, 20(2): 118-123.
14. 邓豫, 郝志鹏, 付向宁. " 精准医疗”理念下单孔 VATS 肺癌根治术的发展现状、应用细节和展望.中国肺癌杂志, 2016, 19(6): 371-376.
15. 刘伦旭, 刘成武, 杨俊杰, 等. 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. Andrade RS, Maddaus MA.Thoracoscopic lobectomy for Stage I non-small cell lung cancer. Semin Thoracic Surg, 2010, 22:14-21.
17. 车国卫, 刘伦旭. 单孔电视胸腔镜手术临床应用的现状与进展. 中国胸心血管外科临床杂志, 2012, 19(2): 181-184.
18. 刘成武, 刘伦旭. 单孔胸腔镜: 微创肺癌切除的再次升华.中国肺癌杂志, 2014, 17(7): 527-530.

Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Uniportal complete video-assisted thoracoscopic surgery of 133 patients

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