Control the pulmonary artery with rumel and bulldog clamp during uniportal thoracoscopic left upper lobectomy
10.3760/cma.j.cn112434-20230109-00009
- VernacularTitle:鲁米尔联合哈巴狗钳肺动脉阻断在单孔胸腔镜左肺上叶切除中的应用
- Author:
Bicheng ZHAN
1
;
Jian LIU
;
Jian CHEN
Author Information
1. 安徽医科大学附属安庆医学中心 安庆市立医院心胸外科，安庆 246003
- Keywords:
Rumel;
Bulldog clamp;
Pulmonary artery;
Uniportal thoracoscopy;
Lung lobectomy
- From:
Chinese Journal of Thoracic and Cardiovascular Surgery
2024;40(1):20-23
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To discuss the feasibility of control the pulmonary artery (PA) with rumel and bulldog clamp during uniportal thoracoscopic left upper lobectomy.Methods:Retrospective analysis of clinical data of 21 patients whose left PA infiltrated by tumor or lymph nodes.The Rumel was used to proximal control of the left PA, and the endoscopic bulldog clamp to distal control. The left upper lobectomy and PA reconstruction were completed under single-port thoracoscopy.Results:All patients were successfully operated, one patient underwent thymectomy, and one patient underwent left S6a subsegmentectomy at the same time. PA reconstruction was performed by running suture under single-port thoracoscopy in 18 patients, by pericardial patch in 2 patients assisted by small incision, and by circumferential resection in one patient associated with left upper sleeve lobectomy assisted by small incision. The operation time was (213.3±40.5) min, the PA control time was (16.5±4.6) min.The blood loss was (152.9±99.9) ml. Postoperative indwelling time of thoracic drainage tube was (5.3±2.8) days, and the postoperative hospitalization time was (9.1±3.6) days. There were no serious complications during the perioperative period.Conclusion:The PA control technique using rumel and bulldog clamp is reliable and occupies less space, which is helpful for the left upper lobectomy and PA reconstruction under uniportal thoracoscopy
