Preliminary Discussion on Lobectomy by Uniportal Thoracoscope in Semi-Prone Position
- VernacularTitle:半俯卧位单孔胸腔镜肺叶切除术的初步探讨
- Author:
Zongwu LIN
1
;
Songtao XU
;
Qun WANG
Author Information
1. 复旦大学附属中山医院胸外科
- Keywords:
Thoracoscopic surgery;
Lobectomy;
Lung cancer;
Uniportal;
Semiprone position
- From:
Chinese Journal of Clinical Medicine
2015;(2):159-164
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To analyze the safety and feasibility of lobectomy combined with mediastinal lymphadenectomy by uniportal thoracoscope in semi‐prone position .Methods:The clinical data of 20 patients who received lobectomy by uniportal thoracoscope in semi‐prone position were retrospectively analyzed .The patients consist of 6 males and 14 females with the age 24‐73 (56 .4 ± 12 .7) years old .Results:In 16 patients of the 20 patients ,lobectomy by uniportal thoracoscope in semi‐prone position was completed successfully .The operating time was 85‐340 (175 .7 ± 61 .5) min .The bleeding volume was 20‐600 mL . The thoracic dralnage time was 1‐12 (3 .3 ± 2 .5) d .The postoperative length of hospital stay was 3‐14 (5 .1 ± 2 .6) d .In 15 patients with primary bronchogenic carcinoma who completed lobectomy by uniportal thoracoscope successfully , the mean number of retrieved lymph node groups was 5‐9 (6 .9 ± 0 .9) and the number of retrieved lymph nodes was 13‐35 (20 .1 ± 5 .5) . There was 1 patient who converted to two‐ports thoracoscope ,2 patients who converted to three‐ports thoracoscope ,and 1 patient who converted to small incision surgery .There were postoperative minor complications in 2 patients and no perioperative mortality .Conclusions:The lobectomy combined with mediastinal lymphadenectomy by uniportal thoracoscope in semi‐prone position is safe and feasible .The adoption of semi‐prone position can relieve surgeon's fatigue and reduce stretch injury to lung , facilitate converting to two‐ports or three‐ports thoracoscopic surgery and facilitate converting to thoracotomy .
