Conversion of thoracotomy in completely video-assisted thoracoscopic lobectomy affected by lymph nodes
10.3760/cma.j.issn.1001-4497.2013.10.005
- VernacularTitle:全胸腔镜肺叶切除术中转开胸的淋巴结影响
- Author:
Yun LI
;
Fan YANG
;
Hui ZHAO
;
Guanchao JIANG
;
Jianfeng LI
;
Jun LIU
;
Jun WANG
- Publication Type:Journal Article
- Keywords:
Thoracoscopy;
Pneumonectomy;
lymph nodes;
Conversion thoracotomy
- From:
Chinese Journal of Thoracic and Cardiovascular Surgery
2013;29(10):591-594
- CountryChina
- Language:Chinese
-
Abstract:
Objective Summarize all cases received completely thoracoscopic lobectomy,analyze the influence of lymph nodes in conversion thoracotomy and its measurements.Methods Between September 2006 to April 2013,1006 patients (545 males,461 females,median age 60 years,ranged from 13 to 86 years)received completly thoracoscopic lobectomy,including segmectomy(n =13),simple lobectomy(n =846),compound lobectomy(n =131),pneumonectomy (n =8),sleeve lobectomy(n =8).The main procedure was completely video-assisted anatomical lobectomy with mediastinal lymphadenectomy as we have reported.Results The average operative time in the conversion thoracotomy group was significantly longer[(272.7 ± 67.2) min versus (186.9 ± 58.1) min,P =0.001] compared with completely endoscopic surgery group,the average blood loss was significantly increased[(564.2 ±507.7) ml versus(158.0 ± 121.0) ml,P =0.001],the drainage time was significantly longer [(8.9 ± 5.0) days versus (6.6 ± 3.5) days,P =0.001] and the postoperative hospital stay was significantly longer [(12.5 ± 7.7) days versus(9.2 ± 5.8) days,P =0.001].Conclusion Interference of lymph doeds was the main reason for conversion to thoracotomy on VATs lobectomy.It may prolonged the operative time,increase the blood loss in operation and delay the postoperative recovery of the patients.Select the proper indication of conversion thoracotomy may reduce the negative effects of conversion thoracotomy.
