Analysis and countermeasures of complications in video-assisted thoracoscopic lobectomy
10.3969/j.issn.1000-8179.20131425
- VernacularTitle:电视胸腔镜肺叶切除术中并发症的分析与对策
- Author:
Qingyong CAI
;
Guiyou LIANG
;
Kuan ZENG
;
Gang XU
;
Daxing LIU
;
Yongxiang SONG
;
Jian LI
- Publication Type:Journal Article
- Keywords:
video-assisted thoracoscopic surgery;
intra-operative complications;
bleeding
- From:
Chinese Journal of Clinical Oncology
2014;(10):643-646
- CountryChina
- Language:Chinese
-
Abstract:
Objective: To summarize the methods of preventing and managing the complications in thoracoscopic lobectomy. Methods:The participants of this study included 317 patients undergoing lobectomy with video-assisted thoracoscopic surgery in the Department of Thoracic Surgery between January 2007 and December 2012. Intra-operative complications were observed, and countermeasures were summarized. Results: Complications occurred 28 times (8.8%), including bleeding in 16 cases because of accidental vascular injury (5.0%), accidental injury/break of bronchus in two cases (0.6%), vascular stump errhysis from cutting stapler in four cases (1.3%), lung stump air leakage in three cases (0.9%), lung injury in two cases (0.6%), and diaphragmatic injury in one case (0.3%). Conversion to thoracotomy was conducted in 17 cases, with a conversion rate of 5.4%. Thoracoscopic repair operation was performed in 14 cases that exhibited bleeding, with a success rate of 70% (14/20). No mortality was reported during the operation. Conclusion:Thoracoscopic lobectomy is a highly difficult method in thoracic surgeries. The procedure requires substantial attention on the timely prevention and correct management of intra-operative complications, particularly the injury and bleeding of major vessels, to reduce the rate of conversion to thoracotomy and the incidence of post-operative complications, as well as to promote the surgery in clinics.
