Clinical analysis on 38 cases of pulmonary bulla treatment with uniport video-assisted thoracoscope
10.3760/cma.j.issn.1008-6706.2014.23.023
- VernacularTitle:单操作孔胸腔镜下治疗肺大疱38例临床分析
- Author:
Jinshan LIU
;
Huai JIANG
;
Daozhong ZHANG
;
Shujun WANG
- Publication Type:Journal Article
- Keywords:
Pulmonary bulla resection;
Single operation aperture;
Thoracoscope
- From:
Chinese Journal of Primary Medicine and Pharmacy
2014;(23):3579-3581
- CountryChina
- Language:Chinese
-
Abstract:
Objective To assess the clinical efficacy and safety of uniport video-assisted thoracoscopic surgery in treatment of pulmonary bulla.Methods Clinical data of 38 patients with pulmonary bulla treated with uniport video-assisted thoracoscopic surgery were analyzed.Results 30 patients under general anesthesia and double-chamber tracheal intubation anesthesia and 8 patients under general anesthesia and single-chamber tracheal intubation and tracheal plugger anesthesia underwent the resection of their pulmonary bulla through the surgery with uniport video-assisted thoracoscope, and 2 patients therein were simultaneously treated with bilateral resection of pulmonary bulla.36 patients were treated successfully;1 patient was given another exploratory thoracotomy after his unilateral surgery because of progressive hemothorax and substantial pneumothorax;and 1 patient underwent respiratory failure after his unilateral surgery and was improved in respiration 2 days after the help of a respirator.The average time of operations were 52 minutes.It averagely took 3.2 days to remove closed thoracic drainage pipes.The post-operation hospital stays took 6 days.The post-operation follow-up took 7-39 months,without relapse and other compli-cations.No death occurred in this group.Conclusion It is safe and reliable to treat pulmonary bulla by the surgery with uniport video-assisted thoracoscope,which is in line with the concept of minimally invasive surgery and therefore deserves promotion.
