Lobectomy and segmentectomy using Flex-3D video-assisted thoracic surgery: experience of 429 patients in a single in stitution
10.3760/cma.j.issn.1001-4497.2018.06.009
- VernacularTitle:可弯曲式3D胸腔镜解剖性肺切除:上海胸科医院429例经验
- Author:
Liqiang QIAN
1
;
Xiaoke CHEN
;
Jia HUANG
;
Jiantao LI
;
Zhengping DING
Author Information
1. 200030,上海交通大学附属胸科医院肺部肿瘤外科
- Keywords:
Flex-3D;
VATS
- From:
Chinese Journal of Thoracic and Cardiovascular Surgery
2018;34(6):362-365
- CountryChina
- Language:Chinese
-
Abstract:
Objective Analyzed surgical outcome following Flex-3D thoracoscopy among 429 cases with lobectomy and segmentectomy in this paper to define its safety and efficacy.Methods From the completion of the Olympus Flex-3D integrated operation room in Shanghai Chest Hospital in June 2015 up to December 2016,a single surgeons team carried out 429 cases of Flex-3D anatomic video-assisted thoracic surgery.Demography,preoperative condition,perioperative period complications and pathology for these patients were analyzed and discussed.Results There was a total of 429 patients including 258 males and 171 females.The age at diagnosis was ranged 21-81 yds.Lobectomy was performed in 313 cases,segmentectomy in 116 cases.Among those with 389 primary malignant tumors,39 benign tumors and 1 MALT were anatomically resected.The mean number of lymph nodes resected was 11.10 ±4.58(1-30) and mean sampled lymph node stations 6.10 ± 1.34(1-10).1patient was converted to thoracotomy because of vessel injury.The average operation time was 98.00 ±24.61 min(range,35-274 min) and the average blood loss was(97.9 ±24.6)ml(range,50-400 ml).The postoperative hospital stay was(5.6 ± 1.3) days on average.There was no operative death,and operative complications occurred in 18 patients(4.1％).The 1-year overall survival and 1-year disease-free survival for the lung cancer group were 100％ and 99.8％,respectively.Conclusion Flex-3D video-assisted thoracic surgery is a safe and effective surgical procedure featured by its added depth perception to facilitate operation and short learning curve.
