Non-mechanical suture completely anatomic thoracoscopic lobectomy: A case control study
10.7507/1007-4848.201805038
- VernacularTitle:无机械缝合全胸腔镜解剖性肺叶切除术的病例对照研究
- Author:
YANG Fan
1
;
ZHU Weipeng
1
;
CAO Jiashun
1
;
ZHAO Chuanduo
1
;
DONG Bing
2
;
CHEN Donghong
1
Author Information
1. Department of Thoracic Surgery, Beijing Tsinghua Changgung Hospital, School of Clinical Medicine, Tsinghua University, Beijing, 102218, P.R.China
2. Department of Cardiothoracic Surgery, The 305th Hospital of PLA, Beijing, 100017, P.R.China
- Publication Type:Journal Article
- Keywords:
Video-assisted thoracic surgery;
lobectomy;
endoscopic stapler;
manual suture
- From:
Chinese Journal of Clinical Thoracic and Cardiovascular Surgery
2019;26(2):116-120
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the safety and feasibility of thoracoscopic lobectomy without mechanical suture. Methods The data of 28 consecutive patients (a non-mechanical suture group, 16 males and 12 females at age of 61.23±11.10 years) who underwent non-mechanical suture anatomic thoracoscopic lobectomy performed by the same surgeon from March 2015 to March 2018 were analyzed retrospectively, and 28 patients (18 males and 10 females at age of 59.45±13.39 years) who underwent completely anatomic thoracoscopic lobectomy with endoscopic stapler (a mechanical suture group) in the same period were matched. The clinical effectiveness of the two groups was compared. Results The operation time between the non-mechanical suture group (136.30±53.46 min) and the mechanical suture group (109.63±44.61 min) showed a statistical difference (P<0.05). While in term of intraoperative bleeding volume (65.00 mlvs. 50.00 ml), postoperative thoracic drainage time (3.73 days vs. 3.56 days), thoracic drainage volume (538.60 ml vs. 563.70 ml), postoperative hospital stay (5.58 days vs. 5.35 days) and postoperative complication rate (5/28 vs. 6/28), there was no statistical difference between the two groups. Hospitalization expense was significantly different between the two groups (35 438.30 yuan vs. 51 693.60 yuan). Conclusion Non-mechanical suture thoracoscopic anatomic lobectomy is safe and feasible, and can significantly reduce the medical cost but prolong the operation time.
