Safety and effectiveness of video-assisted thoracoscopic surgery pneumonectomy for bronchiectasis
10.7507/1007-4848.201805044
- VernacularTitle:胸腔镜肺切除治疗支气管扩张的安全性与有效性
- Author:
LIAO Hu
1
;
XIAO Zhilan
1
;
GUO Chenglin
1
;
WU Zhu
1
;
CHE Guowei
1
;
KOU Yingli
1
;
PU Qiang
1
;
MA Lin
1
;
LIU Chengwu
1
;
LIU Lunxu
1
Author Information
1. Department of Thoracic Surgery, West China Hospital, Sichuan University, Chengdu, 610041, P.R.China
- Publication Type:Journal Article
- Keywords:
Video-assisted thoracoscopic surgery;
pneumonectomy;
thoracotomy;
bronchiectasis
- From:
Chinese Journal of Clinical Thoracic and Cardiovascular Surgery
2019;26(6):574-577
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the safety and effectiveness of video-assisted thoracoscopic surgery (VATS) pneumonectomy for bronchiectasis. Methods The clinical data of 164 patients undergoing VATS pneumonectomy or open thoracotomy for bronchiectasis in our hospital from March 2002 to July 2012 were retrospectively analyzed. Patients were divided into two groups according to different surgical methods: a thoracotomy group (122 patients, 63 males, 59 females) and a thoracoscopic surgery group (42 patients, 15 males, 27 females). Surgical and follow-up indicators were compared between the two groups. Results There was no difference between the two groups in the blood loss, operation time, perioperative mortality or complication. However patients undergoing VATS had shorter length of postoperative stay than those undergoing thoracotomy (6.9±2.6 d vs. 8.1±3.1 d, P=0.030). In the thoracoscopic surgery group, 3 patients were lost to follow-up and in the thoracotomy group, 5 patients were lost to follow-up. In a median follow-up of 51 months (ranging from 2 to 116 months), 36 patients (92.3%) fully recovered with no sputum or haemoptysis and 3 (7.7%) partially recovered with a reduced sputum or haemoptysis in the thoracoscopic surgery group; 105 (89.7%) fully recovered with no sputum or haemoptysis, 10 (8.5%) partially recovered with a reduced sputum or haemoptysis while 2 (1.7%) without any improvement in the thoracotomy group with no statistical difference (P=0.700). Conclusion VATS pneumonectomy for bronchiectasis is equivalent to thoracotomy in terms of safety and effectiveness, and can be used as an alternative surgical procedure for the treatment of bronchiectasis.
