Video-assisted thoracoscopic lung resection in tuberculosis treatment: A retrospective cohort study
10.7507/1007-4848.201809038
- VernacularTitle:电视胸腔镜肺切除治疗肺结核的回顾性队列研究
- Author:
DING Chao
1
,
2
,
3
;
LIU Yugang
1
,
2
,
3
;
WEI Lin
1
,
2
,
3
;
GU Zhenning
1
,
2
,
3
;
ZHU Changsheng
1
,
2
,
3
Author Information
1. Department of Thoracic Surgery, Xi&rsquo
2. an Chest Hospital, Xi&rsquo
3. an, 710100, P.R.China
- Publication Type:Journal Article
- Keywords:
Video-assisted thoracoscopic surgery;
tuberculosis;
surgery
- From:
Chinese Journal of Clinical Thoracic and Cardiovascular Surgery
2019;26(7):653-659
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the feasibility of video-assisted thoracoscopic surgery (VATS) lung resection in the treatment of tuberculosis. Methods We retrospectively analyzed the clinical data of 164 tuberculosis patients who underwent lung resection in Xi'an Chest Hospital from 2013 to 2017. Patients were divided into two groups according to the surgical procedure: a VATS group (85 patients, 56 males and 29 females) and a thoracotomy group (79 patients, 52 males and 27 females). The clinical effect of the two groups was compared. Results Compared to the thoracotomy group, the VATS group had less operation time (151.59±76.75 min vs. 233.48±93.89 min, P<0.001), amount of intraoperative blood loss (200.00 ml vs. 600.00 ml, P<0.001), the postoperative drainage (575.00 ml vs. 1 110.00 ml, P=0.001), extubation time (4 d vs. 6 d, P<0.001) and hospital stay (13.00 d vs. 17.00 d, P<0.001). There was no statistical difference in postoperative complications (10 patients vs.17 patients, P=0.092) between the two groups. A total of 97 patients underwent lobectomy, including 36 of the VATS group and 61 of the thoracotomy group. The operation time (211.39±70.88 min vs. 258.20±87.16 min, P=0.008), the intraoperative blood loss (400.00 ml vs. 700 ml, P<0.010), the postoperative drainage (800.00 ml vs. 1 250.00 ml, P=0.001), extubation time (5.00 d vs. 8.00 d, P=0.002) and hospital stay (13.11±4.45 d vs. 19.46±7.74 d, P<0.010) in the VATS group were significantly better than those in the thoracotomy group. There was no statistical difference in postoperative complication rate (4 patients vs. 14 patients, P=0.147) between the two[1]，groups. Conclusion Compared with conventional thoracotomy, VATS lung resection has obvious advantages in treatment of tuberculosis, which may be the preferred technique.
