Application of controlled hypotension for subcarinal lymph node dissection in patients with lung cancer undergoing video-assisted thoracoscopic surgery: A case control study
10.7507/1007-4848.201705023
- VernacularTitle:控制性降压在胸腔镜下隆突下淋巴结清扫中应用的病例对照研究
- Author:
WANG Wenhao
1
,
2
;
ZHU Zijiang
3
;
PANG Yao
3
;
ZHU Xiaolei
3
Author Information
1. 1. Gansu University of Chinese Medicine, Lanzhou, 730000, P.R.China
2. 2. The Second Department of Thoracic Surgery, Gansu Provincial Hospital, Lanzhou, 730000, P.R.China
3. The Second Department of Thoracic Surgery, Gansu Provincial Hospital, Lanzhou, 730000, P.R.China
- Publication Type:Journal Article
- Keywords:
Controlled hypotension;
video-assisted thoracoscopic surgery;
subcarinal lymph node
- From:
Chinese Journal of Clinical Thoracic and Cardiovascular Surgery
2018;25(4):299-302
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the feasibility and clinical effect of controlled hypotension in video-assisted thoracoscopic surgery (VATS) for subcarinal lymph node dissection in patients with lung cancer. Methods We analyzed the clinical data of 53 non-small cell lung cancer (NSCLC) patients undergoing VATS with controlled systolic blood pressure while dissecting the subcarinal lymph node from September to October 2016 in our department (a treatment group, including 31 males and 22 females with an average age of 53.20±8.80 years ranging 43-68 years). We selected 112 NSCLC patients undergoing VATS without controlled systolic blood pressure while dissecting the subcarinal lymph node from January to August 2016 in our department (a contol group, including 67 males and 45 females with an average age of 54.32±7.81 years ranging 39-73 years). The clinical data of both groups were compared. Results The operation time and blood loss of the treatment group were less than those of the control group (177.6±39.4 min vs. 194.3±47.8 min, 317.9±33.6 ml vs. 331.2±38.7 ml, P<0.05). The duration of subcarinal lymph node dissection and total duration of lymph node dissection of the treatment group were also less than those of the control group (10.5±4.3 min vs. 13.6±5.2 min, 37.7±7.5 min vs. 48.7±6.4 min, P<0.001). The thoracic drainage at postoperative days 1, 2, 3 and total drainage volume, duration of tube placement and hospital stay of the treatment group were less than those of the control group (P<0.05). Whereas the postoperative complications of the two groups did not differ significantly (P>0.05). Conclusion Controlled hypotension reduces the difficulty of dissecting subcarinal lymph nodes and the risk of bleeding, and produces less drainage volume, which is safe and effective.
