Clinical application of uniportal video-assisted thoracoscopic surgery anatomic basal segmentectomy
- VernacularTitle:单孔胸腔镜解剖性基底段切除术的临床应用
- Author:
Lingli NIU
1
;
Chengwu LIU
1
;
Wenping WANG
1
;
Xiaolong ZHANG
1
;
Lunxu LIU
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 (VATS);
uniportal thoracoscopy;
segmentectomy;
lung cancer
- From:
Chinese Journal of Clinical Thoracic and Cardiovascular Surgery
2021;28(06):725-728
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the efficacy of uniportal video-assisted thoracoscopic surgery (VATS) anatomic basal segmentectomy. Methods The clinical data of 15 patients who underwent uniportal VATS anatomic basal segmentectomy between June 2020 and December 2020 were retrospectively reviewed. There were 4 males and 11 females with a median age of 53 (32-70) years. The incisions were placed in the fifth intercostal space across the mid-axillary line. All basal segmentectomies were performed through the interlobar fissure or inferior pulmonary ligament approach following the strategies of single-direction and stem-branch. Results All patients underwent basal segmentectomy successfully with no conversion to multi-portal procedure or thoracotomy. The median operation time was 120 (90-160) min, median intraoperative blood loss was 20 (10-50) mL, median drainage time was 3 (2-5) d, and median postoperative hospital stay was 4 (4-10) d. The maximum diameter of the lesion in the resected basal segment was 1.2 (0.7-1.9) cm. The median resected lymph nodes were 7 (5-12). There was no evidence of nodal metastases. One patient suffered postoperative atelectasis and subsequent pneumonia. No perioperative death occurred. Conclusion Uniportal VATS anatomic basal segmentectomy is feasible and safe. It can be performed in a simple manner following the strategy of single-direction.
