TY  - JOUR
AU  - Huang, Jun
AU  - Li, Shuben
AU  - Hao, Zhexue
AU  - Chen, Hanzhang
AU  - He, Jiaxi
AU  - Xu, Xin
AU  - Qiu, Yuan
AU  - Dong, Qinglong
AU  - Liang, Lixia
AU  - Pan, Hui
AU  - He, Jianxing
PY  - 2016
TI  - Complete video-assisted thoracoscopic surgery (VATS) bronchial sleeve lobectomy
JF  - Journal of Thoracic Disease; Vol 8, No 3 (March 18, 2016): Journal of Thoracic Disease
Y2  - 2016
KW  - 
N2  - Background: To explore the effectiveness of video-assisted thoracoscopic surgery (VATS) bronchial sleeve resection and reconstruction.  Methods: The clinical data of patients who had received VATS bronchial sleeve lobectomy in our center from January 2008 to February 2015 were retrospectively analyzed.  Results: Totally 118 patients (105 men and 13 women) received the VATS bronchial sleeve lobectomy. The procedures included sleeve resection of right upper lobe (n=59), right middle lobe (n=7), right lower lobe (n=8), left upper lobe (n=34), and left lower lobe (n=10). The lesions were confirmed to be squamous cell carcinoma (n=68), adenocarcinoma (n=16), mucoepidermoid carcinoma (n=8), adenosquamous carcinoma (n=7), large cell carcinoma (n=1), carcinoids (n=5), and others (n=13; including small cell carcinoma, pleomorphic carcinoma, and inflammatory myofibroblastic tumor). Operations lasted 118–223 min [mean ± standard deviations (SD): 124.00±31.75 min]. The length of removed bronchus was 1.50–2.00 cm (mean ± SD: 1.75±0.26 cm). The duration of bronchial anastomosis (from the first puncture to the completion of knotting) was 15–42 min (mean ± SD: 30.20±7.97 min). The number of dissected lymph node stations (at least three mediastinal lymph node stations, including station 7) was 5–9 stations (mean ± SD: 6.50±1.18 min). The number of dissected lymph nodes was 10–46 (mean ± SD: 26.00±10.48). The intraoperative blood loss was 20–400 mL (mean ± SD: 71.00±43.95 mL), and no blood transfusion was performed. All patients were observed in intensive care unit (ICU) for 1 day. Postoperative drainage was performed for 3–8 days (mean ± SD: 5.00±1.49 days). Postoperative hospital stay was 3–8 days (mean ± SD: 5.10±2.07 days).  Conclusions: VATS bronchial sleeve resection and reconstruction is a safe and feasible technique.
UR  - https://jtd.amegroups.org/article/view/6775