Preliminary experience of uniportal thoracoscopic surgery for benign thoracic diseases without chest tube placement after surgery_Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Authors：

杨彦辉 , 王毅 , 石红 , 罗雷 , 谢晓阳

四川省内江市第一人民医院胸外科（四川内江 641000）;

Corresponding author：

谢晓阳, Email:

Keywords：

单孔胸腔镜手术; 胸部良性疾病; 胸腔引流管

DOI：

10.7507/1007-4848.201701040

Video：

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目的介绍胸部良性疾病经单孔胸腔镜切除术后免胸腔引流管的临床经验。方法回顾性分析 2015 年 10 月至 2016 年 10 月我院胸外科 17 例行单孔胸腔镜手术患者的临床资料，其中男 9 例、女 8 例，年龄 33.8（17～58）岁。行肺大疱切除术 7 例，肺楔形切除术 9 例，交感神经烙断术 1 例。结果所有患者均经单孔胸腔镜手术有效切除，期间无中转开胸或再次开操作孔，术后不放置胸腔引流管，手术时间为（60.3±8.2）min，术中出血量为（15.2±5.1）ml，术后第 1 d、2 d、3 d 疼痛视觉模拟评分（VAS）为 6.5±2.2，5.8±2.1，3.5±1.3，术后舒适度评分分别为 8.6±1.3，术后早期下床活动时间为（1.0±0.3）d，切口甲级愈合率 100.0%。17 例患者均无心律失常、肺部感染等并发症，术后随访 6 个月气胸均无复发。结论合理选择及严格基线评估，胸部良性疾病经单孔胸腔镜切除术后免胸腔引流管是安全可行的，可能有利于患者术后快速康复。

Citation： 杨彦辉, 王毅, 石红, 罗雷, 谢晓阳. Preliminary experience of uniportal thoracoscopic surgery for benign thoracic diseases without chest tube placement after surgery. Chinese Journal of Clinical Thoracic and Cardiovascular Surgery, 2017, 24(12): 994-997. doi: 10.7507/1007-4848.201701040 Copy

1.	Chen F, Zhang D, Wang YL, et al. Video-assisted thoracoscopic surgery lobectomy versus open lobectomy in patients with clinical stage non-small cell lung cancer: a meta-analysis. Eur J Surg Oncol, 2013, 39(9): 957-963.
2.	Watanabe A, Mishina T, Ohori S, et al. Is video-assisted thoracoscopic surgery a feasible approach for clinical N0 and postoperatively pathological N2 non-small cell lung cancer? Eur J Cardiothorac Surg, 2008, 33(5): 812-818.
3.	Migliore M. Efficacy and safety of single-trocar technique for minimally invasive surgery of the chest in the treatment of complex pleural disease. J Thorac Cardiovasc Surg, 2003, 126(5): 1618-1623.
4.	Swanson, SJ, Meyers BF, Gunnarson CL, et al. Vedio-assited thoracoscopic lobectomy is less costly and morbid than open lobectomy: a retropecive multiinstitutional database analysis. Ann Thorac Surg, 2012, 93(4): 1027-1032.
5.	Bjerregaard LS, Jensen K, Petrsn RH, et al. Early chest tube removal after video-assisted thoracic surgery lobectomy with serous fluid poductiom up to 500 ml/day. Eur J Cacdiothoac Surg, 2014, 45(2): 241-246.
6.	周洪霞, 杨梅, 车国卫, 等. 胸腔镜肺叶切除术后 16F 尿管胸腔引流可行性的前瞻性队列研究. 中国胸心血管外科临床杂志, 2016, 23(4): 334-340.
7.	Chen PR, Chen CK, Fang HY, et al. Single-incision thoracoscopic surgery for primary spontaneous pneumothorax. J Cardiothorac Surg, 2011, 6(1): 58.
8.	Watanabe A, Watanabe T, Ohsawa H, et al. Avoiding chest tube placement after video-assisted thoracoscopic wedge resection of the lung. Eur J Cardiothorac Surg, 2004, 25(5): 872-876.
9.	Cerfolio RJ, Bryant AS. Result of a prospective algorithm to remove chest tubes after pulmonary resection with high output. J Thorac Cardiovasc Surg, 2008, 135(2): 269-273.
10.	Koc T, Routledge T, Chambers A, et al. Do patients undergoing lung biopsy need a postoperative chest drain at all? Interact Cardiovasc Thorac Surg, 2010, 10(6): 1022-1025.
11.	车国卫, 李为民, 刘伦旭. 快速肺康复需要围手术期流程优化. 中国胸心血管外科临床杂志, 2016, 23(3): 216-220.
12.	周渝斌, 刘伦旭, 苏建华, 等. 胸腔镜肺叶切除术后心肺功能的快速康复. 中国胸心血管外科临床杂志, 2013, 20(2): 168-171.
13.	Nakashima S, Watanabe A, Mishina T, et al. Feasibility and safety of postoperative management without chest tube placement after thoracoscopic wedge resection of the lung. Surg Today, 2011, 41(6): 774-779.

1. Chen F, Zhang D, Wang YL, et al. Video-assisted thoracoscopic surgery lobectomy versus open lobectomy in patients with clinical stage non-small cell lung cancer: a meta-analysis. Eur J Surg Oncol, 2013, 39(9): 957-963.
2. Watanabe A, Mishina T, Ohori S, et al. Is video-assisted thoracoscopic surgery a feasible approach for clinical N0 and postoperatively pathological N2 non-small cell lung cancer? Eur J Cardiothorac Surg, 2008, 33(5): 812-818.
3. Migliore M. Efficacy and safety of single-trocar technique for minimally invasive surgery of the chest in the treatment of complex pleural disease. J Thorac Cardiovasc Surg, 2003, 126(5): 1618-1623.
4. Swanson, SJ, Meyers BF, Gunnarson CL, et al. Vedio-assited thoracoscopic lobectomy is less costly and morbid than open lobectomy: a retropecive multiinstitutional database analysis. Ann Thorac Surg, 2012, 93(4): 1027-1032.
5. Bjerregaard LS, Jensen K, Petrsn RH, et al. Early chest tube removal after video-assisted thoracic surgery lobectomy with serous fluid poductiom up to 500 ml/day. Eur J Cacdiothoac Surg, 2014, 45(2): 241-246.
6. 周洪霞, 杨梅, 车国卫, 等. 胸腔镜肺叶切除术后 16F 尿管胸腔引流可行性的前瞻性队列研究. 中国胸心血管外科临床杂志, 2016, 23(4): 334-340.
7. Chen PR, Chen CK, Fang HY, et al. Single-incision thoracoscopic surgery for primary spontaneous pneumothorax. J Cardiothorac Surg, 2011, 6(1): 58.
8. Watanabe A, Watanabe T, Ohsawa H, et al. Avoiding chest tube placement after video-assisted thoracoscopic wedge resection of the lung. Eur J Cardiothorac Surg, 2004, 25(5): 872-876.
9. Cerfolio RJ, Bryant AS. Result of a prospective algorithm to remove chest tubes after pulmonary resection with high output. J Thorac Cardiovasc Surg, 2008, 135(2): 269-273.
10. Koc T, Routledge T, Chambers A, et al. Do patients undergoing lung biopsy need a postoperative chest drain at all? Interact Cardiovasc Thorac Surg, 2010, 10(6): 1022-1025.
11. 车国卫, 李为民, 刘伦旭. 快速肺康复需要围手术期流程优化. 中国胸心血管外科临床杂志, 2016, 23(3): 216-220.
12. 周渝斌, 刘伦旭, 苏建华, 等. 胸腔镜肺叶切除术后心肺功能的快速康复. 中国胸心血管外科临床杂志, 2013, 20(2): 168-171.
13. Nakashima S, Watanabe A, Mishina T, et al. Feasibility and safety of postoperative management without chest tube placement after thoracoscopic wedge resection of the lung. Surg Today, 2011, 41(6): 774-779.

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Preliminary experience of uniportal thoracoscopic surgery for benign thoracic diseases without chest tube placement after surgery

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