Single Utility Port Video-assisted Thoracoscopic Surgery for 158 Patients with Pulmonary Diseases_Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Authors：

CHE Guowei , MEI Longyong , MEI Jiandong

Department of Thoracic Surgery , West China Hospital，Sichuan University，Chengdu 610041, P. R.;

Corresponding author：

Keywords：

Single utility port; 　Video-assisted thoracoscopic surgery; 　Pulmonary disease

Video：

Export PDF Favorites Scan Get Citation

Abstract Full text Figures/Tables Video References Cited by

Abstract：　Objective　To explore the method and effect of single utility port video-assisted thoracoscopic surgery （VATS） for the treatment of pulmonary diseases.　Methods　From Jan. 2008 to Jun. 2010, 158 patients with pulmonary diseases were treated by single working pore VATS in the Department of Thoracic Surgery of West China Hospital, Sichuan University. Their diseases included 6 kinds of different lesions, such as pneumothorax（inflammatory pseudotumor, hamartoma, lymphangiomyomatosis） , lung tuberculoma, and lung carcinoma. Seventy patients had definite diagnosis before their operation, and the others had their final diagnosis by intraoperative frozen section evaluation and postoperative pathology examination. All the resections were carried out by pure thoracoscopic procedures with two ports, one working pore and one observing pore. A 28-Fr chest tube was placed to the pleural apex. Limited lung resection was performed in 151 patients, single lobectomy in 7 patients, and simultaneous bilateral operation in 6 patients.　Results For limited lung resection patients, the average operation time was 18 （5-60） min, and the average blood loss was 33 （5-95） ml. No patient needed intraoperative blood transfusion . Ten patients received an increased pore, including 6 patients with pleural cavity obliteration or abundant pleural adhesions, and 4 patients with intraoperative bleeding . The average postoperative length of stay was 2.5 （2-4） days, and the average medical cost was 17 884 （15 476-25 387） Yuan. For patients undergoing lobectomy and lymph node dissection, the average operation time was 128 （50-220） min, and the average blood loss was 180 （80-478） ml. No patient needed intraoperative blood transfusion. One patient received an increased pore. The average postoperative length of stay was 4.7 （4-7） days, and the average medical cost was 42 385 （38 965-57 695） Yuan. No perioperative death or severe complications were observed in present series.　Conclusion　Single utility port VATS is a safe and efficient procedure with good patient recovery. It is a method of choice for selected patients with pulmonary diseases.

Citation： CHE Guowei,MEI Longyong,MEI Jiandong,et al .. Single Utility Port Video-assisted Thoracoscopic Surgery for 158 Patients with Pulmonary Diseases. Chinese Journal of Clinical Thoracic and Cardiovascular Surgery, 2012, 19(2): 116-119. doi: Copy

1.	刘伦旭，车国卫，王允，等. 电视胸腔镜手术治疗肺良性疾病128例. 中国胸心血管外科临床杂志， 2008， 15（1）：29-31.
2.	Salati M， Brunelli A， Xiumè F， et al. Uniportal video-assisted thoracic surgery for primary spontaneous pneumothorax: clinical and economic analysis in comparison to the traditional approach. Interact Cardiovasc Thorac Surg， 2008， 7（1）：63-66.
3.	Gonzalez-Rivas D， dela Torre M， Fernandez R， et al. Single-port video-assisted thoracoscopic left upper lobectomy. Interact Cardiovasc Thorac Surg， 2011， 13（5）：539-541.
4.	Gonzalez D， Paradela M， Garcia J， et al. Single-port video-assisted thoracoscopic lobectomy. Interact Cardiovasc Thorac Surg， 2011， 12（3）：514-515.
5.	Liu L， Che G， Pu Q， et al. A new concept of endoscopic lung cancer resection: Single-direction thoracoscopic lobectomy. Surg Oncol， 2010， 19（2）：71-77.
6.	车国卫，刘伦旭.肺癌微创治疗进展. 癌症进展， 2011， 9（6）：605-609.
7.	Sihoe AD， Au SS， Cheung ML， et al. Incidence of chest wall paresthesia after video-assisted thoracic surgery for primary spontaneous pneumothorax. Eur J Cardiothorac Surg， 2004， 25（6）：1054-1058.

1. 　刘伦旭，车国卫，王允，等. 电视胸腔镜手术治疗肺良性疾病128例. 中国胸心血管外科临床杂志， 2008， 15（1）：29-31.
2. 　Salati M， Brunelli A， Xiumè F， et al. Uniportal video-assisted thoracic surgery for primary spontaneous pneumothorax: clinical and economic analysis in comparison to the traditional approach. Interact Cardiovasc Thorac Surg， 2008， 7（1）：63-66.
3. 　Gonzalez-Rivas D， dela Torre M， Fernandez R， et al. Single-port video-assisted thoracoscopic left upper lobectomy. Interact Cardiovasc Thorac Surg， 2011， 13（5）：539-541.
4. 　Gonzalez D， Paradela M， Garcia J， et al. Single-port video-assisted thoracoscopic lobectomy. Interact Cardiovasc Thorac Surg， 2011， 12（3）：514-515.
5. 　Liu L， Che G， Pu Q， et al. A new concept of endoscopic lung cancer resection: Single-direction thoracoscopic lobectomy. Surg Oncol， 2010， 19（2）：71-77.
6. 　车国卫，刘伦旭.肺癌微创治疗进展. 癌症进展， 2011， 9（6）：605-609.
7. 　Sihoe AD， Au SS， Cheung ML， et al. Incidence of chest wall paresthesia after video-assisted thoracic surgery for primary spontaneous pneumothorax. Eur J Cardiothorac Surg， 2004， 25（6）：1054-1058.

Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Single Utility Port Video-assisted Thoracoscopic Surgery for 158 Patients with Pulmonary Diseases

Abstract Full text Figures/Tables Video References Cited by

Format

Content