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学科主题临床医学
Video-assisted Thoracoscopic Surgery Sleeve Lobectomy with Bronchoplasty
Li, Yun; Wang, Jun
刊名WORLD JOURNAL OF SURGERY
2013-07-01
DOI10.1007/s00268-013-2032-7
37期:7页:1661-1665
收录类别SCI
文章类型Article
WOS标题词Science & Technology
类目[WOS]Surgery
研究领域[WOS]Surgery
关键词[WOS]EXPERIENCE
英文摘要

We review our experiences with video-assisted thoracoscopic surgery (VATS) sleeve lobectomy with bronchoplasty for NSCLC. The safety, effectiveness, indications, and operation precautions of this approach were examined.

From September 2011 to September 2012, 11 patients underwent VATS sleeve lobectomy with bronchoplasty in our hospital (right upper lobe = 8, left lower lobe = 2, left upper lobe = 1). The operation consisted of VATS anatomic sleeve lobectomy with bronchoplasty combined with systematic lymph node dissection. Three incisions were made. Bronchial anastomosis was combined with simple continuous suture anastomosis of the membranous part of the bronchus and simple interrupted suture anastomosis of the cartilaginous part of the bronchus.

All procedures went uneventfully. Median operative time was 178 min; median bronchial anastomosis time was 42 min; median blood loss was 180 ml. There was no case of conversion to thoracotomy. Pathological examination showed 10 squamous cell carcinomas and 1 adenocarcinoma. All patients recovered well, except one who suffered minor complications. Median postoperative chest tube drainage duration was 6.8 days, and median hospital stay was 8.9 days. All patients were followed up for 2-13 months without recurrence.

Video-assisted thoracoscopic surgery sleeve lobectomy with bronchoplasty is a safe and effective surgical approach in the treatment of non-small cell lung cancer. The operating incision placed at the 4th intercostal space on the anterior axillary line is convenient for anastomosis our experience shows that anastomosis combining simple continuous suture of the membranous part of bronchus and simple interrupted suture anastomosis of the cartilaginous part of the bronchus is fast and secure. Moreover, preserving the azygos vein does not affect the anastomosis.

语种英语
WOS记录号WOS:000320281700032
引用统计
被引频次:5[WOS]   [WOS记录]     [WOS相关记录]
文献类型期刊论文
条目标识符http://ir.bjmu.edu.cn/handle/400002259/50092
专题北京大学第二临床医学院_胸外科
作者单位Peking Univ, Peoples Hosp, Dept Thorac Surg, Beijing 100044, Peoples R China
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GB/T 7714
Li, Yun,Wang, Jun. Video-assisted Thoracoscopic Surgery Sleeve Lobectomy with Bronchoplasty[J]. WORLD JOURNAL OF SURGERY,2013,37(7):1661-1665.
APA Li, Yun,&Wang, Jun.(2013).Video-assisted Thoracoscopic Surgery Sleeve Lobectomy with Bronchoplasty.WORLD JOURNAL OF SURGERY,37(7),1661-1665.
MLA Li, Yun,et al."Video-assisted Thoracoscopic Surgery Sleeve Lobectomy with Bronchoplasty".WORLD JOURNAL OF SURGERY 37.7(2013):1661-1665.
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