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Completely thoracoscopic lobectomy for the surgical management of bronchiectasis
Zhou Zu-li; Zhao Hui; Li Yun; Li Jian-feng; Jiang Guan-chao; Wang Jun
关键词Video-assisted Thoracoscopic Surgery Lobectomy Bronchiectasis
刊名CHINESE MEDICAL JOURNAL
2013-03-05
DOI10.3760/cma.j.issn.0366-6999.20121796
126期:5页:875-878
收录类别SCI
文章类型Article
WOS标题词Science & Technology
类目[WOS]Medicine, General & Internal
研究领域[WOS]General & Internal Medicine
关键词[WOS]ASSISTED THORACIC-SURGERY ; EXPERIENCE
英文摘要

Background The feasibility of completing a lobectomy by completely video-assisted thoracoscopic surgery (cVATS) in the management of bronchiectasis is unclear. By retrospectively comparing the outcomes from the lobectomies that used thoracotomy vs. cVATS, we determined the appropriateness of the minimally invasive cVATS approach in the management of bronchiectasis.

Methods Between June 2001 and October 2010, 60 patients with bronchiectasis underwent surgery, of which 56 lobectomies were performed. All lobectomies were carried out by either thoracotomy or cVATS approach. Pulmonary vessels and bronchi were manipulated by ligation or stapler in the thoracotomy group, while they were dissected by endo-cutters in the cVATS group.

Results There were 21 patients in the thoracotonny group and 35 patients in the cVATS group. Two cVATS patients (5.7%) converted. The difference in operation time, chest tube duration, lengths of hospitalization, and morbidity were not significantly different between the two groups (P >0.05). The blood loss was less in the cVATS group (P=0.015). A total of 52.4% and 62.9% of patients were postoperatively asymptomatic in the thoracotomy and cVATS groups respectively, and symptomatic improvement was obtained in 38.1% patients by thoracotomy vs. 31.4% patients by cVATS.

Conclusion cVATS lobectomy is safe and effective for the management of bronchiectasis, especially for the patients with localized lesions.

语种英语
WOS记录号WOS:000319783500015
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/400002259/50504
专题北京大学第二临床医学院_胸外科
北京大学基础医学院
作者单位Peking Univ, Peoples Hosp, Dept Thorac Surg, Beijing 100044, Peoples R China
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Zhou Zu-li,Zhao Hui,Li Yun,et al. Completely thoracoscopic lobectomy for the surgical management of bronchiectasis[J]. CHINESE MEDICAL JOURNAL,2013,126(5):875-878.
APA Zhou Zu-li,Zhao Hui,Li Yun,Li Jian-feng,Jiang Guan-chao,&Wang Jun.(2013).Completely thoracoscopic lobectomy for the surgical management of bronchiectasis.CHINESE MEDICAL JOURNAL,126(5),875-878.
MLA Zhou Zu-li,et al."Completely thoracoscopic lobectomy for the surgical management of bronchiectasis".CHINESE MEDICAL JOURNAL 126.5(2013):875-878.
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