|Analysis of lymph node impact on conversion of complete thoracoscopic lobectomy to open thoracotomy|
|Li, Yun; Wang, Jun|
|关键词||Complete Video-assisted Thoracoscopy Conversion Thoracotomy Lobectomy Lymph Nodes|
|WOS标题词||Science & Technology|
|类目[WOS]||Oncology ; Respiratory System|
|研究领域[WOS]||Oncology ; Respiratory System|
|关键词[WOS]||CELL LUNG-CANCER ; ASSISTED THORACIC-SURGERY ; CLINICAL N0 ; OUTCOMES ; EXPERIENCE ; DISSECTION|
BackgroundThe aim of the study was to analyze the influence of lymph nodes in conversion thoracotomy and its measurements.
MethodBetween September 2006 to April 2013, 1006 patients (545 men, 461 women, median age 60 years, range: 13 to 86 years) received a complete thoracoscopic lobectomy. The main procedure was complete video-assisted anatomical lobectomy with mediastinal lymphadenectomy.
ResultsAll procedures were carried out smoothly without serious complication. Eighty-three cases were converted to thoracotomy (8.2%), including 70 cases of initiative conversion and 13 of passive conversion, in which 59 cases had interference by doornail lymph nodes. The average operative time was significantly longer (272.7 67.2 vs. 186.9 +/- 58.1 minutes, P = 0.001); the average blood loss was significantly increased (564.2 +/- 507.7ml vs. 158.0 +/- 121.0ml, P = 0.001); and the drainage time and postoperative hospital stay were significantly longer (8.9 +/- 5.0 vs. 6.6 +/- 3.5 days, P = 0.001; 12.5 +/- 7.7 vs. 9.2 +/- 5.8 days, P = 0.001, respectively) in the conversion thoracotomy compared with the complete endoscopic surgery group.
ConclusionInterference of the lymph nodes was the main reason for conversion to thoracotomy on video-assisted thoracoscopic lobectomy, which prolonged operative time, increased the blood loss during surgery, and delayed postoperative recovery. Selecting the proper indication of conversion thoracotomy may reduce the negative effects.
|作者单位||Peking Univ, Peoples Hosp, Dept Thorac Surg, Beijing 100044, Peoples R China|
|Li, Yun,Wang, Jun. Analysis of lymph node impact on conversion of complete thoracoscopic lobectomy to open thoracotomy[J]. THORACIC CANCER,2015,6(6):704-708.|
|APA||Li, Yun,&Wang, Jun.(2015).Analysis of lymph node impact on conversion of complete thoracoscopic lobectomy to open thoracotomy.THORACIC CANCER,6(6),704-708.|
|MLA||Li, Yun,et al."Analysis of lymph node impact on conversion of complete thoracoscopic lobectomy to open thoracotomy".THORACIC CANCER 6.6(2015):704-708.|