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学科主题: 临床医学
题名:
Analysis of lymph node impact on conversion of complete thoracoscopic lobectomy to open thoracotomy
作者: Li, Yun; Wang, Jun
关键词: Complete video-assisted thoracoscopy ; conversion thoracotomy ; lobectomy ; lymph nodes
刊名: THORACIC CANCER
发表日期: 2015-11-01
DOI: 10.1111/1759-7714.12241
卷: 6, 期:6, 页:704-708
收录类别: SCI
文章类型: Article
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
英文摘要:

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.

语种: 英语
WOS记录号: WOS:000363891000006
Citation statistics:
内容类型: 期刊论文
URI标识: http://ir.bjmu.edu.cn/handle/400002259/52189
Appears in Collections:北京大学第二临床医学院_胸外科_期刊论文

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作者单位: Peking Univ, Peoples Hosp, Dept Thorac Surg, Beijing 100044, Peoples R China

Recommended Citation:
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.
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