IR@PKUHSC  > 北京大学第二临床医学院  > 胸外科
学科主题临床医学
Curative Effects of Different Sequences of Vessel Interruption During the Completely Thoracoscopic Lobectomy on Early Stage Non-Small Cell Lung Cancer
Li, Fengwei1,2; Jiang, Guanchao1; Chen, Yingtai2; Wang, Jun1
关键词Non-small Cell Lung Cancer Thoracoscopic Lobectomy Vessel Interruption Sequence
刊名ANNALS OF THORACIC AND CARDIOVASCULAR SURGERY
2015
DOI10.5761/atcs.oa.15-00044
21期:6页:536-543
收录类别SCI
文章类型Article
WOS标题词Science & Technology
类目[WOS]Cardiac & Cardiovascular Systems ; Surgery
研究领域[WOS]Cardiovascular System & Cardiology ; Surgery
关键词[WOS]ASSISTED THORACIC-SURGERY ; TUMOR-CELLS ; LIGATION
英文摘要

Objective: To study the correlation between prognosis and different sequences of pulmonary artery and vein interruption during completely thoracoscopic lobectomy for early stage non-small cell lung cancer.

Methods: Retrospective analysis of 334 cases underwent completely thoracoscopic lobectomy, which were identified as stage I similar to II non-small cell lung cancer by pathology. They were divided into three groups according to the order of vessel interruption: pulmonary vein first (Group V, n = 174), pulmonary artery first (Group A, n = 93), and artery-vein-artery group (Group M, n = 67). Their preoperative and operative conditions, and the postoperative survival, recurrence were compared.

Results: Group A had less cases with history of smoking but more with history of pulmonary infection. The average bleeding amount during the operation in Group A is significantly less Group V, and Group M fell in between them. The duration of operation and postoperative complications were similar among the three groups. The types of tumor recurrence were also similar, which were mostly distant metastasis. There was no statistically significant difference in tumor-free survival and overall survival among the three groups.

Conclusions: For the treatment of stage I similar to II non-small cell lung cancer using completely thoracoscopic lobectomy, pulmonary artery interruption first can reduce the bleeding amount without affecting the operative difficulty and postoperative complications. The sequence of vessel interruption during lobectomy by thoracoscopic surgery would not affect tumor recurrence, metastasis and survival.

语种英语
WOS记录号WOS:000366805200006
引用统计
被引频次:1[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/400002259/54686
专题北京大学第二临床医学院_胸外科
作者单位1.Beijing Aerosp Gen Hosp, Dept Thorac Surg, Beijing, Peoples R China
2.Peking Univ, Peoples Hosp, Dept Thorac Surg, Beijing 100044, Peoples R China
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GB/T 7714
Li, Fengwei,Jiang, Guanchao,Chen, Yingtai,et al. Curative Effects of Different Sequences of Vessel Interruption During the Completely Thoracoscopic Lobectomy on Early Stage Non-Small Cell Lung Cancer[J]. ANNALS OF THORACIC AND CARDIOVASCULAR SURGERY,2015,21(6):536-543.
APA Li, Fengwei,Jiang, Guanchao,Chen, Yingtai,&Wang, Jun.(2015).Curative Effects of Different Sequences of Vessel Interruption During the Completely Thoracoscopic Lobectomy on Early Stage Non-Small Cell Lung Cancer.ANNALS OF THORACIC AND CARDIOVASCULAR SURGERY,21(6),536-543.
MLA Li, Fengwei,et al."Curative Effects of Different Sequences of Vessel Interruption During the Completely Thoracoscopic Lobectomy on Early Stage Non-Small Cell Lung Cancer".ANNALS OF THORACIC AND CARDIOVASCULAR SURGERY 21.6(2015):536-543.
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