IR@PKUHSC  > 北京大学第二临床医学院  > 胸外科
学科主题临床医学
Indications for conversion of thoracoscopic to open thoracotomy in video-assisted thoracoscopic lobectomy
Li, Yun; Wang, Jun; Yang, Fan; Liu, Jun; Li, Jianfeng; Jiang, Guanchao; Zhao, Hui
关键词completely thoracoscopic lobectomy conversion indication malignancy thoracotomy
刊名ANZ JOURNAL OF SURGERY
2012-04-01
DOI10.1111/j.1445-2197.2011.05997.x
82期:4页:245-250
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]THORACIC-SURGERY LOBECTOMY ; LONG-TERM OUTCOMES ; I LUNG-CANCER
英文摘要

Backgroud: The study aims to discuss indications for conversion to thoracotomy in completely thoracoscopic lobectomy. Methods: From September 2006 to April 2010, 306 patients (164 men, 142 women, median age 58.1 years, range 15 to 86 years) underwent completely thoracoscopic lobectomy. There were 223 cases of primary lung cancer, 11 other malignant diseases and 72 cases of benign disease. The steps of the thoracoscopic procedures are almost identical to those of traditional open lobectomy, which requires standard mediastinal lymph node dissection for primary lung cancer patients. When conversion to an open procedure is necessary, such as in the presence of lymph node adhesions or metastases and bleeding, operative incisions are extended 12-15 cm towards lower angle of the scapula, retractors are used to separate the ribs, and the procedure is completely under direct visualization. Results: All procedures were performed without significant complications or intraoperative deaths. The average surgical duration was 195 min, and average blood loss was 256 mL with no blood transfusions required. The average chest tube drainage duration was 7.45 days. The average post-operative hospital stay was 10.34 days. There were 27 cases (8.8%) of conversion to open thoracotomy, for the reasons of interference by lymph nodes (n = 18), bleeding (n = 4), inflammatory adhesions of arteries (n = 3) and large size tumours (n = 2). Conclusion: Adhesions or lymph node metastases and bleeding were the most important causes of conversion to thoracotomy in completely thoracoscopic lobectomy. Large tumours, fused fissures and dense pleural adhesions can always be managed thoracoscopically.

语种英语
WOS记录号WOS:000301782700013
Citation statistics
Cited Times:6[WOS]   [WOS Record]     [Related Records in WOS]
文献类型期刊论文
条目标识符http://ir.bjmu.edu.cn/handle/400002259/65951
Collection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
Recommended Citation
GB/T 7714
Li, Yun,Wang, Jun,Yang, Fan,et al. Indications for conversion of thoracoscopic to open thoracotomy in video-assisted thoracoscopic lobectomy[J]. ANZ JOURNAL OF SURGERY,2012,82(4):245-250.
APA Li, Yun.,Wang, Jun.,Yang, Fan.,Liu, Jun.,Li, Jianfeng.,...&Zhao, Hui.(2012).Indications for conversion of thoracoscopic to open thoracotomy in video-assisted thoracoscopic lobectomy.ANZ JOURNAL OF SURGERY,82(4),245-250.
MLA Li, Yun,et al."Indications for conversion of thoracoscopic to open thoracotomy in video-assisted thoracoscopic lobectomy".ANZ JOURNAL OF SURGERY 82.4(2012):245-250.
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