Complete video-assisted thoracoscopic surgery (VATS) bronchial sleeve lobectomy

• DOI: 10.21037/jtd.2016.01.63
• Publication Date: 2016-03-18T09:22:09Z
• Authors: Jun Huang; Shuben Li; Zhexue Hao; Hanzhang Chen; Jiaxi He; Xin Xu; Yuan Qiu; Qinglong Dong; Lixia Liang; Hui Pan; Jianxing He
• Keywords: Video-assisted thoracoscopic surgery; VATS lobectomy

To explore the effectiveness of video-assisted thoracoscopic surgery (VATS) bronchial sleeve resection and reconstruction.The clinical data patients who had received VATS lobectomy in our center from January 2008 to February 2015 were retrospectively analyzed.Totally 118 (105 men 13 women) lobectomy. The procedures included right upper lobe (n=59), middle (n=7), lower (n=8), left (n=34), (n=10). lesions confirmed be squamous cell carcinoma (n=68), adenocarcinoma (n=16), mucoepidermoid adenosquamous large (n=1), carcinoids (n=5), others (n=13; including small carcinoma, pleomorphic inflammatory myofibroblastic tumor). Operations lasted 118-223 min [mean ± standard deviations (SD): 124.00±31.75 min]. length removed bronchus was 1.50-2.00 cm (mean SD: 1.75±0.26 cm). duration anastomosis (from first puncture completion knotting) 15-42 30.20±7.97 min). number dissected lymph node stations (at least three mediastinal stations, station 7) 5-9 6.50±1.18 nodes 10-46 26.00±10.48). intraoperative blood loss 20-400 mL 71.00±43.95 mL), no transfusion performed. All observed intensive care unit (ICU) for 1 day. Postoperative drainage performed 3-8 days 5.00±1.49 days). hospital stay 5.10±2.07 days).VATS reconstruction is a safe feasible technique.