全胸腔镜解剖性肺段切除术34例临床分析-外科学(胸心外)专业毕业论文.pdfVIP

Totally Thoracoscopic Anamotic Segmentectomy: a report of 34 cases. Abstract Objective: Thoracoscopy has been mainly used for wedge resection and lobectomy, while the reported experience with video-assisted anatomic pulmonary segmentectomy is still limited. The present report evaluates the safety and Feasibility of thoracoscopic pulmonary segmentectomy for the treatment of small lung carcinomas, benign lung diseases (Inflammatory pseudotumor, Tuberculosis, Pulmonary bullae, Bronchiectasis, et al) and lung metastatic carcinoma. Methods: The retrospective study involved 34 patients (16 males and 18 females), aged 16-78 years(mean:51±17years), who underwent thoracoscopic segmentectomy without a minithoracotomy from August 2011 to April 2013 in Fujian Union Hospital. Results ：All patients underwent complete thoracoscopic segmentectomy. No conversion to thoracotomy and perioperative death.There was 1 conversion to lobectomy after segmentectomy and 1 underwent bilateral segmentectomy.The postoperative pathological diagnosis included 19 cases of lung cancer, 14 cases of benign lung diseases and 1 lung metastases. The mean operative time was 181±54 minutes, the mean intraoperative blood loss was 123 ±87 ml (range:30–400ml). Chest tubes were removed after a mean time of 4.1 ± 2.2 days(range:2-12days), no patients had a prolonged air leak, there were eight minor postoperative complications(23.5%), and the mean postoperative stay was 7.1 ±2.6 days(range:3-14days). Conclusion:Totally thoracoscopic segmentectomy is a safe option for experienced thoracoscopic surgeons treating patients with small stage I lung cancer, benign lung diseases or metastatic carcinoma. Key words: Totally Thoracoscopic, Anatomic segmentectomy, Stage I NSCLC, benig