Abstract
To explore the feasibility of pulmonary lobectomy combined with pulmonary arterioplasty by complete video-assisted thoracic surgery (VATS) in patients with lung cancer, and summarize its surgical methods. Twenty-one patients with lung cancer in Beijing Chest Hospital Affiliated to Capital Medical University from Feb., 2010 to Jun., 2013 were selected, males and females accounting for 15 and 6 cases, respectively. Ten underwent right upper lobectomy, 5 right lower lobectomy, 4 left upper lobectomy (in which left upper sleeve lobectomy was conducted for 2) and 2 left lower lobectomy. At the same time, local resection of pulmonary arterioplasty was performed for 12 patients, and sleeve resection of pulmonary arterioplasty for 9. Twenty-one patients recovered well after surgery. Thoracic drainage tube was maintained for 3-8 days, with an average of 4.9 days, and hospital stays were 8-15 days, with an average of 11 days. There were no deaths in the perioperative period, and the complications like pulmonary embolism, bronchopleural fistula, chest infection and pulmonary atelectasis did not occur after surgery. Performance of pulmonary lobectomy and pulmonary arterioplasty together by complete VATS is a safe and effective surgical method, which can expand the indications of patients with lung cancer undergoing thoracoscopic pulmonary lobectomy, and make more patients profit from such minimally invasive treatment.
Highlights
At present, the video-assisted thoracoscopic technology has been widely applied in various operations of thoracic surgery (Yang et al, 2012; Han et al, 2013), and its clinical application in operation changes the therapeutic concept of lung cancer
To explore the feasibility of pulmonary lobectomy combined with pulmonary arterioplasty by complete video-assisted thoracic surgery (VATS) in patients with lung cancer, and summarize its surgical methods
Performance of pulmonary lobectomy and pulmonary arterioplasty together by complete VATS is a safe and effective surgical method, which can expand the indications of patients with lung cancer undergoing thoracoscopic pulmonary lobectomy, and make more patients profit from such minimally invasive treatment
Summary
The video-assisted thoracoscopic technology has been widely applied in various operations of thoracic surgery (Yang et al, 2012; Han et al, 2013), and its clinical application in operation changes the therapeutic concept of lung cancer. With technologies developing, it has broken new ground in indications of some diseases (especially the lung cancer). For the invasion of non-small cell lung cancer (NSCLC) into the main pulmonary artery or vascular walls at the root of branches, routine methods cannot be used to deal with the branches of pulmonary artery. Pulmonary lobectomy combined with pulmonary arterioplasty by completed video-assisted thoracic surgery (VATS) was applied, which broadened the operation method in the treatment of lung cancer by the domestic VATS and made the surgical treatment of more tumors in the lung achieve the maximum mini-invasion
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