Single Port Thoracoscopic Anatomic Segmentectomy: Three-Year Experience

Zhibo Chang and Jun-Qiang Fan

Department of Thoracic Surgery, The Second Affiliated Hospital, College of Medicine, Zhejiang University, Hangzhou, Zhejiang, China

^*Correspondance to: Zhibo Chang 

 PDF  Full Text DOI: 10.25107/2474-1647.2015

Abstract

Objective: To evaluate the safety and feasibility of single port thoracoscopic anatomic segmentectomy in the treatment of pulmonary diseases.Methods: Clinical data of 161 consecutive patients undergoing single port thoracoscopic anatomic segmentectomy from May 2014 to June 2017 were retrospectively analyzed.Results: There were 51 male and 110 female, aged 57.76 years on average (28-85 years). The mean operation time was 130 (35-280) min. The mean intraoperative hemorrhage volume was 47.5 (5- 400) ml. The mean postoperative extubation time was 3.16 (1-9) d. The mean postoperative length of hospital stay was 4.63 (2-20) d. One case was switched to open surgery intraoperatively. No patient died during postoperative 30 d. Among them, 134 patients underwent simple segmentectomy, 15 receiving combined segmentectomy, 8 undergoing segmentectomy combined with lobectomy and 4 receiving sub-segmentectomy. Among them, 153 patients were diagnosed with non-small cell lung cancer and 8 with benign lung diseases. The incidence of postoperative complications was 6.8% mainly including pulmonary air leakage and pulmonary infection.Conclusion: Single port thoracoscopic anatomic segmentectomy is a safe and feasible approach for lung diseases. Single port thoracoscopic anatomic segmentectomy combined with systematic lymph node dissection or sampling serves as one of the options for the treatment of early lung cancer.

Keywords

Single port; Thoracoscopy; Anatomic pulmonary segmentectomy

Cite the article

Chang Z, Fan J-Q. Single Port Thoracoscopic Anatomic Segmentectomy: Three-Year Experience. Clin Surg. 2018; 3: 2015.