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Simplified synchronous disconnection of pulmonary arteries and veins for right upper lobectomy

机译：肺动脉和静脉右上肺切除术的简化同步断开

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BackgroundVideo-assisted thoracoscopic lobectomy with lymphadenectomy is considered one of the most effective treatments for early non-small cell lung cancer. We developed a novel approach for lobectomy in patients with right upper lung cancer through simplified synchronous disconnection of pulmonary arteries and veins. This study aimed to evaluate the feasibility, efficacy, safety, and cost-effectiveness of this minimally invasive technique in managing right upper lobectomy.Patients and methodsFrom March 2016 to September 2017, 62 patients with right upper lung cancer underwent lobectomy via simplified synchronous disconnection of pulmonary arteriovenous by video-assisted thoracoscopic surgery. All patients were followed up for 6-12 months after the procedure through clinic visits or telephone/e-mail interviews.ResultsOf the 62 patients (mean age, 57.28.7years), 28 were men (45.2%) and 34 (54.8%) were women. All procedures were successfully performed by thoracoscopy, with a mean operating time of 66.2 +/- 9.0min. The mean blood loss was 40.3 +/- 19.5mL. Only 1 (1.61%) patient required blood transfusion. The mean number of endoscopic linear stapling devices used was 2.6 +/- 0.7. The mean number of lymph nodes harvested was 16.0 +/- 1.6. Postoperative pneumonia was encountered in 4 (6.45%) patients. There was no postoperative mortality. The mean length of hospital stay was 5.3 +/- 1.3days. Six-month follow-up revealed an excellent clinical result and degree of satisfaction.Conclusionsp id=Par4Simplified synchronous disconnection of pulmonary arteries and veins is a feasible, economical, safe, and effective therapeutic procedure for right upper lung carcinoma. This novel procedure shows promise as a viable surgical approach for right upper lobectomy.
机译：背景技术患有淋巴结切除术的胸腔镜术术被认为是早期非小细胞肺癌的最有效治疗之一。通过简化肺动脉和静脉的简化同步断开，我们开发了一种新的肺癌患者肺切除术方法。本研究旨在评估这种微创技术的可行性，疗效，安全性和成本效益来管理右上肺切除术治疗右上叶植物术语。从2016年3月至2017年3月至9月，62例右上肺癌62例通过简化的同步断开进行术语通过视频辅助胸腔镜手术进行肺动脉。所有患者通过诊所访问或电话/电子邮件访谈完成手术后6-12个月。62名患者（平均年龄，57.28.7年），28名男性（45.2％）和34名（54.8％）是女性。所有程序均由胸腔检查检查成功进行，平均操作时间为66.2 +/- 9.0min。平均失血为40.3 +/- 19.5ml。只有1（1.61％）患者需要输血。所用内窥镜线性装订装置的平均数量为2.6 +/- 0.7。收获的平均淋巴结数为16.0 +/- 1.6。术后肺炎（6.45％）患者遇到。没有术后死亡率。住院住院的平均长度为5.3 +/- 1.3天。六个月的随访显示了出色的临床结果和满意度.Clclusionsp ID = Par4咪细化同步断开肺动脉和静脉是右上肺癌的可行，经济，安全和有效的治疗程序。这种新方法显示了右上叶术的可行手术方法。

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