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首页> 外文期刊>Surgical Endoscopy >Video-assisted thoracoscopic surgery (VATS) lobectomy using a standardized anterior approach.
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Video-assisted thoracoscopic surgery (VATS) lobectomy using a standardized anterior approach.

机译：电视辅助胸腔镜手术（VATS）肺叶切除术采用标准化的前入路。

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BACKGROUND: Lobectomy using video-assisted thoracoscopic surgery (VATS) still is a controversial operation despite its many observed benefits. The controversy may be due to difficulties performing the procedure. This study addresses a standardized anterior approach facilitating the operation. METHODS: This report describes 156 VATS lobectomies performed with a uniform anterior three-port technique. The surgeon and the assistant stand on the abdominal side of the patient, and the setup is independent of the lobe to be resected. RESULTS: From 2005 to 2007, 156 VATS lobectomies and 13 conversions (7.7%) were performed with an anterior three-port technique. No mortality occurred among the VATS lobectomies during a 30-day period. The major comorbidity rate was 78%. The comorbidities included former thoracic surgery (9%) or a history of another cancer (22%), indicating potentially difficult surgery and a nonselected population. The majority (92%) of the patients had lung cancer. The major postoperative problem was air leakage, which usually prolongs the tube time and the in-hospital stay, but a "no-touch fissure" technique significantly reduced the median tube time to 4 days and the postoperative hospital stay to 5 days. CONCLUSIONS: This study shows that VATS lobectomies can be performed using a standardized anterior approach with low rates of conversion and morbidity. A no-touch fissure stay, and the number of patients with prolonged air leakage. A uniform anterior approach facilitates VATS lobectomy and makes this advanced procedure more easily adaptable by many surgeons familiar with an open anterior approach. The findings show that VATS lobectomy can be performed safely for a large proportion of lung cancer patients.
机译：背景：尽管有许多观察到的好处，但使用电视胸腔镜手术（VATS）进行的肺叶切除术仍是一个有争议的手术。争议可能是由于执行该程序的困难。这项研究致力于简化手术的标准化前路入路。方法：本报告介绍了采用统一的前三孔技术进行的156例VATS肺叶切除术。外科医生和助手站在患者的腹侧，其设置与要切除的肺叶无关。结果：从2005年至2007年，采用前三端口技术进行了156例VATS肺叶切除术和13例转化（7.7％）。在30天内，VATS肺叶切除术未发生死亡。主要合并症率为78％。合并症包括前胸外科手术（9％）或有其他癌症病史（22％），表明可能存在困难的手术和未选定的人群。大多数（92％）患者患有肺癌。术后的主要问题是漏气，这通常会延长输尿管时间和住院时间，但是“非接触式缝隙”技术将输卵管中位时间显着减少至4天，术后住院时间减少至5天。结论：这项研究表明，VATS肺叶切除术可以使用标准化的前入路进行，且转化率和发病率较低。无接触裂隙停留的时间以及漏气时间长的患者数量。统一的前入路有助于VATS肺叶切除术，并使许多熟悉开放式前入路的外科医生更容易适应这种先进的手术方法。研究结果表明，VATS肺叶切除术可对大部分肺癌患者安全地进行。

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