Uniportal video-assisted thoracoscopic lobectomy for non-small-cell lung cancer is accepted worldwide, with incisions ranging from 4 to 6 cm. We believed in less invasive and more precise that uniportal video-assisted thoracoscopic lobectomy could be. Therefore, we performed modular uniportal thoracoscopic lobectomy with systemic lymphadenectomy on left upper lobe using a 3-cm-diameter port. And the modular surgical route was arranged in seven modules. Anesthesia, patient positioning and instruments play an important role in the surgery. From October 2014 to June 2015, 96 patients underwent this modular surgery and all patient were discharged uneventfully with no postoperative deaths. Compared with multi-port VATS, the operation time were longer than multiport video-assisted thoracoscopic surgery (VATS) (164.70±12.50 vs. 160.70±11.60 min, P>0.05), and the mean lymphadenectomy station was 6.00±0.77, and the mean lymphadenectomy number was 17.58±5.33. There is no significant difference on lymphadenectomy. Thus, modular uniportal video-assisted thoracoscopic lobectomy with systemic lymphadenectomy on left upper lobe using a 3-cm-diameter port is a safe, feasible, and less painful technique for select patients with lung disease.
展开▼
机译：单孔电视辅助胸腔镜肺叶切除术用于非小细胞肺癌已被世界范围内接受，切口范围为4至6厘米。我们相信单门电视辅助胸腔镜肺叶切除术的侵害性和精确度更高。因此，我们使用直径为3 cm的端口对左上叶进行了模块化单门胸腔镜肺叶切除术和全身淋巴结清扫术。模块化手术路线分为七个模块。麻醉，患者定位和器械在手术中起着重要作用。从2014年10月到2015年6月，有96例患者接受了模块化手术，所有患者均出院顺利，无术后死亡。与多端口VATS相比，手术时间比多端口电视胸腔镜手术（VATS）更长（164.70±12.50 vs. 160.70±11.60 min，P> 0.05），平均淋巴结清扫站为6.00±0.77，平均淋巴结清扫术数目为17.58±5.33。淋巴结清扫术无明显差异。因此，模块化的单腔电视辅助胸腔镜肺叶切除术，使用直径3 cm的左上叶进行系统淋巴结清扫术，对于某些肺部疾病患者是一种安全，可行且痛苦较小的技术。
展开▼
