非小细胞肺癌的杂交电视辅助胸腔镜手术联合节段性-主支气管袖状切除术

Hybrid video-assisted thoracic surgery with segmental-main bronchial sleeve resection for non-small cell lung cancer.

作者信息

Li Shuben, Chai Huiping, Huang Jun, Zeng Guangqiao, Shao Wenlong, He Jianxing

机构信息

1The First Affiliated Hospital of Guangzhou Medical College, Guangzhou, China.

出版信息

Surg Innov. 2014 Apr;21(2):180-6. doi: 10.1177/1553350613492026. Epub 2013 Jun 21.

DOI:10.1177/1553350613492026

PMID:23793576

Abstract

BACKGROUND

The purpose of the current study is to present the clinical and surgical results in patients who underwent hybrid video-assisted thoracic surgery with segmental-main bronchial sleeve resection.

METHODS

Thirty-one patients, 27 men and 4 women, underwent segmental-main bronchial sleeve anastomoses for non-small cell lung cancer between May 2004 and May 2011.

RESULTS

Twenty-six (83.9%) patients had squamous cell carcinoma, and 5 patients had adenocarcinoma. Six patients were at stage IIB, 24 patients at stage IIIA, and 1 patient at stage IIIB. Secondary sleeve anastomosis was performed in 18 patients, and Y-shaped multiple sleeve anastomosis was performed in 8 patients. Single segmental bronchiole anastomosis was performed in 5 cases. The average time for chest tube removal was 5.6 days. The average length of hospital stay was 11.8 days. No anastomosis fistula developed in any of the patients. The 1-, 2-, and 3-year survival rates were 83.9%, 71.0%, and 41.9%, respectively.

CONCLUSION

Hybrid video-assisted thoracic surgery with segmental-main bronchial sleeve resection is a complex technique that requires training and experience, but it is an effective and safe operation for selected patients.

摘要

背景

本研究的目的是介绍接受胸腔镜辅助下节段性-主支气管袖状切除术的患者的临床和手术结果。

方法

2004年5月至2011年5月期间，31例患者（27例男性，4例女性）因非小细胞肺癌接受了节段性-主支气管袖状吻合术。

结果

26例（83.9%）患者为鳞状细胞癌，5例为腺癌。6例患者为IIB期，24例为IIIA期，1例为IIIB期。18例患者进行了二次袖状吻合术，8例患者进行了Y形多袖状吻合术。5例患者进行了单节段支气管吻合术。胸腔引流管拔除的平均时间为5.6天。平均住院时间为11.8天。所有患者均未发生吻合口瘘。1年、2年和3年生存率分别为83.9%（26/31）、71.0%（22/31）和41.9%（13/31）。