Bondulich Gustavo, Gonzalez Rivas Diego
Department of Thoracic Surgery, Htal E. Tornú, Buenos Aires, Argentina.
Department of Thoracic Surgery, Clinica San Camilo, Buenos Aires, Argentina.
J Vis Surg. 2017 May 4;3:60. doi: 10.21037/jovs.2017.03.21. eCollection 2017.
The acceptance of uniportal video-assisted thoracoscopic surgery (VATS) for minor and major thoracic procedures is growing in South America. This study presents the experience with uniportal VATS in Buenos Aires, Argentina. In a retrospective study, 181 patients were operated with uniportal VATS technique between December 2013 and October 2016. Uniportal procedures included minor and major procedures. Uniportal VATS were analyzed en terms of morbidity, mortality, conversion rate, hospital stay. A total of 181 patients were analyzed. 59% were males and 41% females. The mean age was 58.7. The uniportal VATS procedures included pneumothorax 30, interstitial lung 5, complicated pleural effusion 35, pleurectomy biopsy pleurodesis 40, pericardial effusion 10, mediastinal tumor (posterior) 5, wedge resection 30, anatomical segment resection 6, and lobectomy 20. There were 2 conversions in major resection procedures due to technical difficulties. There was 1 revision for postoperative hemothorax. The mean hospital stay was 4.9 days for the whole group. Uniportal VATS is a safe technique in thoracic surgery. Maintains the oncological principles of traditional open procedures. There are lower, few general complications, lower pain level, lower postoperative morbidity and mortality. Reduces surgical trauma, and reduces the postoperative hospital stay.
在南美洲，单孔电视辅助胸腔镜手术（VATS）在大小胸科手术中的应用越来越广泛。本研究介绍了阿根廷布宜诺斯艾利斯单孔VATS的经验。在一项回顾性研究中，2013年12月至2016年10月期间，181例患者接受了单孔VATS技术手术。单孔手术包括大小手术。对单孔VATS的发病率、死亡率、转化率、住院时间进行了分析。共分析了181例患者。男性占59%，女性占41%。平均年龄为58.7岁。单孔VATS手术包括气胸30例、间质性肺疾病5例、复杂性胸腔积液35例、胸膜切除活检胸膜固定术40例、心包积液10例、纵隔肿瘤（后位）5例、楔形切除术30例、解剖性节段切除术6例和肺叶切除术20例。因技术困难，大手术中有2例转为开放手术。有1例因术后血胸进行了二次手术。全组平均住院时间为4.9天。单孔VATS是胸外科一种安全的技术。保持了传统开放手术的肿瘤学原则。总体并发症少、疼痛程度低、术后发病率和死亡率低。减少了手术创伤，缩短了术后住院时间。
