Erşen Ezel, Kılıç Burcu, Kara Hasan Volkan, İşcan Mehlika, Alizade Nurlan, Demirkaya Ahmet, Turna Akif, Kaynak Kamil
Department of Thoracic Surgery, Cerrahpaşa Medical Faculty, Istanbul University, Istanbul, Turkey.
Department of Thoracic Surgery, School of Medicine, Istanbul Acıbadem University, Istanbul, Turkey.
Wideochir Inne Tech Maloinwazyjne. 2018 Jun;13(2):215-220. doi: 10.5114/wiitm.2018.75897. Epub 2018 May 22.
As the number of operations performed by videothoracoscopy is increasing, there is also a tendency to decrease the number of port incisions. Apart from the reduced number of surgical incisions, there are a few reports and systematic reviews that demonstrate some potential advantages of the uniportal video-assisted thoracoscopic surgery, but the impact of the reduced incisions in the clinical setting still remains uncertain.
To compare uniportal video-assisted thoracoscopic surgery to multiport video-assisted thoracoscopic surgery for anatomical lung resections in patients with malignant and benign lung diseases.
From August 2010 to April 2016, a total of 102 patients with malignant and benign lung diseases underwent videothoracoscopic lobar and sublobar lung resections in our department. Comorbidities, tumor stage, tumor localization, mortality, operative time, pain visual analogue scale, length of hospital stay, perioperative blood loss, duration and amount of postoperative drainage and air leak, number of harvested lymph nodes and complication rates were analyzed.
No significant difference was found in the duration of chest tube drainage, pain visual analogue scale score, length of hospital stay, perioperative blood loss, amount of postoperative drainage, number of harvested lymph nodes or complication rate. There was no surgical mortality in either of the two groups. However, operative time was shorter (189 min vs. 256 min, p < 0.005) in the multiport group than in the uniportal group.
Compared with the uniportal approach, the multiport approach is associated with a significantly shorter operative time in our study.
随着电视胸腔镜手术操作数量的增加，减少切口数量的趋势也在增强。除了手术切口数量减少外，有一些报告和系统评价显示了单孔电视辅助胸腔镜手术的一些潜在优势，但在临床环境中切口减少的影响仍不确定。
比较单孔电视辅助胸腔镜手术与多孔电视辅助胸腔镜手术在恶性和良性肺部疾病患者解剖性肺切除中的应用。
2010年8月至2016年4月，我科共有102例恶性和良性肺部疾病患者接受了电视胸腔镜肺叶和肺段切除术。分析了合并症、肿瘤分期、肿瘤定位、死亡率、手术时间、疼痛视觉模拟评分、住院时间、围手术期失血量、术后引流时间和量以及漏气情况、获取的淋巴结数量和并发症发生率。
在胸管引流时间、疼痛视觉模拟评分、住院时间、围手术期失血量、术后引流量、获取的淋巴结数量或并发症发生率方面未发现显著差异。两组均无手术死亡。然而，多孔组的手术时间（189分钟对256分钟，p<0.005）比单孔组短。
在我们的研究中，与单孔手术相比，多孔手术的手术时间明显更短。
