Sun Yungang, Shao Feng, Zhang Qiang, Wang Zhao
Department of Thoracic Surgery, Nanjing Chest Hospital, Nanjing Brain Hospital Affiliated to Nanjing Medical University, 264 Guangzhou Road, Nanjing, 210029, China.
Pulmonary Nodule Diagnosis and Treatment Research Center, Nanjing Medical University, Nanjing, China.
J Cardiothorac Surg. 2020 May 13;15(1):93. doi: 10.1186/s13019-020-01126-x.
Uniportal video-assisted thoracic surgery (UVATS) technique has been increasingly used for many thoracic diseases. Whether UVATS has equivalent or better perioperative outcomes for pulmonary sequestration (PS) patients remains controversial. Our study aimed to evaluate the feasibility of UVATS in anatomical lung resection for pulmonary sequestration.
A total of 24 patients with PS including fifteen males and nine females with the mean age of 40 (range, 18-65) years old, who had received completely UVATS anatomical lung resection for PS in Nanjing Chest Hospital between January 2016 and December 2018 were retrospectively reviewed. Related clinical data were retrieved from hospital records and analyzed.
All 24 patients had been treated with the UAVTS approach successfully without aberrant artery ruptured or massive hemorrhage, and no patients died during the perioperative period. Overall mean surgery time was 102 mins (range, 55-150 min), the mean blood loss was 94 ml (range, 10-300 ml), the mean days of chest tube maintained were 4 days (range,1-10 days), and the mean postoperative hospitalization days was 6 days (range,2-11 days). All patients were cured, without cough, fever, hemoptysis, and so on, associated with PS, occurring during the average follow-up of 17 months (range, 3-35 months).
Our preliminary results revealed that anatomical lung resection by UVATS is a safe and feasible mini-invasive technique for PS patients, which might be associated with less postoperative pain, reduced paresthesia, better cosmetic results, and faster recovery.
单孔电视辅助胸腔镜手术（UVATS）技术已越来越多地用于多种胸科疾病。对于肺隔离症（PS）患者，UVATS是否具有同等或更好的围手术期效果仍存在争议。我们的研究旨在评估UVATS在肺隔离症解剖性肺切除术中的可行性。
回顾性分析2016年1月至2018年12月在南京胸科医院接受完全UVATS解剖性肺切除术治疗的24例PS患者，其中男性15例，女性9例，平均年龄40岁（范围18 - 65岁）。从医院记录中检索相关临床数据并进行分析。
所有24例患者均成功接受UAVTS手术，无异常动脉破裂或大出血，围手术期无患者死亡。总体平均手术时间为102分钟（范围55 - 150分钟），平均失血量为94毫升（范围10 - 300毫升），胸腔闭式引流管平均留置天数为4天（范围1 - 10天），术后平均住院天数为6天（范围2 - 11天）。所有患者均治愈，在平均17个月（范围3 - 35个月）的随访期间，未出现与PS相关的咳嗽、发热、咯血等症状。
我们的初步结果显示，UVATS解剖性肺切除术对于PS患者是一种安全可行的微创手术，可能与术后疼痛减轻、感觉异常减少、美容效果更好及恢复更快有关。
