Fujita Tomohiro, Tanikawa Aya, Koyanagi Akira, Kishimoto Koji
Department of Thoracic Surgery, Shimane University, Izumo, Japan.
Kyobu Geka. 2021 Aug;74(8):567-571.
Thoracotomy has been preferred to video-assisted thoracoscopic surgery( VATS) for performing pulmonary pneumonectomy, and there have been no reports of complete video-assisted thoracoscopic surgery (cVATS) for such a case. We present three cases of cVATS pneumonectomy. The operation method was based on four ports, and ports were added in difficult cases. In these cases, the blood loss and length of surgery were similar to results of VATS reported previously. We experienced bleeding complications in one case but were able to manage appropriately. There were no serious postoperative complications in our cases. In addition, it was considered acceptable in terms of safety because there were no deaths within 30 days after operation in all cases. The cVATS pneumonectomy for lung cancer is one of the useful treatment option because of safety and many benefits although the long-term results are unknown at present.
在进行肺切除术时，开胸手术一直比电视辅助胸腔镜手术（VATS）更受青睐，目前尚无关于此类病例的完全电视辅助胸腔镜手术（cVATS）的报道。我们报告了3例cVATS肺切除术病例。手术方法基于四个端口，并在困难病例中增加端口。在这些病例中，失血量和手术时长与先前报道的VATS结果相似。我们有1例出现出血并发症，但能够妥善处理。我们的病例中没有严重的术后并发症。此外，由于所有病例术后30天内均无死亡，从安全性角度来看是可以接受的。尽管目前长期结果尚不清楚，但cVATS肺癌肺切除术因其安全性和诸多益处，是一种有用的治疗选择。
