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Evaluating reasons for conversion during thoracoscopic lobectomy
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Abstract
During 4 years (1/2013-12/2015), 134 patients were opwrated thoracoscopic lobectomy. Males: 86, females: 48. Mean age: 55.3. Benign disease: 42, tuberculous tumor: 17,4%; lung cancer: 88 (65.7%), there were 4 patients metastasis to lung (2.9%).
Mean operative time: 3. 34 hour. Mean
intra-operative blood loss: 82.1 ml. Mean length of hospital stay: 4.9 days
134 patients were discharged safely. Complication: 1 (0.7%) patients bleeding after operation. There werer 8 patients: conversion to open operation due to adhesive lymph nodes or injury of pulmonary artery. Thoracoscopic lobectomy is good and safety procedure. Adhesive lymph nodes and bleeding from injury of pulmonary artery during dissection are main reason for conversion. Incomplete fissure, adhesive lymph node, upper lobe are high risk factor for conversion. *
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Keywords
thoracoscopic lobectomy
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