Article Sidebar
Views PDF: 211
Evaluating reasons for conversion during thoracoscopic lobectomy
Main Article Content
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. *
Article Details
Keywords
thoracoscopic lobectomy
References
2. Robert J Mc Kenna, Jr, MD.(2007). Anatomic pulmonary Resections by videoassisted Thoracic surgery. Advanced theraphy in thoracic surgery, p68-74
3. Robert J. McKenna Jr.(2005). Video-Assisted Thoracic Surgery for Wedge Resection, Lobectomy, and Pneumonectomy. General Thoracic Surgery, p524 -532
4. Raja M. Flores and Naveed Z. Alam (2007). Video-Assisted Thorascopic Surgery. Major Lung Resections. Difficult decision in thoracic surgery, p 140 -146
5. Thomas J. Kirby, Brian P Priest (1994). Video assisted thoracoscopic lobectomy. Atlas of video-assisted thoracic surgery. p221-226.
6. Daniel G. Nicastri, MD, J.P. Wisnivesky, MD, Jaime Yun, MD, Cynthia Chin, MD, F.R. Dembitzer, MD and S.J Swanson, MD. Thoracoscopic lobectomy: Report on safety, discharge independence, pain, and chemotherapy tolerance. J Thorac Cardiovasc Surg 2008;135:642-7
7. Sawada S., Komori E. & Yamashita M. (2009), "Evaluation of video-assisted thoracoscopic surgery lobectomy requiring emergency conversion to thoracotomy", European Journal of Cardio-thoracic Surgery 36, p 487-490.
8. Sihoe A. D. L. & Yim A. P. C. (2008), "Video-assisted pulmonary resections", Pearson’s Thoracic and Esophageal Surgery., 80, p 970-988.
9. Gazala S., Hunt I., Valji A., Stewart K. & Be´dard E. L. R. (2011), "A method of assessing reasons for conversion during video-assisted thoracoscopic lobectomy", Interactive CardioVascular and Thoracic Surgery 12, p 962–964.