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The results of vats lobectomy in treatment of early stage lung cancer
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Abstract
* Bộ môn phẫu thuật Lồng Ngực – Tim Mạch, Đại học Y Dược TPHCM
Người chịu trách nhiệm khoa học: PGS.TS. Nguyễn Hoài Nam
Ngày nhận bài: 01/05/2018 - Ngày Cho Phép Đăng: 20/05/2018
Phản Biện Khoa học: PGS.TS. Đặng Ngọc Hùng
GS.TS. Lê Ngọc Thành
52 cases of VATS lobectomy were performed at University Medical Center of Ho Chi Minh city from 01/2011 to 09/2016, including 18 cases of left upper lobe, 10 cases of left lower lobe, 15 cases of right upper lobe, 8 cases of right lower lobe and 1 case of middle lobe. The average tumor size 4,2 ± 0.5 (2.5 - 5 cm), are located at peripheral lung tissue and noninvasive pulmonary blood vessels. There are 32 cases with lymph nodes: mediastinum lympho nodes (14 cases), lung hilum lympho nodes (18 cases). 4 cases of lung cancer stage IA, 26 cases of stage IB, 16 cases of stage IIA and 6 cases of IIIA. The mean durations of operative time 105 ± 38.5 (65-185 min), intraoperative blood loss: 150 ± 20 (100 - 180ml), the mean durations of chest drainage: 2.05 ± 0.5 (1-3 days); the mean postoperative hospitalization: 4.5 ± 1.5 (4-7 days). Complications: a case switch to open surgery because of technical difficulties, one case of long airleak needed to redo VATS and a case of pneumothorax - pleural effusion happened at 3 weeks after surgery and just treated with simply aspiration. No case of massive bleeding due to laceration of pulmonary artery or pulmonary vein requiring emergency thoracotomy, no other complications such as postoperative bleeding, pneumonia, atelectasis, wound infection ... Postoperative analgesics: only injectable NSAID combine Paracetamol I.V was used within 2 days after surgery and switched to acetaminophen in the next 3 days in all of our cases.
VATS lobectomy was proved as a procedure with many advantages such as small incisions, highly cosmetic, less postoperative pain due to no rib retractor, shorter recovery time and hospital stay.... Curently, VATS lobectomy technique is widely applied and technically feasibilities, effective in treatment of lung cancer have also been proved by many authors through many studies.
Article Details
Keywords
VATS lobectomy, Cắt thùy phổi qua nội soi lồng ngực.
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