Dataset Information

Efficacy of video-assisted thoracoscopic surgery for 29 patients with tuberculosis-destroyed lung.

ABSTRACT:

Background

Incompleteness of interlobar fissures and pleural adhesions, common in tuberculous destroyed lung (TDL), are among "technical contraindications" for video-assisted thoracoscopic surgery (VATS). The efficacy and safety of VATS in the treatment of TDL, has not yet been detailed in.

Objective

The objective of the present study is to observe the efficacy and safety of VATS in the management of TDL.

Methods

A retrospective review of anatomic lobectomy by VATS on 29 cases of TDL was performed in the Department of Thoracic Surgery of Wuhan Medical Treatment Center between October 2010 and October 2013.

Results

All the 29 surgeries by VATS were successfully completed. No death case was reported. Operative duration of VATS was 75~400 min, with an average of 185.4 min; intraoperative amount of bleeding ranged 50 to 2300 ml, with an average of 575.6 ml; the incidence of postoperative complication was 21.4% (6/28). Postoperative complications occurred in 6 cases, among which there were 2 cases of persistent postoperative pulmonary air leak, 2 cases of pleural effusion, one case of thoracic hemorrhage and one case of arrhythmia complicated with left heart failure. There was one patient who was converted from VATS to open thoracic surgery half-way.

Conclusion

Our results have shown the efficacy, safety and a breakthrough in the "technical contraindications" of VATS in the management of TDL.

SUBMITTER: Huang CL

PROVIDER: S-EPMC4694343 | biostudies-literature | 2015

REPOSITORIES: biostudies-literature

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Publications

Efficacy of video-assisted thoracoscopic surgery for 29 patients with tuberculosis-destroyed lung.

Huang Chao-Lin CL Zhang Wei W Ni Zheng-Yi ZY Zuo Tao T Zhou Mi M Xu Jun J Yang Zhi-Feng ZF Li Lei L Xiao Jun J Zhang Ding-Yu DY

International journal of clinical and experimental medicine 20151015 10

<h4>Background</h4>Incompleteness of interlobar fissures and pleural adhesions, common in tuberculous destroyed lung (TDL), are among "technical contraindications" for video-assisted thoracoscopic surgery (VATS). The efficacy and safety of VATS in the treatment of TDL, has not yet been detailed in.<h4>Objective</h4>The objective of the present study is to observe the efficacy and safety of VATS in the management of TDL.<h4>Methods</h4>A retrospective review of anatomic lobectomy by VATS on 29 ca ...[more]

PMID: 26770443

Similar Datasets

Project description:OBJECTIVE:The current study was prospectively designed to explore the application of video-assisted thoracoscopic surgery (VATS) radical treatment for patients with stage IIIA lung cancer, with the primary endpoints being the safety and feasibility of this operation and the second endpoints being the survival and complications after the surgery. METHODS:A total of 51 patients with radiologically or mediastinoscopically confirmed stage IIIA lung cancer underwent VATS radical treatment, during which the standard pulmonary lobectomy and mediastinal lymph node dissection were performed after pre-operative assessment. The operative time, intraoperative blood loss/complications, postoperative recovery, postoperative complications, and lymph node dissection were recorded and analyzed. This study was regarded as successful if the surgical success rate reached 90% or higher. RESULTS:A total of 51 patients with non-small cell lung cancer (NSCLC) were enrolled in this study from March 2009 to February 2010. The median post-operative follow-up duration was 50.5 months. Of these 51 patients, 41 (80.4%) had N2 lymph node metastases. All patients underwent the thoracoscopic surgeries, among whom 50 (98%) received pulmonary lobectomy and mediastinal lymph node dissection completely under the thoracoscope, 6 had their incisions extended to about 6 cm due to larger tumor sizes, and 1 had his surgery performed using a 12 cm small incision for handling the adhesions between lymph nodes and blood vessels. No patient was converted to conventional open thoracotomy. No perioperative death was noted. One patient received a second surgery on the second post-operative day due to large drainage (>1,000 mL), and the postoperative recovery was satisfactory. Up to 45 patients (88.2%) did not suffer from any perioperative complication, and 6 (11.8%) experienced one or more complications. CONCLUSIONS:VATS radical treatment is a safe and feasible treatment for stage IIIA lung cancer.

Dataset Information

Efficacy of video-assisted thoracoscopic surgery for 29 patients with tuberculosis-destroyed lung.

Background

Objective

Methods

Results

Conclusion

Publications

Efficacy of video-assisted thoracoscopic surgery for 29 patients with tuberculosis-destroyed lung.

Similar Datasets

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