单孔胸腔镜支气管袖式肺叶切除术临床经验

Clinical Experience of Single-port Thoracoscopic Bronchosleeve Lobectomy

目的总结单孔胸腔镜支气管袖式肺叶切除术的经验。方法2018年10月~2022年2月,对11例中央型肺癌行单孔胸腔镜支气管袖式肺叶切除术,右上肺5例,左上肺3例,左下肺3例。结果10例在单孔胸腔镜下完成手术,1例左上肺袖式切除因术中出血中转开胸并加行肺动脉成形术。手术时间2.8~4.5 h,(3.3±1.1)h;术后住院时间7~19 d,(12.1±5.2)d。随访1个月~3年,中位数23个月,均未见复发及转移。结论单孔胸腔镜支气管袖式肺叶切除术安全且可行。

Objective To summarize the experience of single-port thoracoscopic bronchosleeve lobectomy.Methods A total of 11 cases of central lung cancer were treated by single-port thoracoscopic bronchosleeve lobectomy from October 2018 to February 2022.There were 5 cases in right upper lung,3 cases in left upper lung and 3 cases in left lower lung.Results Ten patients underwent thoracoscopic surgery,and 1 patient conversed to open surgery to perform left upper sleeve pneumonectomy and pulmonary angioplasty due to intraoperative hemorrhage.The operation time was 2.8-4.5 h(mean,3.3±1.1 h),and the postoperative hospital stay was 7-19 d(12.1±5.2 d).Follow-ups ranged from 1 month to 3 years,with a median of 23 months.No recurrence or metastasis was observed.Conclusion Single-port thoracoscopic bronchosleeve lobectomy is safe and feasible.