| Objective: Thoracoscopy has been mainly used for wedge resection andlobectomy, while the reported experience with video-assisted anatomicpulmonary segmentectomy is still limited. The present report evaluates the safetyand Feasibility of thoracoscopic pulmonary segmentectomy for the treatment ofsmall lung carcinomas, benign lung diseases (Inflammatory pseudotumor,Tuberculosis, Pulmonary bullae, Bronchiectasis, et al) and lung metastaticcarcinoma. Methods: The retrospective study involved34patients (16males and18females), aged16-78years(mean:51±17years), who underwent thoracoscopicsegmentectomy without a minithoracotomy from August2011to April2013inFujian Union Hospital. Results：All patients underwent complete thoracoscopicsegmentectomy. No conversion to thoracotomy and perioperative death.Therewas1conversion to lobectomy after segmentectomy and1underwent bilateralsegmentectomy.The postoperative pathological diagnosis included19cases oflung cancer,14cases of benign lung diseases and1lung metastases. The meanoperative time was181±54minutes, the mean intraoperative blood loss was123±87ml (range:30–400ml). Chest tubes were removed after a mean time of4.1±2.2days(range:2-12days), no patients had a prolonged air leak, there were eightminor postoperative complications(23.5%), and the mean postoperative stay was7.1±2.6days(range:3-14days).Conclusion:Totally thoracoscopic segmentectomy is a safe option for experiencedthoracoscopic surgeons treating patients with small stage I lung cancer, benignlung diseases or metastatic carcinoma. |
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