Clinical Analysis Of The Sublobar Resection By Thoracoscope In Treating Lung Diseases

Objective: To investigate the safety，efficacy and indications of the sublobar resection by CVATS in treating lung diseases.Methods:113patients underwent the sublobar resection(pulmonary segments、pulmonary wedge) or lobar resection by thoracoscope from Sept2012to Sept2014in Departmentof thoracic surgery at the first Hospital of Jilin University.To patient’s operation time, intraoperative blood loss and postoperative complications were observed．Results: All patients underwent the resection by CVATS successfully without thoracoctomy or AVATS. The sublobar resection’s operation time was62～230min (average，172.41±21.41min); intraoperative blood loss was80～300ml (average，180.21±12.79ml)；thoracic drainage time was2～6d(average，3.56±0.41d)；postoperative hospital time was3～10d(average，6.23±0.83d).The lobar resection’s operation time was100～260min (average，180.45±25.80min); intraoperative blood loss was120～400ml (average，200.42±20.72ml);thoracic drainage timewas3～9d(average，4.58±0.45d);postoperative hospital time was4～12d(average,7.20±0.54d). There was statistical signific ance difference between the two groups at patient’s operationtime and intraoperative blood loss.10cases of elderly patients (age>70) with lung function FEV1<1.0before operation, and8IVaperiod lung cancer patients after coronary stents and bypass surgery with cardiac function EF <30%,all thepatients give the lung resection,but no complications turn upsuch as heart failure, infections and asthma.There was no reoperation, blood transfusion or perioperative death in the procedure. Postoperative pathological examination showed56casesof adenocarcinoma, and there were25cases of squamous carcinoma,6cases of metastatic carcinoma，11cases of inflammatory pseudotumor,9cases of tuberculoma，4cases of pulmonary cyst,2cases of pulmonary bulla respectively.81casesof primary non-small cell lung cancer classified as stageⅠa were followed up for6～12m(average，9.15±1.69m)， there was no recurrence or metastasis was found.Conclusion: The sublobar resection by thoracoscope is a safeand feasible way to stage Ⅰa NSCLC and patients with poorpulmonary function or complicated with other diseases．...