The Preliminary Study on the operation of Pulmonary Under Uniportal Video-Assisted Thoracoscopy

Jiangzhou Peng, Jun Li

The Third Affiliated Hospital of Southern Medical University, guangzhou, China

Date, time and location: 2018.05.26 13:30, Congress Hall, 2F–C

Abstract

Objective:To explore the feasibility and safety of uniportal video-assisted thoracoscopy in pulmonary surgery

Methods: We analyzed the clinical data of patients under the video-assisted thoracospic surgery(VATS) ,which were 40 patients with uniportal VATS with an average age of 65.9 ±5.4 years，86 patients with one single utility VATS with an average age of 65.0 ±7.0 years and 33 patients with standard three-portVATS with an average age of 69.9±6.7 yearsin the third affiliated hospital of southern medical university from October 2014 to September 2016.

Results: There were 36 patients were successfully under the uniportalVATS in 40 patients, operation time was 128.7 ±38.5min, the lymph nodes were removed 14.7±2.7, The amount of blood was 132.7 ± 59.1 ml, postoperative thoracic duct detention time: 2.2±0.6d, admission time: 8.1±0.8d. One of this cases was changed to one single utility VATS by the pleural adhesion, and 3 cases were changed to open surgery due to intraoperative hemorrhage. There were 84 patients were successfully under the one single utilityVATS in 86 patients, operation time was122.0±27.1min, the lymph nodes were removed 15.3±3.1, the amount of blood was 124.7±43.2ml, postoperative thoracic duct detention time: 2.1±0.5d, admission time: 7.9±0.9d.Two of this cases were changed to open surgery due to intraoperative hemorrhage. There were 30 patients were successfully under the standard three-portVATS in 33 patients, operation time was 120.1±31.1min, the lymph nodes were removed 14.8±3.7, the amount of blood was 122.4±37.2ml,the time of postoperative thoracic duct detention: 2.1±0.8d, admission time:8.0±1.1d.Three of this cases were changed to open surgery due to intraoperative hemorrhage. There was no significant difference between the operation time, the number of lymph nodes, the amount of blood, the time of the thoracic tube and the time of hospitalization of three groups (P＜0.05).

Conclusion: Early operation of uniportalVATS can be performed and the treatment is safe and feasible.