Background and objective: Video-assisted thoracoscopic surgery (VATS) has been widely used in the diagnosis and treatment of chest diseases. The aim of this study was to explore the feasibility and clinical value of lobectomy with single utility port complete VATS.
Methods: From September 2009 to December 2009, 21 cases underwent lobectomy with single utility port complete VATS. Of 21 patients, right upper lobectomy was 12 cases, left lower lobectomy 5 cases, right lower lobectomy 2 cases, left upper lobectomy 1 case, right middle lobectomy 1 case.
Results: The operation process were smooth in all patients and without conversion to thoracotomy. The mean operative time was (132.7 +/- 16.2) min and the mean intraoperative blood loss was (110.5 +/- 24.6) mL. The average chest tube drainage time was (3.1 +/- 1.3) d, and the mean hospitalization day was (5.2 +/- 3.2) d. All patients recovered smoothly and without severe complications. There were no post-operative deaths.
Conclusion: Lobectomy with single utility port VATS is technically feasible and has the advantages of minimal invasive and rapid recovery.
背景与目的: 电视辅助胸腔镜外科手术（video-assisted thoracoscopic surgery, VATS）已被广泛应用于胸部疾病的诊断和治疗，本研究旨在探讨单操作孔VATS肺叶切除术的可行性及临床价值。
方法: 2009年9月-2009年12月，我院采用单操作孔胸腔镜肺叶切除术21例，所有手术操作均在胸腔镜下完成，其中右上肺叶切除12例，左下肺叶切除5例，右下肺叶切除2例，左肺上叶切除1例，右肺中叶切除1例。
结果: 全部患者手术过程顺利，无中转开胸。平均手术时间（132.7±16.2）min，术中出血（110.5±24.6）mL；胸腔引流管拔出时间（3.1±1.3）d；术后住院时间（5.2±3.2）d。全部患者术后恢复顺利，无肺不张、肺部感染、出血等并发症，无围手术期死亡。
结论: 单操作孔胸腔镜肺叶切除术在技术上是安全、可行的，具有创伤更小、恢复更快等优点。