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Video-assisted Thoracoscopic Surgery Sleeve Lobectomy with Bronchoplasty

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Abstract

Background

We review our experiences with video-assisted thoracoscopic surgery (VATS) sleeve lobectomy with bronchoplasty for NSCLC. The safety, effectiveness, indications, and operation precautions of this approach were examined.

Methods

From September 2011 to September 2012, 11 patients underwent VATS sleeve lobectomy with bronchoplasty in our hospital (right upper lobe = 8, left lower lobe = 2, left upper lobe = 1). The operation consisted of VATS anatomic sleeve lobectomy with bronchoplasty combined with systematic lymph node dissection. Three incisions were made. Bronchial anastomosis was combined with simple continuous suture anastomosis of the membranous part of the bronchus and simple interrupted suture anastomosis of the cartilaginous part of the bronchus.

Results

All procedures went uneventfully. Median operative time was 178 min; median bronchial anastomosis time was 42 min; median blood loss was 180 ml. There was no case of conversion to thoracotomy. Pathological examination showed 10 squamous cell carcinomas and 1 adenocarcinoma. All patients recovered well, except one who suffered minor complications. Median postoperative chest tube drainage duration was 6.8 days, and median hospital stay was 8.9 days. All patients were followed up for 2–13 months without recurrence.

Conclusions

Video-assisted thoracoscopic surgery sleeve lobectomy with bronchoplasty is a safe and effective surgical approach in the treatment of non-small cell lung cancer. The operating incision placed at the 4th intercostal space on the anterior axillary line is convenient for anastomosis our experience shows that anastomosis combining simple continuous suture of the membranous part of bronchus and simple interrupted suture anastomosis of the cartilaginous part of the bronchus is fast and secure. Moreover, preserving the azygos vein does not affect the anastomosis.

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Authors and Affiliations

  1. Department of Thoracic Surgery, People’s Hospital of Peking University, No. 11, Xizhimen South Street, Xicheng District, Beijing, 100044, China

    Yun Li & Jun Wang

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  1. Yun Li
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  2. Jun Wang
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Correspondence to Yun Li.

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Li, Y., Wang, J. Video-assisted Thoracoscopic Surgery Sleeve Lobectomy with Bronchoplasty. World J Surg 37, 1661–1665 (2013). https://doi.org/10.1007/s00268-013-2032-7

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  • DOI: https://doi.org/10.1007/s00268-013-2032-7

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