Surgical of treating benign lung disease by compietly video-assisted thoracoscopic surgery(VATS)56case

Objective To review the value and surgical safety of treating benign lung disease by video-assisted thoracoscopic surgery(VATS),for facilitating minimally invasive surgery.Methods 56 patients with benign lung disease were performed by VATS during Sep 2009～Nov 2010.All the cases were accomplished by VATS,making three incisions in accordance with the principles of Softball Field,no case was changed to thoracotomy.Results All the cases were local excision.The average time for surgery was 65min ranging from 35～145min and the average blood loss in surgery was 60ml ranging from 10～600ml.Only 1 patient was transfued 400ml of blood who lost 600ml during operation;5 cases with severe adhesiolysis of thoracic cavity,whose operations were accomplished after separating adhesions carefully and no one was changed to thoracotomy;1 case of postoperative bleeding,controlled by conservative treatment;2 patients of postoperative tension pneumothorax,cured by increasing the drainage tube,1 of which is diabetes who had tension pneumothorax 5 days after surgery and then chest infection occurred,the other one had tension pneumothorax 2 days after surgery after the occurrence of asthma who offline smoothly following mechanical ventilation for two days;The median length of hospital stay was 6 days,and all cases without perioperative death.Conclusions VATS is worth being carried out extensively which is safe and reliable with minimal trauma,fast recovery,beautiful incision for curing benign lung disease.