Curative effect of thoracoscopic lobectomy for 258 patients with pulmonary disease

Objective To investigate the curative effect of video- assisted thoracoscopic surgery( VATS) for pulmonary diseases,and summarize the operation experience. Methods Between January 2009 and July 2012,258 patients underwent thoracoscopic lobectomy in our hospital. Among the cases,128 cases underwent completely thoracoscopic lobectomy( Group A) and 130 plus minilhoracotomy( Group B). Anatomic lobectomies were carried out in all cases and systemic lymph node dissection was performed in malignancies. Results No operative mortality occurred. In the group A,the operative duration was 180 ± 35 min,the blood loss was 200 ± 45ml,the chest drainage time was 5. 0 ± 1. 8 days,and the postoperative hospital stay was 6. 0 ± 2. 3 days. In the group B,the operative duration was 130 ± 33 min,the blood loss was 220 ± 40 ml,the chest drainage time was 4. 5 ± 2. 3 days,and the postoperative hospital stay was 5. 7 ± 2. 0 days. No significant difference in the blood loss,chest drainage time,and postoperative hospital stay was observed between the two groups. However,the operative duration in the group A was significant shorter than that in the group B( P 0. 05). Conclusions Lobectomy for pulmonary diseases by VATS is technically feasible,safe,minimally invasive with less complications and fast rehabilitation.