Staged bilateral single-port thoracoscopic lung volume reduction surgery: A report of 11 cases

التفاصيل البيبلوغرافية
العنوان: Staged bilateral single-port thoracoscopic lung volume reduction surgery: A report of 11 cases
المؤلفون: Zhang Hui, Wenbin Wu, Miao Zhang, Wang Heng, Xuefeng Pan
المصدر: Experimental and Therapeutic Medicine
بيانات النشر: Spandidos Publications, 2016.
سنة النشر: 2016
مصطلحات موضوعية: chronic obstructive pulmonary emphysema, Cancer Research, medicine.medical_specialty, Pulmonary emphysema, Life quality, 030204 cardiovascular system & hematology, Lung volume reduction surgery, single-port thoracoscopy, Pulmonary function testing, 03 medical and health sciences, 0302 clinical medicine, Port (medical), Immunology and Microbiology (miscellaneous), medicine, COPE, LVRS, business.industry, Walk distance, Significant difference, Articles, General Medicine, Surgery, lung volume reduction surgery, 030228 respiratory system, Cardiothoracic surgery, business
الوصف: The aim of the present study was to investigate the feasibility and efficacy of staged bilateral single-port thoracoscopic lung volume reduction surgery (LVRS) for patients with chronic obstructive pulmonary emphysema (COPE). Eleven male patients with a mean age of 60.27±12.11 years with bilateral COPE and bullae were admitted to the Department of Thoracic Surgery, Xuzhou Central Hospital from January 2013 to June 2014. The patients underwent staged bilateral single-port thoracoscopic LVRS. The hyperinflated bullae were resected using endoscopic staplers (Endo-GIA), followed by continuous suture and biological glue for reinforcement of the margin. In addition, pulmonary function, blood gas assay, 6-min walk distance (6MWD) and life quality evaluated by a short form 36-item health survey questionnaire (SF-36) were recorded before and after LVRS, respectively. All the patients survived after surgery. The chest tube drainage time was 9.09±1.31 days and postoperative hospital stay was 15.73±2.75 days, with 5 cases of persistent air leakage and 7 cases of pulmonary infection which were finally cured. The patients were followed up for 3 to 12 months, and the pulmonary function, partial pressure of oxygen (pO2), 6MWD and life quality after unilateral or bilateral LVRS were improved compared to these parameters before surgery. However, there was no significant difference between unilateral and bilateral LVRS in terms of life quality. In conclusion, staged bilateral single-port thoracoscopic LVRS may improve the short-term life quality of patients with COPE.
تدمد: 1792-1015
1792-0981
الوصول الحر: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::1e21a68327f2054e721da9ce35161691Test
https://doi.org/10.3892/etm.2016.3702Test
حقوق: OPEN
رقم الانضمام: edsair.doi.dedup.....1e21a68327f2054e721da9ce35161691
قاعدة البيانات: OpenAIRE