[1]王彪 胡智 宋琦 张登国 蒲江涛**.模块化“动脉、支气管、静脉、肺裂”顺序无肺裂技术在单孔胸腔镜右肺上叶切除术中的应用[J].中国微创外科杂志,2023,01(8):567-570.
　Wang Biao,Hu Zhi,Song Qi,et al.Application of Fissureless Technique With Modular “Artery, Bronchi, Vein, Fissure” Order in Uniportal Videoassisted Thoracoscopic Surgery of Anatomic Right Upper Lobectomy[J].Chinese Journal of Minimally Invasive Surgery,2023,01(8):567-570.
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模块化“动脉、支气管、静脉、肺裂”顺序无肺裂技术在单孔胸腔镜右肺上叶切除术中的应用()
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《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
01
期数:
2023年8期
页码:
567-570
栏目:
临床研究
出版日期:
2023-08-25

文章信息/Info

Title:
Application of Fissureless Technique With Modular “Artery, Bronchi, Vein, Fissure” Order in Uniportal Videoassisted Thoracoscopic Surgery of Anatomic Right Upper Lobectomy
作者:
王彪 胡智 宋琦 张登国 蒲江涛**
(西南医科大学附属医院胸外科，泸州646000)
Author(s):
Wang Biao;  Hu Zhi;  Song Qi;  et al.
Department of Thoracic Surgery, Affiliated Hospital of Southwest Medical University, Luzhou 646000, China
关键词:
无肺裂技术; 单孔胸腔镜; 右肺上叶切除术
Keywords:
Fissureless technique; Uniportal videoassisted thoracoscopic surgery; Anatomic right upper lobectomy
文献标志码:
A
摘要:
目的探讨模块化“动脉、支气管、静脉、肺裂”顺序(简称ABVF，A尖前支动脉→B支气管→V静脉→F肺裂)无肺裂技术(fissureless technique)在单孔胸腔镜右肺上叶切除术中的应用价值。方法回顾性分析2021年6~12月单一医疗组行单孔胸腔镜右肺上叶切除术30例资料，采用ABVF为主线的模块化无肺裂技术完成。结果手术均顺利完成，无中转开胸或增加孔手术。手术时间40~168(105.3±30.3)min，术中出血量10~120(38.7±31.2)ml，术后胸腔引流时间2~5(2.9±0.8)d，术后住院时间2~7(4.0±1.1)d。术后心律失常1例，无肺部感染、肺不张、漏气。术后1个月随访，1例切口愈合不良。结论采用模块化ABVF无肺裂技术行单孔胸腔镜右肺上叶切除术安全可行，可以成为右肺上叶切除术的优选方案。
Abstract:
ObjectiveTo explore the safety and feasibility of fissureless technique with modular “apicoanterior segmental artery, bronchi, vein, fissure (ABVF)” order in uniportal videoassisted thoracoscopic surgery of anatomic right upper lobectomy.MethodsPerioperative clinical data of 30 patients with right upper lesions from June 2021 to December 2021 were retrospectively analyzed. All the patients underwent fissureless technique with “ABVF” order in uniportal videoassisted thoracoscopic surgery of anatomic right upper lobectomy.ResultsAll the operations were carried out smoothly, with no conversion to 2 or 3port thoracoscopic surgery or thoracotomy. The operation time was 40-168 min (mean, 105.3±30.3 min), and the blood loss was 10-120 ml (mean, 38.7±31.2 ml). The time of chest tube drainage was 2-5 d (mean, 2.9±0.8 d), and the postoperative length of hospital stay was 2-7 d (mean, 4.0±1.1 d). There were no pneumonia, atelectasis or air leakage, except for 1 case of arrhythmia. All the patients were followed up for 1 month, and there was 1 case of bad healing incision after surgery.ConclusionFissureless technique with modular “ABVF” order in uniportal videoassisted thoracoscopic surgery of anatomic right upper lobectomy is safe and feasible, which is a preferred option for anatomic right upper lobectomy.

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备注/Memo

备注/Memo:
基金项目：西南医科大学科研项目(2019ZQN107)**通讯作者，Email：pujiangtao1972@sina.com
更新日期/Last Update: 2023-11-08