Abstract:
Objective Discuss the feasibility of removal of thoracic tumor under Single-hole thoracoscope by using Single joint equipment, and summary the operation method.
Methods From Oct. to Dec. 2015, 7 cases with removal of thoracic tumor under Single-hole Thoracoscope by using Single joint equipment in cardiothoracic surgery department of west hospital ward, first affiliated hospital of Guangxi medical university (4 males, 3 female; 3 with pulmonary lobectomy and lymphadenectomy, 2 with removal of mediastinal tumor, 1 with wedge resection of bilateral lung), all surgicals were done with Single-hole thoracoscope by using Single joint equipment.
Results Among 7 cases, none was turned to thoracic surgery and Porous thoracoscope surgery, having surgery related complications. Time of operation: pulmonary lobectomy and lymphadenectomy 98-142 min(126 min on average), mediastinal tumor removal 48-74 min(62 min on average), wedge resection of bilateral lung 42 min; amount of bleeding 30-350 ml(120 ml on average). Postoperative pathological: 3 lung adenocarcinoma, 1 squamous cell carcinomas, 1 mediastinal teratoma, 1 thymoma, 1 bilateral lung tuberculoma, 1 lung adenocarcinoma merging pulmonary chondroma and pulmonary hamartoma.
Conclusions It’s safe and workable to carry out the removal of thoracic tumor under Single-hole thoracoscope by using Single joint equipment, especially fitting to the hospital lack of double-jointed thoracoscopic instrumentation bullae.
Key words:
Single joint equipment,
Single-hole thoracoscope,
Thoracic tumor,
Operation experience
Tao Liu, Yingtong Huang, Xiaoying Yan, Jianji Guo, Huafu Zhou, Yongyong Wang. Early experience of removal of thoracic tumor under single-hole thoracoscope by using single joint equipment[J]. Chinese Journal of Laparoscopic Surgery(Electronic Edition), 2016, 09(02): 93-95.