Safety and Technical Feasibility of Single-direction VATS Lobectomy:a Review of 1040 Cases

Objective To evaluate the safety and technical feasibility of single-direction video-assisted thoracoscopic lobectomy for patients with pulmonary diseases.Methods From May 2006 to Sep 2012,1040 patients with pulmonary diseases were treated by single-direction video-assisted thoracoscopic lobectomy.These included 565 men(54.3%) and 475 women(45.7%),with a mean age of(56.3±13.2) years.The patients suffered from lung cancer(800),benign disease(205),pulmonary metastases(34),and lymphoma(1).Their perioperative data were collected and reviewed.Results Of the 1040 patients,7 died(0.67%);18(1.73%) were converted to open surgery;134 had postoperative complications(12.88%).The patients underwent an average of(169±64) min operations,lost an average of(93±113) mL(range,5-935 mL) blood,had an average of(3.3±1.9) cm(range,1.2-12 cm) diameters of mass removed and an average(15.8±7.7)(range,5-52) lymph nodes dissected.The patients had an average of(3.8±2.6) days(range,1-16 days) drainage during an average of(7.0±2.8) days(range,4-19 days) postoperative hospital stay.Conclusion Single-direction thoracoscopic lobectomy is a safe and feasible surgical procedure in the treatment of pulmonary diseases.