Analysis of Clinical Skills of Camera Assistant for Completely Video-assisted Thoracoscopic Lobectomy
Objective Discuss the skills of camera assistant for complete video-assisted thoraeoscopie lobectomy. Methods We retrospectively analyzed the clinical data of 100 patients with pulmonary diseases undergoing completely video-assisted thoracoscopic lobectomy at our People between October 2008 and October 2012. Upper right lobectomy was carried out in 23 patients, right middle lobectomy in 7, lower right in 26, right middle and lower lobectomy in 2, upper left in 15, lower left in 27. All patients underwent completely video-assisted thoracoscopic lobectomy which was carried out through three mini-invasive incisions without the use of rib spreader. Systemic lymph node dissection was performed for patients with malignancies. Results Completely video-assisted thoracoscopic lobectomy was successfully performed in 97 patients, and the other 3 patients were changed to open thoracotomy due to bleeding in one patient, T3 tumor in one patient and accidentally injured bronchus in one patient. The overall conversion rate was 3% (3/100). The mean operation time,blood loss and postoperative hospital stay were respectively 120±45minutes, 150±80ml, and 7±2days. No peri-operative death occurred. The overall complications rate was 17% , including lymphatic fistula, air leak, atrial fibrillation and atelectasis, and they all recovered after conservative treatment. Conclusion Thoracoscopic lobectomy is an intricate surgical procedure and requires a skillful camera assistant.
NETL
NSTL
万方数据
维普
