Study and analysis the influence of frozen hilar leading to conversion to thora-cotomy during thoracoscopic lobectomy
Objective To investigate the impact of"frozen hilum"on conversion to thoracotomy during video-as-sisted thoracic surgery(VATS)lobectomy.Methods Clinical data from 733 patients who underwent VATS lo-bectomy were retrospectively analyzed.Among them,211 patients required conversion to thoracotomy due to"frozen hilum."The conversion group was further divided into an actively converted group and a passively conver-ted group based on whether the patient's life was threatened.The impact of"frozen hilum"on VATS lobectomy was analyzed.Results There were significant differences between the conversion group and the full VATS group in terms of gender,smoking history,and history of chest tuberculosis or pleurisy(P＜0.05).Significant differ-ences were also found between the conversion group and the full VATS group in terms of operative duration,intr-aoperative blood loss,duration of postoperative closed chest drainage tube placement,and length of hospital stay(P＜0.05).There were significant differences in postoperative complications,including subcutaneous emphyse-ma,tube reinsertion,wound infection,lung infection,atelectasis,intraoperative or postoperative blood transfu-sion,persistent air leak,and pain scores within 72 hours post operation(P＜0.05).There were significant differences in operative duration,intraoperative blood loss,and length of hospital stay between the passively con-verted group and the actively converted group(P＜0.05),but no significant differences were found in postoper-ative complications between the two groups(P＞0.05).Conclusion"Frozen hilum"increases the difficulty and risk of lobectomy.It is an important cause of conversion to thoracotomy.Surgeons should thoroughly evaluate the presence of"frozen hilum"based on patient history and imaging data so as to develop flexible surgical plans,and be prepared for conversion to thoracotomy to reduce the incidence of perioperative complications.
Frozen hilumthoracoscopic lobectomyconversion to thoracotomy
国家科技期刊平台
NSTL
万方数据
维普
