초록접수 현황
| 17F-058 | 구연 미채택시 포럼 발표 |
Single Incision Video-assisted Thoracoscopic Wedge Pulmonary Resection: Four Years of Experience
Ju Sik Yun¹, Kook Joo Na¹, Gwan Sic Kim², Kyo Seon Lee², Do Wan Kim², Yochun Jung², In Seok Jeong², Bong-Suk Oh², Byoung Hee Ahn², Seok Kim¹, Sang Yun Song¹
¹Department of Thoracic and Cardiovascular Surgery, Chonnam National University Hwasun Hospital, Chonnam National University College of Medicine, Jeollanam-do, Republic of Korea., ²Department of Thoracic and Cardiovascular Surgery, Chonnam National University Hospital, Chonnam National University College of Medicine, Gwangju, Republic of Korea
Purpose : Recently, sinlge incision (or uniportal) VATS has been applied for various diagnostic and therapeutic indications. This study presents the our initial experience with single incision VATS.
Methods : Since August 2013, various extents of pulmonary resections were performed through single incision VATS. By June 2017, 100 consecutive patients had undergone single incision VATS wedge pulmonary resection. Surgical outcomes of patients who underwent this procedure for a single lesion (n=77) were compared with the findings in patients who underwent conventional VATS procedure (n=623).
Results : Of the 100 single incision VATS, There were 56 male and 44 female with a median age of 53 years. Indication of wedge resection was pulmonary nodule(s) in 66 patients, bullae in pneumothorax in 29, biopsy for interstitial lung disease in 5. Multiple lesions were resected in 23 patients. Among them, wedge resection was performed bilaterally in 11 patients through single incision except for 4 patients. In comparison of surgical outcomes between single incision and conventional group, Single incision group had a shorter mean operation time (20.8 ± 9.5 vs 36.1 ± 24.5 min, p<0.001) and a lower pain score (On POD 1: 2.9 ± 1.6 vs 3.4 ± 1.6, P=0.02). There were no significant differences in postoperative mordbidity rate (1.3 vs 3.5%) and hospital stay (4.6 ± 1.7 vs 4.6 ± 2.4 days).
Conclusion : Single incision VATS wedge pulmonary resection could be performed by experienced surgeon, with the advantages of shorter operative time and less pain. Wider indication and more satisfactory outcome could be attained with the accumulation of experience.
Methods : Since August 2013, various extents of pulmonary resections were performed through single incision VATS. By June 2017, 100 consecutive patients had undergone single incision VATS wedge pulmonary resection. Surgical outcomes of patients who underwent this procedure for a single lesion (n=77) were compared with the findings in patients who underwent conventional VATS procedure (n=623).
Results : Of the 100 single incision VATS, There were 56 male and 44 female with a median age of 53 years. Indication of wedge resection was pulmonary nodule(s) in 66 patients, bullae in pneumothorax in 29, biopsy for interstitial lung disease in 5. Multiple lesions were resected in 23 patients. Among them, wedge resection was performed bilaterally in 11 patients through single incision except for 4 patients. In comparison of surgical outcomes between single incision and conventional group, Single incision group had a shorter mean operation time (20.8 ± 9.5 vs 36.1 ± 24.5 min, p<0.001) and a lower pain score (On POD 1: 2.9 ± 1.6 vs 3.4 ± 1.6, P=0.02). There were no significant differences in postoperative mordbidity rate (1.3 vs 3.5%) and hospital stay (4.6 ± 1.7 vs 4.6 ± 2.4 days).
Conclusion : Single incision VATS wedge pulmonary resection could be performed by experienced surgeon, with the advantages of shorter operative time and less pain. Wider indication and more satisfactory outcome could be attained with the accumulation of experience.
책임저자: Kook Joo Na
Department of Thoracic and Cardiovascular Surgery, Chonnam National University Hwasun Hospital, Chonnam National University College of Medicine, Jeollanam-do, Republic of Korea
발표자: Ju Sik Yun, E-mail : jusikyun@gmail.com