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Simplified synchronous disconnection of pulmonary arteries and veins for right upper lobectomy

  • Jian-Bo Lin
  • Ming-Lian Qiu
  • Chun-Jin Lin
  • Xu Li
  • Jian-Feng Chen
  • Fan-Cai Lai
  • Bo Liu
Dynamic Manuscript

Abstract

Background

Video-assisted thoracoscopic lobectomy with lymphadenectomy is considered one of the most effective treatments for early non-small cell lung cancer. We developed a novel approach for lobectomy in patients with right upper lung cancer through simplified synchronous disconnection of pulmonary arteries and veins. This study aimed to evaluate the feasibility, efficacy, safety, and cost-effectiveness of this minimally invasive technique in managing right upper lobectomy.

Patients and methods

From March 2016 to September 2017, 62 patients with right upper lung cancer underwent lobectomy via simplified synchronous disconnection of pulmonary arteriovenous by video-assisted thoracoscopic surgery. All patients were followed up for 6–12 months after the procedure through clinic visits or telephone/e-mail interviews.

Results

Of the 62 patients (mean age, 57.2 ± 8.7 years), 28 were men (45.2%) and 34 (54.8%) were women. All procedures were successfully performed by thoracoscopy, with a mean operating time of 66.2 ± 9.0 min. The mean blood loss was 40.3 ± 19.5 mL. Only 1 (1.61%) patient required blood transfusion. The mean number of endoscopic linear stapling devices used was 2.6 ± 0.7. The mean number of lymph nodes harvested was 16.0 ± 1.6. Postoperative pneumonia was encountered in 4 (6.45%) patients. There was no postoperative mortality. The mean length of hospital stay was 5.3 ± 1.3 days. Six-month follow-up revealed an excellent clinical result and degree of satisfaction.

Conclusions

Simplified synchronous disconnection of pulmonary arteries and veins is a feasible, economical, safe, and effective therapeutic procedure for right upper lung carcinoma. This novel procedure shows promise as a viable surgical approach for right upper lobectomy.

Keywords

Non-small cell lung cancer Synchronous disconnection Thoracoscopy Video-assisted thoracoscopic surgery 

Notes

Acknowledgements

The authors would like to thank Hugh McGonigle, from Liwen Bianji, Edanz Group China, for editing the English text of a draft of the manuscript. This study was approved by the Institutional Review Board and Ethics Committee of the First Affiliated Hospital of Fujian Medical University (No. 2016-03, March 2016).

Compliance with ethical standards

Disclosures

Jian-Bo Lin, Ming-Lian Qiu, Chun-Jin Lin, Xu Li, Jian-Feng Chen, Fan-Cai Lai and Bo Liu have no conflicts of interest or financial ties to disclose.

Supplementary material

464_2018_6659_MOESM1_ESM.mpg (461.6 mb)
Video 1 Simplified synchronous disconnection of pulmonary arteries and veins for RUL procedure. (MPG 472704 KB)

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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2019

Authors and Affiliations

  1. 1.Department of Thoracic SurgeryFirst Affiliated Hospital of Fujian Medical UniversityFuzhouPeople’s Republic of China
  2. 2.Department of Geriatric Medicine, Fujian Provincial Hospital, Fujian Key Laboratory of Geriatrics, Fujian Provincial Center for GeriatricsFujian Medical UniversityFuzhouPeople’s Republic of China

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