Pulmonary Lobectomy Combined with Pulmonary Arterioplasty by Complete Video-assisted Thoracic Surgery in Patients with Lung Cancer

Abstract

<br/><b>Objective</b>: To explore the feasibility of pulmonary lobectomy combined with pulmonary arterioplasty bycomplete video-assisted thoracic surgery (VATS) in patients with lung cancer, and summarize its surgical methods.Materials and <br/><b>Methods</b>: Twenty-one patients with lung cancer in Beijing Chest Hospital Affiliated to CapitalMedical University from Feb., 2010 to Jun., 2013 were selected, males and females accounting for 15 and 6 cases,respectively. Ten underwent right upper lobectomy, 5 right lower lobectomy, 4 left upper lobectomy (in whichleft upper sleeve lobectomy was conducted for 2) and 2 left lower lobectomy. At the same time, local resectionof pulmonary arterioplasty was performed for 12 patients, and sleeve resection of pulmonary arterioplasty for9. <br/><b>Results</b>: Twenty-one patients recovered well after surgery. Thoracic drainage tube was maintained for 3-8days, with an average of 4.9 days, and hospital stays were 8-15 days, with an average of 11 days. There wereno deaths in the perioperative period, and the complications like pulmonary embolism, bronchopleural fistula,chest infection and pulmonary atelectasis did not occur after surgery. <br/><b>Conclusions</b>: Performance of pulmonarylobectomy and pulmonary arterioplasty together by complete VATS is a safe and effective surgical method, whichcan expand the indications of patients with lung cancer undergoing thoracoscopic pulmonary lobectomy, andmake more patients profit from such minimally invasive treatment.