Open Access

Staged bilateral single-port thoracoscopic lung volume reduction surgery: A report of 11 cases

  • Authors:
    • Miao Zhang
    • Heng Wang
    • Xue-Feng Pan
    • Wen-Bin Wu
    • Hui Zhang
  • View Affiliations

  • Published online on: September 14, 2016     https://doi.org/10.3892/etm.2016.3702
  • Pages: 2851-2854
  • Copyright: © Zhang et al. This is an open access article distributed under the terms of Creative Commons Attribution License.

Metrics: Total Views: 0 (Spandidos Publications: | PMC Statistics: )
Total PDF Downloads: 0 (Spandidos Publications: | PMC Statistics: )


Abstract

The aim of the present study was to investigate the feasibility and efficacy of staged bilateral single-port thoracoscopic lung volume reduction surgery (LVRS) for patients with chronic obstructive pulmonary emphysema (COPE). Eleven male patients with a mean age of 60.27±12.11 years with bilateral COPE and bullae were admitted to the Department of Thoracic Surgery, Xuzhou Central Hospital from January 2013 to June 2014. The patients underwent staged bilateral single‑port thoracoscopic LVRS. The hyperinflated bullae were resected using endoscopic staplers (Endo-GIA), followed by continuous suture and biological glue for reinforcement of the margin. In addition, pulmonary function, blood gas assay, 6-min walk distance (6MWD) and life quality evaluated by a short form 36-item health survey questionnaire (SF-36) were recorded before and after LVRS, respectively. All the patients survived after surgery. The chest tube drainage time was 9.09±1.31 days and postoperative hospital stay was 15.73±2.75 days, with 5 cases of persistent air leakage and 7 cases of pulmonary infection which were finally cured. The patients were followed up for 3 to 12 months, and the pulmonary function, partial pressure of oxygen (pO2), 6MWD and life quality after unilateral or bilateral LVRS were improved compared to these parameters before surgery. However, there was no significant difference between unilateral and bilateral LVRS in terms of life quality. In conclusion, staged bilateral single-port thoracoscopic LVRS may improve the short-term life quality of patients with COPE.
View Figures
View References

Related Articles

Journal Cover

November-2016
Volume 12 Issue 5

Print ISSN: 1792-0981
Online ISSN:1792-1015

Sign up for eToc alerts

Recommend to Library

Copy and paste a formatted citation
x
Spandidos Publications style
Zhang M, Wang H, Pan X, Wu W and Zhang H: Staged bilateral single-port thoracoscopic lung volume reduction surgery: A report of 11 cases. Exp Ther Med 12: 2851-2854, 2016.
APA
Zhang, M., Wang, H., Pan, X., Wu, W., & Zhang, H. (2016). Staged bilateral single-port thoracoscopic lung volume reduction surgery: A report of 11 cases. Experimental and Therapeutic Medicine, 12, 2851-2854. https://doi.org/10.3892/etm.2016.3702
MLA
Zhang, M., Wang, H., Pan, X., Wu, W., Zhang, H."Staged bilateral single-port thoracoscopic lung volume reduction surgery: A report of 11 cases". Experimental and Therapeutic Medicine 12.5 (2016): 2851-2854.
Chicago
Zhang, M., Wang, H., Pan, X., Wu, W., Zhang, H."Staged bilateral single-port thoracoscopic lung volume reduction surgery: A report of 11 cases". Experimental and Therapeutic Medicine 12, no. 5 (2016): 2851-2854. https://doi.org/10.3892/etm.2016.3702