| Citation: |
JIANG Bo, SHEN Jiang, YU Pengyi, ZHU Leijun, XU Qingrong, ZHENG Liang, ZHANG Lei. Thoracoscopic Lobectomy by Non-intubated or Intubated Anesthesia:A Comparative Analysis of Early Clinical Effects[J]. Cancer Research on Prevention and Treatment, 2017, 44(10): 686-688. DOI: 10.3971/j.issn.1000-8578.2017.17.0424
|
To compare the safety and early clinical efficacy of thoracoscopic lobectomy by non-intubated versus traditional intubated anesthesia.
We retrospectively analyzed clinical data of 30 patients treated with non-intubated thoracoscopic lobectomy in the Third Affiliated Hospital of Soochow University from June to December, 2016. Meanwhile we selected 30 patients treated with thoracoscopic lobectomy by traditional intubated anesthesia as a control group. Clinical results of two groups were compared.
There was no statistical difference in preoperative clinical data between the two groups. All patients were successfully operated. Patients in non-intubation group had shorter durations of anesthesia induction time and back to awake time, shorter duration of chest drainage and hospital stay, less C-reactive protein levels after surgery, compared with the control group(all P < 0.05).
Non-intubated thoracoscopic lobectomy is technically feasible and safe with reduced complications of traditional anesthesia, less postoperation pain, shorter hospital stay and less hospitalization costs which fit the idea of fast recovery.
| [1] |
张雪飞, 史小男, 韩彪.胸腔镜与开胸肺叶切除术治疗非小细胞肺癌近期疗效的系统评价[J].中国肺癌杂志, 2012, 15(7): 422-8. http://www.cnki.com.cn/Article/CJFDTOTAL-FAIZ201207010.htm
Zhang XF, Shi XN, Han B. The Evaluation of early clinic effects of thoracoscopic lobectomy and open surgery for NSCLC[J]. Zhongguo Fei Ai Za Zhi, 2012, 15(7): 422-8. http://www.cnki.com.cn/Article/CJFDTOTAL-FAIZ201207010.htm
|
| [2] |
谷力加, 吴一龙.胸腔镜在肺癌诊断和多学科综合治疗中的作用[J].中国肺癌杂志, 2001, 4(4): 257-62. http://www.cnki.com.cn/Article/CJFDTOTAL-FAIZ200104005.htm
Gu LJ, Wu YL. The role of thoracoscopy in the diagnosis and multi-treatment of lung cancer[J]. Zhongguo Fei Ai Za Zhi, 2001, 4(4): 257-62. http://www.cnki.com.cn/Article/CJFDTOTAL-FAIZ200104005.htm
|
| [3] |
Hung WT, Hsu HH, Hung MH, et al. Nonintubated uniportal thoracoscopic surgery for resection of lung lesions[J]. J Thorac Dis, 2016, 8(Suppl 3): S242-50. http://www.ncbi.nlm.nih.gov/pubmed/27014470
|
| [4] |
姜冠潮, 王俊, 李运, 等.全胸腔镜肺叶切除与开胸肺叶切除治疗Ⅰ期非小细胞肺癌效果比较[J].中华胸心血管外科杂志, 2008, 24(3): 152-5. http://www.cnki.com.cn/Article/CJFDTOTAL-EBED201612038.htm
Jiang GC, Wang J, Li Y, et al. Complete video-assisted thoracic surgery kfavorable than thoraeotomy for 1obectomy on stageⅠnon small cell lung cancer[J]. Zhonghua Xiong Xin Xue Guan Wai Ke Za Zhi, 2008, 24(3): 152-5. http://www.cnki.com.cn/Article/CJFDTOTAL-EBED201612038.htm
|
| [5] |
Pompeo E. Non-intubated thoracic surgery: nostalgic or reasonable?[J]. Ann Transl Med, 2015, 3(8): 99. http://pubmedcentralcanada.ca/pmcc/articles/PMC4436423/
|
| [6] |
Hung MH, Chan KC, Liu YJ, et al. Nonintubated thoracoscopic lobectomy for lung cancer using epidural anesthesia and intercostal blockade: a retrospective cohort study of 238 cases[J]. Medicine (Baltimore), 2015, 94(13): e727. doi: 10.1097/MD.0000000000000727
|
| [7] |
Pompeo E, Sorge R, Akopov A, et al. Non-intubated thoracic surgery-A survey from the European Society of Thoracic Surgeons[J]. Ann Transl Med, 2015, 3(3): 37. http://www.ncbi.nlm.nih.gov/pubmed/25815298
|
| [8] |
Gonzalez-Rivas D, Fernandez R, de la Torre M, et al. Uniportal video-assisted thoracoscopic left upper lobectomy under spontaneous ventilation[J]. J Thorac Dis, 2015, 7(3): 494-5. http://www.ncbi.nlm.nih.gov/pubmed/25922731
|
| [9] |
Guo Z, Yin W, Pan H, et al. Video-assisted thoracoscopic surgery segmentectomy by non-intubated or intubated anesthesia: a comparative analysis of short-term outcome[J]. J Thorac Dis, 2016, 8(3): 359-68. doi: 10.21037/jtd
|
| [10] |
Hung MH, Hsu HH, Cheng YJ, et al. Nonintubated thoracoscopic surgery: state of the art and future directions[J]. J Thorac Dis, 2014, 6(1):2-9. http://europepmc.org/abstract/med/24455169
|
| [11] |
Peng G, Cui F, Ang KL, et al. Non-intubated combined with video-assisted thoracoscopic in carinal reconstruction[J]. J Thorac Dis, 2016, 8(3): 586-93. doi: 10.21037/jtd
|
This work is licensed under a Creative Commons Attribution 3.0 License.
Copyright © Editorial Department of Cancer Prevention Research 鄂公网安备 42011102005013号 鄂ICP备2022015867号
Supported by: Beijing Renhe Information Technology Co., Ltd. 
DownLoad: