Volume 20 Issue 2
Feb.  2022
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Article Navigation >  Chinese Journal of General Practice  > 2022  >  20(2): 206-208, 331
ZHANG Lei, LI Xiao-jun, GONG Hui-yuan, WANG Biao. Clinical analysis of safety and reduce consumables of thoracoscopic pulmonary segmentectomy[J]. Chinese Journal of General Practice, 2022, 20(2): 206-208, 331. doi: 10.16766/j.cnki.issn.1674-4152.002313
Citation: ZHANG Lei, LI Xiao-jun, GONG Hui-yuan, WANG Biao. Clinical analysis of safety and reduce consumables of thoracoscopic pulmonary segmentectomy[J]. Chinese Journal of General Practice, 2022, 20(2): 206-208, 331. doi: 10.16766/j.cnki.issn.1674-4152.002313
shu

Clinical analysis of safety and reduce consumables of thoracoscopic pulmonary segmentectomy

doi: 10.16766/j.cnki.issn.1674-4152.002313

  • Department of Cardiothoracic Surgery, the First Affiliated Hospital of Bengbu Medical College, Bengbu, Anhui 233004, China

Funds:

 KJ2019A0340

 BYTM2019031

 BYTM2019016

 BYKF1864

 2019117

 2020128

  • Received Date: 2021-02-08
    Available Online: 2022-03-04
    Abstract
  •   Objective  To discuss the effect of the operation mode of controlling the use of high-value consumables on the safety and efficacy of thoracoscopic pulmonary segmentectomy.  Methods  A retrospective analysis of 33 patients who had thoracoscopic pulmonary segmentectomy in the Thoracic Surgery Department of the First Affiliated Hospital of Bengbu Medical College from December 2018 to December 2019 was conducted. The patients included 6 males and 27 females, with an age range of 31-75 years and an average age of (55.33±10.25) years. Depending on their lesions, the patients were subjected to single pulmonary segment resection, combined pulmonary segment resection or pulmonary segment+wedge resection. The veins between segments were retained by treating the pulmonary arteries and veins with ligation. The intersegmental boundary was confirmed using the expansion and collapse method, the target pulmonary segment was separated from the target centre to the periphery with the energy instruments. The remaining intersegmental plane was cut with the cutting and stitching instrument. The pulmonary wedge was resected with the clamp and stitched after resection. The cost of surgical consumables was controlled through individualised methods, whereas the operation safety and efficacy were ensured.  Results  Operation was successfully completed for the 33 patients, which was in line with the pre-operative plan. Of the 33 patients, 14 underwent single pulmonary segment resection, 11 underwent combined pulmonary segment resection and 8 underwent pulmonary segment + wedge resection; 42 lesions were resected. The use of consumables for pulmonary vascular resection, wedge resection and intersegmental plane treatment was reduced. No apparent air leakage and haemorrhage were observed at the intersegmental plane treated with energy instruments, and no apparent pressing was found at the intersegmental plane treated with the cutting and stitching instrument. The post-operative pulmonary expansion was satisfactory, with a total drainage volume of 100-2 330 mL, an indwelling time of chest drainage tube of 2-18 days and a post-operative LOS of 4-18 days. No serious complication occurred after operation, and 6 patients with slight air leakage were recovered after drainage.  Conclusion  Thoracoscopic pulmonary segmentectomy can ensure the operation safety, economy and short-term efficacy by the operation mode of controlling the use of surgical consumables, which is conducive to the promotion of the operation.

     

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