Pretreatment clamping of pulmonary artery during uniportal thoracoscopic lobectomy

BMC Surgery
Ruijie ZhangNi Zhang

Abstract

Intraoperative pulmonary artery (PA) hemorrhage is one of the leading reasons for conversion from uniportal VATS to open thoracotomy, especially for the small incision (≤3 cm) uniportal VATS performed by our department. So, We designed a technology called pretreatment clamping of the pulmonary artery, which may be helpful to solve the problem. A retrospective analysis of 19 patients who had pulmonary artery bleeding during uniportal thoracoscopic lobectomy in which one group had undergone preventive pulmonary artery clamping, the clamping group (n = 11), and one group which did not receive preventive clamping, the non-clamping group (n = 8). We compared the rates of conversion from the uniportal VATS approach to open thoracotomy or multi-incision operation, duration of pulmonary artery repair, blood loss, length of postoperative hospital stay and postoperative complications of the two groups. Compared to the non-clamping group, the clamping group had lower rates of conversion to open thoracotomy (0% vs 62.5%, p < 0.05) and lower rates of conversion to multi-incision operations (18.2% of non-clamping converted to 2-port approach vs 12.5% of clamping converted to 2-port approach and 12.5% converted to 3-port approach, p < 0.05). ...Continue Reading

References

Feb 5, 2004·The Annals of Thoracic Surgery·Gaetano RoccoEliseo Passera
Jun 2, 2005·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Rajwinder Singh JutleyGaetano Rocco
Oct 4, 2008·Thoracic Surgery Clinics·Michele SalatiGaetano Rocco
Dec 7, 2010·Interactive Cardiovascular and Thoracic Surgery·Diego GonzalezMercedes Dela Torre
May 12, 2012·Innovations : Technology and Techniques in Cardiothoracic and Vascular Surgery·Michael PapiashvilliIlan Bar
Jun 9, 2012·Surgical Endoscopy·Hisato TakagiTakuya Umemoto
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Feb 24, 2016·Postgraduate Medicine·Wael Dakkak, Adriano R Tonelli
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Dec 7, 2018·Journal of Thoracic Disease·Marc SwierzyMahmoud Ismail
Feb 12, 2020·Annals of Translational Medicine·Lunxu LiuUNKNOWN International Interest Group on Bleeding during VATS Lung Surgery

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BETA
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