Effect of pulmonary function on the safety of single-hole thoracoscopic pulmonary surgery in patients with moderate to severe chronic obstructive pulmonary disease
GAO Kefei1, XU Honglei2, ZHANG Yong3
1. Graduate School of Bengbu Medical College,Bengbu 233030, China; 2. Department of Thoracic Surgery,Shanghai Lung Hospital, Tongji University School of Medicine, Shanghai 200082,China; 3. Department of Respiratory and Critical Care, the First Affiliated Hospital of Bengbu Medical College, Bengbu 233030, China
Abstract：Objective To investigate the influence of pulmonary function on the related indexes of single port thoracoscopic lung surgery in patients with chronic obstructive pulmonary disease (COPD), and to evaluate the safety of this surgery for patients with moderate to severe COPD. Methods The clinical data on 1030 patients with COPD who underwent single port thoracoscopy between January and September in 2020 was retrospectively analyzed. According to the GOLD grading standard(Interpretation of the Global Initiative on Chronic Obstructive Pulmonary Disease), the pulmonary function of these patients was divided into the mild group and the moderate and severe group. The intraoperative blood loss (IBL), duration of anesthesia(DA), duration of surgery (DS) postoperative complications (PC) and length of postoperative hospital stay(LPHS)were compared between the two groups. Results Surgery was successful in all the patients who were discharged healthy. There was no significant difference in IBL, DA, DS, LPHS or PC between the two groups (P>0.05). Conclusions There are no significant differences in intraoperative and postoperative indexes between the mild group and the moderate/severe COPD group. Therefore, single port thoracoscope is safe and feasible for lung surgery.
高可飞, 许洪磊, 张永. 慢性阻塞性肺疾病患者肺功能对单孔胸腔镜肺手术安全性的影响[J]. 武警医学, 2021, 32(10): 847-851.
GAO Kefei, XU Honglei, ZHANG Yong. Effect of pulmonary function on the safety of single-hole thoracoscopic pulmonary surgery in patients with moderate to severe chronic obstructive pulmonary disease. Med. J. Chin. Peop. Armed Poli. Forc., 2021, 32(10): 847-851.
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2021, Vol. 32 
