Abstract：Objective To investigate the effect of continuous negative pressure suction through chest wall in solving the smoke problem in video-assisted thoracic surgery.Methods One hundred and three patients who underwent single-port thoracoscopic lobectomy from March 2021 to June 2021 were divided into two groups according to patients’will (48 in group A and 55 in group B). The patients applied with the smoke extraction method during operation were classified into group A, while those who were not used with the method were classified into group B. The age, gender, body mass index (BMI), resection range, tumor diameter, TNM stage, operation time, blood loss, intraoperative lens wiping times, postoperative length of hospital stay and intraoperative PM 2.5 in operating room of the two groups were compared.Results The operative time in group A was (105.14±35.27) min, which was shorter than that in group B [(130.15±38.36) min, P<0.001]. The number of lens wiping in group A was 2.43±2.55, which was significantly lower than 7.33±4.12 in group B (P<0.001). The blood loss in group A was (85.58±33.45) ml, while the amount in group B was (106.43±34.23)ml. And there were no statistically significant differences in age, gender, BMI, tumor location, TNM stage and postoperative length of hospital stay between the two groups. In terms of the improvement of air quality in the operating room, the concentration of PM2.5 in group A was (55.43±25.12) μg/m3, much lower than that in group B [(654.34±108.76) μg/m3, P<0.001]. After 10 min of chest closure, the operating room PM 2.5 of the two groups still showed significant difference (P<0.001).Conclusions The continuous negative pressure suction through chest is simple and effective, which can effectively shorten the operation time and reduce the fuzzy lens, the amount of intraoperative blood loss and the pollution of operating rooms.
李维青, 李志田, 郭惠琴. 经胸壁穿刺持续负压吸引法解决胸腔镜手术烟雾问题的效果[J]. 武警医学, 2022, 33(6): 468-471.
LI Weiqing, LI Zhitian, GUO Huiqin. Effect of continuous negative pressure suction through chest wall in solving the smoke problem in video-assisted thoracic surgery. Med. J. Chin. Peop. Armed Poli. Forc., 2022, 33(6): 468-471.
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2022, Vol. 33 
