Application of single-direction lobectomy in the treatment of complicated pulmonary tuberculosis: A retrospective cohort study_Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Authors：

JIANG Yuhui , SHEN Lei ,  DAI Xiyong

Department of Surgery, Wuhan Pulmonary Hospital, Wuhan, 430030, P. R. China;

Corresponding?author：

DAI Xiyong, Email: daixiyong71@126.com

Keywords：

Pulmonary tuberculosis; single-direction; lobectomy; cohort study

DOI：

10.7507/1007-4848.202012082

Video：

Export PDF Favorites Scan Get Citation

Abstract Full text Figures/Tables Video References Cited by

Objective To explore the value of the single-direction lobectomy in the treatment of complicated pulmonary tuberculosis.Methods A retrospective analysis was performed on 88 patients with complicated pulmonary tuberculosis who received lobectomy in our hospital from 2017 to 2019. There were 64 males and 24 females, with an average age of 21-70 (47.67±13.39) years. According to the surgical procedure, patients who received single-direction lobectomy were divided into a single-direction group (n=32), and those who received traditional lobectomy were divided into a control group (n=56).Results The two groups had no statistical differences in gender, age, primary disease and complications, lesion morphology, clinical symptoms, operative site, interlobitis adhesion or hilar mediastinal lymph node calcification (P>0.05). Operation time [210.0 (180.0, 315.0) min vs. 300.0 (240.0, 320.0) min], intraoperative blood loss [200.0 (100.0, 337.5) mL vs. 325.0 (200.0, 600.0) mL], postoperative lung air leak time [3.0 (2.0, 5.0) d vs. 9.0 (6.8, 12.0) d] and the postoperative hospital stay [11.5 (8.0, 14.8) d vs. 18.0 (14.0, 22.0) d] of the single-direction group were less or shorter than those of the control group (P<0.05). There was no statistical difference between the single-direction group and the control group in the incidence of surgical complications [1 patient (3.12%) vs. 10 patients (17.86%)] or the cure rate [32 patients (100.00%) vs. 54 patients (96.43%)].Conclusion The single-direction lobectomy can reduce lung injury and bleeding, shorten the duration of operation and accelerate the postoperative recovery in patients with complicated pulmonary tuberculosis, which has certain advantages compared with traditional lobectomy.

Citation： JIANG Yuhui, SHEN Lei, DAI Xiyong. Application of single-direction lobectomy in the treatment of complicated pulmonary tuberculosis: A retrospective cohort study. Chinese Journal of Clinical Thoracic and Cardiovascular Surgery, 2022, 29(12): 1607-1611. doi: 10.7507/1007-4848.202012082 Copy

1.	劉倫旭, 車國衛, 蒲強, 等. 單向式全胸腔鏡肺葉切除術. 中華胸心血管外科雜志, 2008, 24(3): 156-158.
2.	Dewan RK, Pezzella AT. Surgical aspects of pulmonary tuberculosis: An update. Asian Cardiovasc Thorac Ann, 2016, 24(8): 835-846.
3.	Liao H, Mei J, Lin F, et al. Single-direction thoracoscopic lobectomy: Left side. J Thorac Dis, 2018, 10(10): 5932-5934.
4.	Liao H, Liu C, Mei J, et al. Single-direction thoracoscopic lobectomy: Right side. J Thorac Dis, 2018, 10(10): 5935-5938.
5.	Khan AZ, Khanna S, Agarwal N, et al. Robotic thoracic surgery in inflammatory and infective diseases. Ann Cardiothorac Surg, 2019, 8(2): 241-249.
6.	廖勇, 蔡青, 韋鳴, 等. 外科手術治療74例肺結核并發肺曲菌球病患者的臨床價值. 中國防癆雜志, 2019, 41(3): 260-265.
7.	丁超, 韋林, 劉玉鋼, 等. 肺結核病胸腔鏡肺葉切除術中非計劃開胸手術原因初步分析. 臨床肺科雜志, 2019, 24(9): 1665-1670.
8.	Okuda K, Haneda H, Yokota K, et al. Video-assisted thoracoscopic lobectomy for the right side using a single-direction approach. J Thorac Dis, 2019, 11(1): 65-67.
9.	詹必成, 劉建, 陳劍, 等. 單向式技術在單孔胸腔鏡右肺上葉切除術中的應用. 中華胸心血管外科雜志, 2020, 36(4): 230-231.
10.	劉德綱, 蔡開燦, 趙意, 等. 全胸腔鏡下單向式肺癌根治術. 南方醫科大學學報, 2012, 32(1): 139-140, 封3.
11.	郭虹, 刁亞利, 范黃新, 等. 全腔鏡下四孔單向式與三孔法解剖性肺葉切除治療早期非小細胞肺癌的臨床回顧性研究. 中國肺癌雜志, 2018, 21(8): 578-582.
12.	趙田, 張淼, 武文斌, 等. 單孔胸腔鏡單向式解剖性右上肺切除術的臨床分析. 中華解剖與臨床雜志, 2019, 24(2): 176-181.
13.	蔣鈺輝, 申磊, 戴希勇. 肺上葉切除術后胸內殘腔發生的危險因素及其對術后早期并發癥的影響. 中國防癆雜志, 2018, 40(12): 1280-1285.
14.	宋言崢, 朱益軍, 陳輝, 等. 肺結核外科的微創傷療法(附39例報告). 中華胸部外科電子雜志, 2020, 7(2): 71-75.
15.	Zhang Y, Chen C, Jiang GN. Surgery of massive hemoptysis in pulmonary tuberculosis: Immediate and long-term outcomes. J Thorac Cardiovasc Surg, 2014, 148(2): 651-656.
16.	李晶晶, 李瑛, 胡成平, 等. 支氣管擴張癥和肺結核咯血患者介入治療效果比較. 中華結核和呼吸雜志, 2012, 35(6): 447-449.
17.	車勇, 常煒, 劉志剛, 等. 肺結核患者采用不同電視輔助胸腔鏡術式的臨床及療效分析. 中國防癆雜志, 2017, 39(5): 468-472.
18.	齊海亮, 李明珠, 杜秀然, 等. 全胸腔鏡解剖性肺段切除術治療結核性支氣管擴張癥. 中國微創外科雜志, 2018, 18(9): 802-805.
19.	錢鼎烽, 尚軍, 韓瓊, 等. 單操作孔電視胸腔鏡手術治療肺結核合并支氣管擴張. 中國微創外科雜志, 2018, 18(6): 541-544.
20.	Chen G, Zhong FM, Xu XD, et al. Efficacy of regional arterial embolization before pleuropulmonary resection in 32 patients with tuberculosis-destroyed lung. BMC Pulm Med, 2018, 18(1): 156.
21.	宋言崢. 耐多藥肺結核的外科治療. 中華結核和呼吸雜志, 2019, 42(5): 338-342.

1. 劉倫旭, 車國衛, 蒲強, 等. 單向式全胸腔鏡肺葉切除術. 中華胸心血管外科雜志, 2008, 24(3): 156-158.
2. Dewan RK, Pezzella AT. Surgical aspects of pulmonary tuberculosis: An update. Asian Cardiovasc Thorac Ann, 2016, 24(8): 835-846.
3. Liao H, Mei J, Lin F, et al. Single-direction thoracoscopic lobectomy: Left side. J Thorac Dis, 2018, 10(10): 5932-5934.
4. Liao H, Liu C, Mei J, et al. Single-direction thoracoscopic lobectomy: Right side. J Thorac Dis, 2018, 10(10): 5935-5938.
5. Khan AZ, Khanna S, Agarwal N, et al. Robotic thoracic surgery in inflammatory and infective diseases. Ann Cardiothorac Surg, 2019, 8(2): 241-249.
6. 廖勇, 蔡青, 韋鳴, 等. 外科手術治療74例肺結核并發肺曲菌球病患者的臨床價值. 中國防癆雜志, 2019, 41(3): 260-265.
7. 丁超, 韋林, 劉玉鋼, 等. 肺結核病胸腔鏡肺葉切除術中非計劃開胸手術原因初步分析. 臨床肺科雜志, 2019, 24(9): 1665-1670.
8. Okuda K, Haneda H, Yokota K, et al. Video-assisted thoracoscopic lobectomy for the right side using a single-direction approach. J Thorac Dis, 2019, 11(1): 65-67.
9. 詹必成, 劉建, 陳劍, 等. 單向式技術在單孔胸腔鏡右肺上葉切除術中的應用. 中華胸心血管外科雜志, 2020, 36(4): 230-231.
10. 劉德綱, 蔡開燦, 趙意, 等. 全胸腔鏡下單向式肺癌根治術. 南方醫科大學學報, 2012, 32(1): 139-140, 封3.
11. 郭虹, 刁亞利, 范黃新, 等. 全腔鏡下四孔單向式與三孔法解剖性肺葉切除治療早期非小細胞肺癌的臨床回顧性研究. 中國肺癌雜志, 2018, 21(8): 578-582.
12. 趙田, 張淼, 武文斌, 等. 單孔胸腔鏡單向式解剖性右上肺切除術的臨床分析. 中華解剖與臨床雜志, 2019, 24(2): 176-181.
13. 蔣鈺輝, 申磊, 戴希勇. 肺上葉切除術后胸內殘腔發生的危險因素及其對術后早期并發癥的影響. 中國防癆雜志, 2018, 40(12): 1280-1285.
14. 宋言崢, 朱益軍, 陳輝, 等. 肺結核外科的微創傷療法(附39例報告). 中華胸部外科電子雜志, 2020, 7(2): 71-75.
15. Zhang Y, Chen C, Jiang GN. Surgery of massive hemoptysis in pulmonary tuberculosis: Immediate and long-term outcomes. J Thorac Cardiovasc Surg, 2014, 148(2): 651-656.
16. 李晶晶, 李瑛, 胡成平, 等. 支氣管擴張癥和肺結核咯血患者介入治療效果比較. 中華結核和呼吸雜志, 2012, 35(6): 447-449.
17. 車勇, 常煒, 劉志剛, 等. 肺結核患者采用不同電視輔助胸腔鏡術式的臨床及療效分析. 中國防癆雜志, 2017, 39(5): 468-472.
18. 齊海亮, 李明珠, 杜秀然, 等. 全胸腔鏡解剖性肺段切除術治療結核性支氣管擴張癥. 中國微創外科雜志, 2018, 18(9): 802-805.
19. 錢鼎烽, 尚軍, 韓瓊, 等. 單操作孔電視胸腔鏡手術治療肺結核合并支氣管擴張. 中國微創外科雜志, 2018, 18(6): 541-544.
20. Chen G, Zhong FM, Xu XD, et al. Efficacy of regional arterial embolization before pleuropulmonary resection in 32 patients with tuberculosis-destroyed lung. BMC Pulm Med, 2018, 18(1): 156.
21. 宋言崢. 耐多藥肺結核的外科治療. 中華結核和呼吸雜志, 2019, 42(5): 338-342.

Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Application of single-direction lobectomy in the treatment of complicated pulmonary tuberculosis: A retrospective cohort study

Abstract Full text Figures/Tables Video References Cited by

Previous Article

Next Article

Format

Content