초록접수 현황
| 14F-158 | 구연 발표 |
Single Port Video-assisted Thoracoscopic Thymectomy
김현구, 이현주, 한국남, 최영호
고려대학교 의과대학 구로병원 흉부외과학교실
Background : Single port approach has been introduced in video-assisted thoracoscopic surgery (VATS) recently. We started single port VATS thymectomy for the first time and evaluated the feasibility and safety of this procedure.
Methods : Twenty-three patients (10 men, 13 women; age, 56.4±13.0 years) with thymic disease underwent single port VATS thymectomy from April 2010 to July 2014. An incision of around 2.5~4 cm was made at the 5 or 6th intercostal space at right, left or both sides. A single flexible port (SILS port) was placed to access the thoracic cavity and CO2 gas was insufflated. 5 mm sized thoracoscope, articulating gasper and sealing device (Ligasure) were introduced through port channels.
Results : Ten patients with thymic cyst were operated by right (8 patients) or left sided (2 patients) single port VATS approach. Eleven patients with stage I (6 patients) or II (5patients) thymoma were operated by right sided (4 patients) or left sided (2 patients) or bilateral approach (5 patients). One patients with atypical carcinoid tumor was operated by bilateral approach, and one with thymolipoma by right sided approach. The operation time was 100.5±54.6 minutes (range, 45~240), and no one needed additional port or open conversion. The chest tube was removed on average at postoperative day 2.6±1.3 days (range, 2~5) and patients were discharged from the hospital without complications on average at postoperative day 3.5±1.3 days (range, 3~6). During the follow-up period of 18.3±13.3 months (range 1.7~53.7), there were no recurrence and mortality except one patients with pleural recurrence.
Conclusion : : These data demonstrate that single port VATS thymectomy is a technically feasible and safe procedure. Further work and development of a specific single port thymectomy are needed to refine the use and advantages of this procedure.
Methods : Twenty-three patients (10 men, 13 women; age, 56.4±13.0 years) with thymic disease underwent single port VATS thymectomy from April 2010 to July 2014. An incision of around 2.5~4 cm was made at the 5 or 6th intercostal space at right, left or both sides. A single flexible port (SILS port) was placed to access the thoracic cavity and CO2 gas was insufflated. 5 mm sized thoracoscope, articulating gasper and sealing device (Ligasure) were introduced through port channels.
Results : Ten patients with thymic cyst were operated by right (8 patients) or left sided (2 patients) single port VATS approach. Eleven patients with stage I (6 patients) or II (5patients) thymoma were operated by right sided (4 patients) or left sided (2 patients) or bilateral approach (5 patients). One patients with atypical carcinoid tumor was operated by bilateral approach, and one with thymolipoma by right sided approach. The operation time was 100.5±54.6 minutes (range, 45~240), and no one needed additional port or open conversion. The chest tube was removed on average at postoperative day 2.6±1.3 days (range, 2~5) and patients were discharged from the hospital without complications on average at postoperative day 3.5±1.3 days (range, 3~6). During the follow-up period of 18.3±13.3 months (range 1.7~53.7), there were no recurrence and mortality except one patients with pleural recurrence.
Conclusion : : These data demonstrate that single port VATS thymectomy is a technically feasible and safe procedure. Further work and development of a specific single port thymectomy are needed to refine the use and advantages of this procedure.
책임저자: 김현구
고려대학교 의과대학 구로병원 흉부외과학교실
연락처 : 김현구, Tel: 02-2626-3106 , E-mail : kimhyunkoo@korea.ac.kr
