title: [Video-assisted thoracoscopic lobectomy for benign pulmonary diseases].
abstract: OBJECTIVE
  To evaluate technique aspects of video-assisted thoracoscopic lobectomy for benign diseases.
  
  
  METHODS
  Retrospective review of 24 patients with benign pulmonary disease underwent thoracoscopic lobectomy from September 2006 to September 2008. One patient had bilateral bronchiectasis received concurrent bilateral lobectomy. The patients included 11 males and 13 females with mean age of 49.0 years. Fifteen cases were diagnosed as benign diseases preoperatively consisted 10 bronchiectasis as the primary indication. The other 9 cases were pulmonary nodules pathologic diagnosed intra-operatively. Inflammation changes including dense plural adhesions, pulmonary artery adhesions and calcified lymph nodes were managed endoscopically.
  
  
  RESULTS
  All 25 thoracoscopic procedures were completely with no conversion to thoracotomy. The mean operation time was (163 +/- 52) min, blood loss was (163 +/- 130) ml. There was no hospital death or major morbidity. Postoperative drainage was (5.8 +/- 2.8) d. No long-term complications were noticed during a mean follow-up of 7.3 months.
  
  
  CONCLUSIONS
  Chronic inflammation induced adhesions is the key limiting factor for thoracoscopic lobectomy for benign diseases.
authors: Department of Thoracic Surgery, People's Hospital, Peking University, Beijing 100044, China.
authors: Fan
authors: F
authors: Yang
authors: Yun
authors: Y
authors: Li
authors: Jun
authors: J
authors: Liu
authors: Jian-Feng
authors: JF
authors: Li
authors: Guan-Chao
authors: GC
authors: Jiang
authors: Hui
authors: H
authors: Zhao
authors: Jun
authors: J
authors: Wang
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008171:Lung Diseases / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D011013:Pneumonectomy / Q000379:methods*; D012189:Retrospective Studies; D013906:Thoracoscopy; D055815:Young Adult