title: Efficacy of video-assisted thoracoscopic surgery for 29 patients with tuberculosis-destroyed lung.
abstract: BACKGROUND
  Incompleteness of interlobar fissures and pleural adhesions, common in tuberculous destroyed lung (TDL), are among "technical contraindications" for video-assisted thoracoscopic surgery (VATS). The efficacy and safety of VATS in the treatment of TDL, has not yet been detailed in.
  
  
  OBJECTIVE
  The objective of the present study is to observe the efficacy and safety of VATS in the management of TDL.
  
  
  METHODS
  A retrospective review of anatomic lobectomy by VATS on 29 cases of TDL was performed in the Department of Thoracic Surgery of Wuhan Medical Treatment Center between October 2010 and October 2013.
  
  
  RESULTS
  All the 29 surgeries by VATS were successfully completed. No death case was reported. Operative duration of VATS was 75~400 min, with an average of 185.4 min; intraoperative amount of bleeding ranged 50 to 2300 ml, with an average of 575.6 ml; the incidence of postoperative complication was 21.4% (6/28). Postoperative complications occurred in 6 cases, among which there were 2 cases of persistent postoperative pulmonary air leak, 2 cases of pleural effusion, one case of thoracic hemorrhage and one case of arrhythmia complicated with left heart failure. There was one patient who was converted from VATS to open thoracic surgery half-way.
  
  
  CONCLUSIONS
  Our results have shown the efficacy, safety and a breakthrough in the "technical contraindications" of VATS in the management of TDL.
authors.affiliation: Department of Thoracic Surgery, Wuhan Medical Treatment Center 1 Yintan Road, Dongxihu District, Wuhan 430023, Hubei Province, People's Republic of China.
authors.forename: Chao-Lin
authors.initials: CL
authors.lastname: Huang
authors.affiliation: Intensive Care Unit, Wuhan Medical Treatment Center 1 Yintan Road, Dongxihu District, Wuhan 430023, Hubei Province, People's Republic of China.
authors.forename: Wei
authors.initials: W
authors.lastname: Zhang
authors.affiliation: Department of Thoracic Surgery, Wuhan Medical Treatment Center 1 Yintan Road, Dongxihu District, Wuhan 430023, Hubei Province, People's Republic of China.
authors.forename: Zheng-Yi
authors.initials: ZY
authors.lastname: Ni
authors.affiliation: Department of Thoracic Surgery, Wuhan Medical Treatment Center 1 Yintan Road, Dongxihu District, Wuhan 430023, Hubei Province, People's Republic of China.
authors.forename: Tao
authors.initials: T
authors.lastname: Zuo
authors.affiliation: Department of Thoracic Surgery, Wuhan Medical Treatment Center 1 Yintan Road, Dongxihu District, Wuhan 430023, Hubei Province, People's Republic of China.
authors.forename: Mi
authors.initials: M
authors.lastname: Zhou
authors.affiliation: Department of Thoracic Surgery, Wuhan Medical Treatment Center 1 Yintan Road, Dongxihu District, Wuhan 430023, Hubei Province, People's Republic of China.
authors.forename: Jun
authors.initials: J
authors.lastname: Xu
authors.affiliation: Department of Thoracic Surgery, Wuhan Medical Treatment Center 1 Yintan Road, Dongxihu District, Wuhan 430023, Hubei Province, People's Republic of China.
authors.forename: Zhi-Feng
authors.initials: ZF
authors.lastname: Yang
authors.affiliation: Department of Thoracic Surgery, Wuhan Medical Treatment Center 1 Yintan Road, Dongxihu District, Wuhan 430023, Hubei Province, People's Republic of China.
authors.forename: Lei
authors.initials: L
authors.lastname: Li
authors.affiliation: Department of Thoracic Surgery, Wuhan Medical Treatment Center 1 Yintan Road, Dongxihu District, Wuhan 430023, Hubei Province, People's Republic of China.
authors.forename: Jun
authors.initials: J
authors.lastname: Xiao
authors.affiliation: Intensive Care Unit, Wuhan Medical Treatment Center 1 Yintan Road, Dongxihu District, Wuhan 430023, Hubei Province, People's Republic of China.
authors.forename: Ding-Yu
authors.initials: DY
authors.lastname: Zhang
keywords: Video-assisted thoracoscopic surgery; anatomic lobectomy; tuberculous destroyed lung