title: Complete video-assisted thoracoscopic surgery (VATS) bronchial sleeve lobectomy.
abstract: BACKGROUND
  To explore the effectiveness of video-assisted thoracoscopic surgery (VATS) bronchial sleeve resection and reconstruction.
  
  
  METHODS
  The clinical data of patients who had received VATS bronchial sleeve lobectomy in our center from January 2008 to February 2015 were retrospectively analyzed.
  
  
  RESULTS
  Totally 118 patients (105 men and 13 women) received the VATS bronchial sleeve lobectomy. The procedures included sleeve resection of right upper lobe (n=59), right middle lobe (n=7), right lower lobe (n=8), left upper lobe (n=34), and left lower lobe (n=10). The lesions were confirmed to be squamous cell carcinoma (n=68), adenocarcinoma (n=16), mucoepidermoid carcinoma (n=8), adenosquamous carcinoma (n=7), large cell carcinoma (n=1), carcinoids (n=5), and others (n=13; including small cell carcinoma, pleomorphic carcinoma, and inflammatory myofibroblastic tumor). Operations lasted 118-223 min [mean ± standard deviations (SD): 124.00±31.75 min]. The length of removed bronchus was 1.50-2.00 cm (mean ± SD: 1.75±0.26 cm). The duration of bronchial anastomosis (from the first puncture to the completion of knotting) was 15-42 min (mean ± SD: 30.20±7.97 min). The number of dissected lymph node stations (at least three mediastinal lymph node stations, including station 7) was 5-9 stations (mean ± SD: 6.50±1.18 min). The number of dissected lymph nodes was 10-46 (mean ± SD: 26.00±10.48). The intraoperative blood loss was 20-400 mL (mean ± SD: 71.00±43.95 mL), and no blood transfusion was performed. All patients were observed in intensive care unit (ICU) for 1 day. Postoperative drainage was performed for 3-8 days (mean ± SD: 5.00±1.49 days). Postoperative hospital stay was 3-8 days (mean ± SD: 5.10±2.07 days).
  
  
  CONCLUSIONS
  VATS bronchial sleeve resection and reconstruction is a safe and feasible technique.
authors.affiliation: 1 Department of Thoracic Surgery, the First Affiliated Hospital of Guangzhou Medical University, Guangzhou 510120, China ; 2 Guangzhou Research Institute of Respiratory Disease, China State Key Laboratory of Respiratory Disease, Guangzhou 510120, China ; 3 National Centre for Clinical Trials on Respiratory Diseases, Guangzhou 510120, China ; 4 Department of Anesthesiology, the First Affiliated Hospital of Guangzhou Medical University, Guangzhou 510120, China.
authors.forename: Jun
authors.initials: J
authors.lastname: Huang
authors.affiliation: 1 Department of Thoracic Surgery, the First Affiliated Hospital of Guangzhou Medical University, Guangzhou 510120, China ; 2 Guangzhou Research Institute of Respiratory Disease, China State Key Laboratory of Respiratory Disease, Guangzhou 510120, China ; 3 National Centre for Clinical Trials on Respiratory Diseases, Guangzhou 510120, China ; 4 Department of Anesthesiology, the First Affiliated Hospital of Guangzhou Medical University, Guangzhou 510120, China.
authors.forename: Shuben
authors.initials: S
authors.lastname: Li
authors.affiliation: 1 Department of Thoracic Surgery, the First Affiliated Hospital of Guangzhou Medical University, Guangzhou 510120, China ; 2 Guangzhou Research Institute of Respiratory Disease, China State Key Laboratory of Respiratory Disease, Guangzhou 510120, China ; 3 National Centre for Clinical Trials on Respiratory Diseases, Guangzhou 510120, China ; 4 Department of Anesthesiology, the First Affiliated Hospital of Guangzhou Medical University, Guangzhou 510120, China.
authors.forename: Zhexue
authors.initials: Z
authors.lastname: Hao
authors.affiliation: 1 Department of Thoracic Surgery, the First Affiliated Hospital of Guangzhou Medical University, Guangzhou 510120, China ; 2 Guangzhou Research Institute of Respiratory Disease, China State Key Laboratory of Respiratory Disease, Guangzhou 510120, China ; 3 National Centre for Clinical Trials on Respiratory Diseases, Guangzhou 510120, China ; 4 Department of Anesthesiology, the First Affiliated Hospital of Guangzhou Medical University, Guangzhou 510120, China.
authors.forename: Hanzhang
authors.initials: H
authors.lastname: Chen
authors.affiliation: 1 Department of Thoracic Surgery, the First Affiliated Hospital of Guangzhou Medical University, Guangzhou 510120, China ; 2 Guangzhou Research Institute of Respiratory Disease, China State Key Laboratory of Respiratory Disease, Guangzhou 510120, China ; 3 National Centre for Clinical Trials on Respiratory Diseases, Guangzhou 510120, China ; 4 Department of Anesthesiology, the First Affiliated Hospital of Guangzhou Medical University, Guangzhou 510120, China.
authors.forename: Jiaxi
authors.initials: J
authors.lastname: He
authors.affiliation: 1 Department of Thoracic Surgery, the First Affiliated Hospital of Guangzhou Medical University, Guangzhou 510120, China ; 2 Guangzhou Research Institute of Respiratory Disease, China State Key Laboratory of Respiratory Disease, Guangzhou 510120, China ; 3 National Centre for Clinical Trials on Respiratory Diseases, Guangzhou 510120, China ; 4 Department of Anesthesiology, the First Affiliated Hospital of Guangzhou Medical University, Guangzhou 510120, China.
authors.forename: Xin
authors.initials: X
authors.lastname: Xu
authors.affiliation: 1 Department of Thoracic Surgery, the First Affiliated Hospital of Guangzhou Medical University, Guangzhou 510120, China ; 2 Guangzhou Research Institute of Respiratory Disease, China State Key Laboratory of Respiratory Disease, Guangzhou 510120, China ; 3 National Centre for Clinical Trials on Respiratory Diseases, Guangzhou 510120, China ; 4 Department of Anesthesiology, the First Affiliated Hospital of Guangzhou Medical University, Guangzhou 510120, China.
authors.forename: Yuan
authors.initials: Y
authors.lastname: Qiu
authors.affiliation: 1 Department of Thoracic Surgery, the First Affiliated Hospital of Guangzhou Medical University, Guangzhou 510120, China ; 2 Guangzhou Research Institute of Respiratory Disease, China State Key Laboratory of Respiratory Disease, Guangzhou 510120, China ; 3 National Centre for Clinical Trials on Respiratory Diseases, Guangzhou 510120, China ; 4 Department of Anesthesiology, the First Affiliated Hospital of Guangzhou Medical University, Guangzhou 510120, China.
authors.forename: Qinglong
authors.initials: Q
authors.lastname: Dong
authors.affiliation: 1 Department of Thoracic Surgery, the First Affiliated Hospital of Guangzhou Medical University, Guangzhou 510120, China ; 2 Guangzhou Research Institute of Respiratory Disease, China State Key Laboratory of Respiratory Disease, Guangzhou 510120, China ; 3 National Centre for Clinical Trials on Respiratory Diseases, Guangzhou 510120, China ; 4 Department of Anesthesiology, the First Affiliated Hospital of Guangzhou Medical University, Guangzhou 510120, China.
authors.forename: Lixia
authors.initials: L
authors.lastname: Liang
authors.affiliation: 1 Department of Thoracic Surgery, the First Affiliated Hospital of Guangzhou Medical University, Guangzhou 510120, China ; 2 Guangzhou Research Institute of Respiratory Disease, China State Key Laboratory of Respiratory Disease, Guangzhou 510120, China ; 3 National Centre for Clinical Trials on Respiratory Diseases, Guangzhou 510120, China ; 4 Department of Anesthesiology, the First Affiliated Hospital of Guangzhou Medical University, Guangzhou 510120, China.
authors.forename: Hui
authors.initials: H
authors.lastname: Pan
authors.affiliation: 1 Department of Thoracic Surgery, the First Affiliated Hospital of Guangzhou Medical University, Guangzhou 510120, China ; 2 Guangzhou Research Institute of Respiratory Disease, China State Key Laboratory of Respiratory Disease, Guangzhou 510120, China ; 3 National Centre for Clinical Trials on Respiratory Diseases, Guangzhou 510120, China ; 4 Department of Anesthesiology, the First Affiliated Hospital of Guangzhou Medical University, Guangzhou 510120, China.
authors.forename: Jianxing
authors.initials: J
authors.lastname: He
keywords: Video-assisted thoracoscopic surgery (VATS); lobectomy; lung cancer; sleeve resection; surgery