https://scholars.lib.ntu.edu.tw/handle/123456789/481084
DC 欄位 | 值 | 語言 |
---|---|---|
dc.contributor.author | KE-CHENG CHEN | en_US |
dc.contributor.author | YA-JUNG CHENG | en_US |
dc.contributor.author | MING-HUI HUNG | en_US |
dc.contributor.author | Tseng, Yu-Ding | en_US |
dc.contributor.author | JIN-SHING CHEN | en_US |
dc.creator | JIN-SHING CHEN;Tseng Y.-D.;Hung M.-H.;Cheng Y.-J.;Chen K.-C. | - |
dc.date.accessioned | 2020-03-30T08:51:13Z | - |
dc.date.available | 2020-03-30T08:51:13Z | - |
dc.date.issued | 2012 | - |
dc.identifier.issn | 2072-1439 | - |
dc.identifier.uri | https://www.scopus.com/inward/record.uri?eid=2-s2.0-84866854229&doi=10.3978%2fj.issn.2072-1439.2012.08.07&partnerID=40&md5=641c8a5be0591aa089cd7392db84bee8 | - |
dc.identifier.uri | https://scholars.lib.ntu.edu.tw/handle/123456789/481084 | - |
dc.description.abstract | Objective: Tracheal intubation with one-lung ventilation is considered mandatory for thoracoscopic surgery. This study reported the experience of thoracoscopic lung resection without endotracheal intubation in a single institution. Methods: From August 2009 through July 2012, 285 consecutive patients were treated by nonintubated thoracoscopic surgery using epidural anesthesia, intrathoracic vagal blockade, and sedation for lobectomy, segmentectomy, or wedge resection in a tertiary medical center. The feasibility and safety of this technique were evaluated. Results: The final diagnosis for surgery were primary lung cancer in 159 patients (55.8%), metastatic lung cancer in 17 (6.0%), benign lung tumor in 104 (36.5%), and pneumothorax in 5 (1.8%). The operative methods consisted of conventional (83.2 %) and needlescopic (16.8%) thoracoscopic surgery. The operative procedures included lobectomy in 137 patients (48.1%), wedge resection in 132 (46.3%), and segmentectomy in 16 (5.6%). Collapse of the operative lung and inhibition of coughing were satisfactory in most of the patients. Fourteen (4.9%) patients required conversion to tracheal intubation because of significant mediastinal movement [5], persistent hypoxemia [2], dense pleural adhesions [2], ineffective epidural anesthesia [2], bleeding [2], and tachypnea [1]. One patient (0.4%) was converted to thoracotomy because of bleeding. No mortality was noted in our patients. Conclusions: Nonintubated thoracoscopic lung resection is technically feasible and safe in selected patients. It can be a valid alternative in managing patients with pulmonary lesions. ? Pioneer Bioscience Publishing Company. All rights reserved. | en_US |
dc.language.iso | en | en_US |
dc.relation.ispartof | Journal of Thoracic Disease | en_US |
dc.subject.classification | [SDGs]SDG3 | - |
dc.subject.other | adult; aged; article; benign tumor; bleeding; coughing; endotracheal intubation; epidural anesthesia; feasibility study; female; human; hypoxemia; intermethod comparison; lung cancer; lung lobectomy; lung resection; major clinical study; male; nonintubated thoracoscopic lung resection; operation duration; patient safety; patient satisfaction; pneumothorax; sedation; tachypnea; tertiary health care; treatment failure; video assisted thoracoscopic surgery; wedge resection | - |
dc.title | Nonintubated thoracoscopic lung resection: A 3-year experience with 285 cases in a single institution | en_US |
dc.type | journal article | en |
dc.identifier.doi | 10.3978/j.issn.2072-1439.2012.08.07 | - |
dc.identifier.scopus | 2-s2.0-84866854229 | - |
dc.relation.pages | 347-351 | en_US |
dc.relation.journalvolume | 4 | en_US |
dc.relation.journalissue | 4 | en_US |
item.languageiso639-1 | en | - |
item.fulltext | no fulltext | - |
item.grantfulltext | none | - |
item.openairetype | journal article | - |
item.openairecristype | http://purl.org/coar/resource_type/c_6501 | - |
item.cerifentitytype | Publications | - |
crisitem.author.dept | Surgery | - |
crisitem.author.dept | Surgery-NTUH | - |
crisitem.author.dept | Anesthesiology-NTUH | - |
crisitem.author.dept | Anesthesiology | - |
crisitem.author.dept | Anesthesiology-NTUH | - |
crisitem.author.dept | Anesthesiology | - |
crisitem.author.dept | Anesthesiology-NTUHHC | - |
crisitem.author.dept | Surgery-NTUH | - |
crisitem.author.dept | Surgery | - |
crisitem.author.orcid | 0000-0001-6330-0674 | - |
crisitem.author.orcid | 0000-0001-9150-4690 | - |
crisitem.author.orcid | 0000-0002-2575-3004 | - |
crisitem.author.orcid | 0000-0001-5077-4483 | - |
crisitem.author.parentorg | College of Medicine | - |
crisitem.author.parentorg | National Taiwan University Hospital | - |
crisitem.author.parentorg | National Taiwan University Hospital | - |
crisitem.author.parentorg | College of Medicine | - |
crisitem.author.parentorg | National Taiwan University Hospital | - |
crisitem.author.parentorg | College of Medicine | - |
crisitem.author.parentorg | NTU Hsin-Chu Hospital | - |
crisitem.author.parentorg | National Taiwan University Hospital | - |
crisitem.author.parentorg | College of Medicine | - |
顯示於: | 醫學系 |
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