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Thoracoscopic surgery is not only minimally invasive, but also offers the advantage of magnified vision and the ability for staff to share a common field of view. For this reason, we have adopted fully endoscopic lobectomy as our standard surgical procedure for early-stage lung cancer. However, a single-surgeon approach in thoracoscopic surgery places some limitations on the degree of freedom of surgical manipulation. For this reason, we have standardized the surgical techniques for thoracoscopic lobectomy, striving to use the same surgical techniques as open surgery. All cases are performed using fully endoscopic surgery. Our surgical technique is based on minimizing tension on tissues such as blood vessel walls (parallel dissection). Therefore, with a shared understanding between the surgeon and first assistant, all four hands can perform the surgical procedure from any angle.
Between May 2015 and April 2018, 132 cases of thoracoscopic lobectomy or thoracoscopic segmentectomy were performed. The operative time was 205±49 minutes. The average intraoperative blood loss was 33 ml, with 123 cases (93.21 TP3T) being 100 ml or less and 96 cases (72.71 TP3T) being 30 ml or less. The average duration of chest drain placement was 2.3 days, with 75 cases (56.8%) being 1 day. There was one case (0.81 TP3T) that required conversion to open surgery.
