ObjectiveWe evaluate our experience of previously blocking both
pulmonary artery and
veins in true
video assisted thoracic surgery (
VATS ) for the
treatment of
non-small-cell lung carcinoma ( NSCLC ).MethodsSix
patients undergoing lobectomy with previously blocking both
pulmonary artery and
veins in the
VATS in our institution between December 2007 and June 2011 were reviewed.ResultsIn our series,six
patients required previously blocking both
pulmonary artery and
veins in the
VATS ,The mean occlusion
time of PA and PV was (42.0 ± 8.6 ) min and ( 39.3 ± 8.2 ) min,respectively.Four
patients required partial PA reconstruction.The mean repair
time of the PA was (21.25 ±9.91 ) min.No
complications attributable to the
technique or
mortality were seen.There were no local
recurrences on the
pulmonary artery .ConclusionIt is feasible and safe that the
technology of previously blocking of the
pulmonary artery and
veins was applied in
VATS .This
technique can reduce the
risk of intraoperative
bleeding and the chance of converting to open
thoracotomy ,and extend the inclusion criteria of
VATS lobectomy.