Video-assisted thoracic surgery of major pulmonary resections for lung cancer: the Southampton experience

European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery
Khalid AmerHunaid A Vohra

Abstract

Despite proven safety and long-term results of video-assisted thoracic surgery (VATS) lobectomy, the technique is not widely adopted in the UK. We set out to start a VATS lobectomy programme against financial and time constraints to meet cancer waiting times. We present clinical outcomes of patients undergoing VATS major pulmonary resections (VMPRs) with emphasis on postoperative events. Patients were deemed suitable for VMPR if on computed tomography (CT)/positron emission tomography (PET); the lesion was suspected to represent lung cancer T1-2, N0-1 and M0. VMPR involved individual hilar structures dissection without rib spreading. Systematic mediastinal nodal dissection was added in the last 64 cases. Between April 2005 and December 2009, 165 patients were considered suitable for first-time VMPR. Seventy were males and 95 were females. Mean age was 67.5 ± 10.1 (range 34.9-85.5 years) years. Nine patients were not suitable after initial videoscopic assessment and 156 proceeded to VMPR: 150 lobectomies, four bilobectomies, one pneumonectomy and one patient with poor lung function who underwent segmentectomy. There were 23 (14.7%) conversions to thoracotomy. The median operative time for VATS lobectomy was 03:20 ± 00:56 (hh:mm)...Continue Reading

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Citations

Sep 13, 2012·Interactive Cardiovascular and Thoracic Surgery·Lars KongeCharlotte Ringsted
Nov 26, 2013·The Annals of Thoracic Surgery·Ludovic FournelDominique Gossot
Feb 22, 2012·The Journal of Thoracic and Cardiovascular Surgery·Zhi ZhangLin Xu
Sep 20, 2015·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Herbert DecaluweUNKNOWN ESTS Minimally Invasive Thoracic Surgery Interest Group (MITIG)
Jan 21, 2012·The Korean Journal of Thoracic and Cardiovascular Surgery·Min Suk ChoiKwhanmien Kim
Feb 27, 2021·Asian Cardiovascular & Thoracic Annals·Tran Minh Bao LuanNguyen Hoai Nam

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