Anatomic pulmonary resection via video-assisted thoracic surgery: analysis of 117 cases at a referral center in Brazil

Söder, Stephan; Barth, Frederico; Perin, Fabíola Adélia; Felicetti, José Carlos; Camargo, José de Jesus Peixoto; Camargo, Spencer Marcantônio

doi:10.1590/s1806-37562015000000352

Cited by 6 publications

(3 citation statements)

References 14 publications

(13 reference statements)

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“…Experience in southern brazil-at porto alegre/ rio grande do sul: pavilhão pereira filho, santa casa de misericórdia de porto alegre Our experience with VATS began in 2010 leading to a publication of our results in 2017, in which 117 anatomical pulmonary resections were analyzed (22). From January 2016 to December 2017, methylene-blue dye was injected for preoperative nodule localization in 61 patients (67% were female; median age 66-year-old).…”

Section: Cancer In Brazilmentioning

confidence: 99%

Non-anatomic lung resection by video-assisted thoracoscopic surgery

Baú¹,

Camargo²,

Söder³

et al. 2018

J. Vis. Surg

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Most of the patients with pulmonary neoplasia are diagnosed at an advanced stage in Brazil.Consequently, the possibility of curative surgical treatment is restricted to less than 30% of patients with surgical indication. The difficulty of including a greater number of these individuals is in the difficulty of an early diagnosis of the disease, leading it to more advanced stages. Currently, despite the lack of statistical studies, a project is underway to recruit patients to set up a lung cancer screening program in Brazil. In other words, early stages amenable to surgical treatment. The prevalence of lung cancer has also been increasing in Brazil and tuberculosis has once again become a public health problem. The World Health Organization (WHO) estimates that 9.6 million cases of tuberculosis occurred in 2014. Out of this total, over 80% of the cases are concentrated in 22 countries, and Brazil ranks 19th in this classification. We also have to consider the possibility of the incidence of fungal diseases in a tropical country. With such disease profile, the presence of granulomas is high and differential diagnosis implies biopsies. In this context, small pulmonary nodules could be included in the surgical treatment for a differential diagnosis, or even for definitive treatment in certain patients with limitation for major surgeries, as in the case of lung cancer. For this group of patients, segmental, non-anatomic lung resection (wegde resection) could be performed with adequate results.

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Section: Cancer In Brazilmentioning

confidence: 99%

Non-anatomic lung resection by video-assisted thoracoscopic surgery

Baú¹,

Camargo²,

Söder³

et al. 2018

J. Vis. Surg

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“…Our institutional experience began in 2010 and the outcomes were first published in 2017, with 117 anatomic resections analyzed (9). To date, we have performed 337 anatomic lung resections by VATS technique, being 72 segmentectomies (21.4% of VATS anatomical resections).…”

Section: The Brazilian Experiencementioning

confidence: 99%

Video-assisted thoracic surgery segmentectomies: Brazilian experience

Camargo¹,

Söder²,

Perin³

et al. 2018

J. Vis. Surg

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There is growing enthusiasm with lung resections by video-assisted thoracic surgery (VATS) technique in Brazil. The benefits of these minimally invasive procedures and their incorporation in the routine of many Brazilian centers produced a significant increase of sublobar and lobar resections in the country. The changes in our daily practice, including improvements in lung cancer staging, the rising of lung cancer screening programs and the analysis of several recent studies showing equivalent long-term outcomes with sublobar resections, while we treat often an elderly and poor performance population, have made the thoracic surgeon to look to a sublobar resection as a potentially curative procedure. We sought to analyze the Brazilian and institutional experience with VATS sublobar anatomical resections for treatment of benign and malignant diseases, and discuss technical aspects as well. Even though is much underreported, the outcomes of VATS segmentectomies resemble what is observed around the world and constitute in an effective surgery when well indicated. The Brazilian Society of Thoracic Surgery database is improving the notification by many centers and this better quality of data will provide us a deep knowledge about the results of our procedures national-wide.

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“… 7 However, various advances in this area have also been described in Brazil. Recent studies have evaluated the introduction of new surgical techniques, such as video-assisted thoracic surgery, video-assisted thoracoscopy, 8 , 9 , and robotics 10 in our country. Improvements in early diagnosis have also been described in our setting, with the use of endoscopic ultrasonography for mediastinal staging, 11 , 12 as well as for the management of more peripheral suspicious lesions 13 that were not previously amenable to a minimally invasive approach.…”

mentioning

confidence: 99%

Evolution in the management of non-small cell lung cancer in Brazil

Fernandes¹

2017

J. bras. pneumol.

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Anatomic pulmonary resection via video-assisted thoracic surgery: analysis of 117 cases at a referral center in Brazil

Cited by 6 publications

References 14 publications

Non-anatomic lung resection by video-assisted thoracoscopic surgery

Non-anatomic lung resection by video-assisted thoracoscopic surgery

Video-assisted thoracic surgery segmentectomies: Brazilian experience

Evolution in the management of non-small cell lung cancer in Brazil

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