Bilateral lung transplantation via two sequential anterolateral thoracotomies1

Taghavi, Shahrokh; Bı̂rsan, Tudor; Pereszlenyi, A; Kupilik, Natascha; Deviatko, Elena; Wisser, Wilfried; Steltzer, H.; Klepetko, Walter

doi:10.1016/s1010-7940(99)00078-0

Cited by 15 publications

(7 citation statements)

References 5 publications

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“…Bilateral lung transplants are performed as sequential single-lung transplants via a clamshell incision or bilateral anterolateral thoracotomies if preferred and technically feasible (Taghavi et al 1999). The sequential transplant strategy not only allows for the avoidance of CPB in most (60% -75%) cases, but also avoids a tracheal anastomosis, which was used in the original en bloc double-lung transplant operation ).…”

Section: Surgical Techniquementioning

confidence: 99%

Overview of Clinical Lung Transplantation

Yeung

Keshavjee

2014

Cold Spring Harbor Perspectives in Medicine

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Since the first successful lung transplant 30 years ago, lung transplantation has rapidly become an established standard of care to treat end-stage lung disease in selected patients. Advances in lung preservation, surgical technique, and immunosuppression regimens have resulted in the routine performance of lung transplantation around the world for an increasing number of patients, with wider indications. Despite this, donor shortages and chronic lung allograft dysfunction continue to prevent lung transplantation from reaching its full potential. With research into the underlying mechanisms of acute and chronic lung graft dysfunction and advances in personalized diagnostic and therapeutic approaches to both the donor lung and the lung transplant recipient, there is increasing confidence that we will improve short-and long-term outcomes in the near future.

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Section: Surgical Techniquementioning

confidence: 99%

Overview of Clinical Lung Transplantation

Yeung

Keshavjee

2014

Cold Spring Harbor Perspectives in Medicine

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“…It has been suggested that the CS approach may contribute to postoperative complications by inducing surgical inflammation, postoperative pain with respiratory compromise and potential for impaired wound healing. To overcome these difficulties, a minimally invasive lung transplantation (MILT) approach, which avoids both the clamshell incision and the routine use of CPB, has been advocated recently [10][11][12][13][14]. Although these centres have achieved good clinical and cosmetic results when compared with historical data, there is limited information comparing the minimally invasive approach and the clamshell method in a simultaneous fashion.…”

Section: Introductionmentioning

confidence: 99%

Outcomes of minimally invasive lung transplantation in a single centre: the routine approach for the future or do we still need clamshell incision?

Marczin

Popov

Zych

et al. 2016

Interact CardioVasc Thorac Surg

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MILT was successfully introduced at our centre as a novel operative strategy. Despite longer ischaemic times and a more complex operation and management, MILT appears to offer early postoperative and mid-term clinical benefits compared with our traditional approach of clamshell operations. These observations warrant larger definite studies to further evaluate the impact of MILT on physiological, clinical and patient-reported outcomes.

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“…At the early onset of bronchus sleeve resections, the vast majority of thoracic surgeons favored a posterolateral access for bronchial reconstructions due to the excellent exposition of the carinal area and to adequate space for surgical maneuvers (4). Because of the severe soft tissue trauma and respectable rib spreading required for this access and by the process of gaining experience with bronchial reconstruction, the anterolateral thoracotomy and the anterior hilum preparation became also commonly favorable for most surgeons for sleeve procedures (5,6). Parallel to the above surgical evolution, techniques of video assisted thoracoscopic surgery were widely adopted and anatomical resections for small, peripherally located tumors became also standard in high volume thoracic centers (7)(8)(9)(10).…”

Section: Introductionmentioning

confidence: 99%

Uniportal video-assisted thoracoscopic surgery (VATS) sleeve resections for non-small cell lung cancer patients: an observational prospective study and technique analysis

Koryllos¹,

Stoelben²

2018

J. Vis. Surg.

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Bronchus sleeve resection for operative treatment of non-small cell lung cancer (NSCLC) is a gold standard in modern thoracic surgery in cases of centrally located tumors or hilär lymph node metastases. Advanced instruments and growing surgical experience allowed surgeons to reduce the required incisions (from 3-port to uniportal) and to resect larger and more centrally located malignancies minimal invasively. It is a logical and expected advance in thoracic surgery that video-assisted thoracoscopic surgery (VATS) would be ultimately used also for complex bronchial resections. We therefore present in this study our early clinical results and technique of uniportal sleeve resections for patients with centrally located NSCLC or carcinoids. In the period 2015-2017, n:40 patients with NSCLC were found eligible for uniportal VATS sleeve resection in our institution. In two cases a thoracotomy conversion because of severe hilar scar tissue was necessary. In 38 cases a uniportal VATS sleeve resection could be completed. We believe that uniportal sleeve resections are the logical evolution of VATS allowing patients with locally advanced malignancies to have quicker recovery and reduced perioperative pain.

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Bilateral lung transplantation via two sequential anterolateral thoracotomies1

Cited by 15 publications

References 5 publications

Overview of Clinical Lung Transplantation

Overview of Clinical Lung Transplantation

Outcomes of minimally invasive lung transplantation in a single centre: the routine approach for the future or do we still need clamshell incision?

Uniportal video-assisted thoracoscopic surgery (VATS) sleeve resections for non-small cell lung cancer patients: an observational prospective study and technique analysis

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