Clinical experience of sleeve lobectomy with bronchoplasty using a continuous absorbable barbed suture

Nakagawa, Tatsuo; Chiba, Naohisa; Ueda, Yoshimichi; Saito, Masao; Sakaguchi, Yasuyoshi; Ishikawa, Shinya

doi:10.1007/s11748-014-0517-4

Cited by 18 publications

(10 citation statements)

References 7 publications

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“…There was no perioperative mortality. Major statistics, reported as medians or percentages, were as follows: operative duration, 234.5 min (range, 185-345 min); bronchial anastomosis duration, 38.0 min (30-43 min); blood loss, 65.0 mL (50-200 mL); number of lymph node dissected, 22.5 [18][19][20][21][22][23][24][25][26][27][28][29][30][31][32][33][34][35][36][37]. The postoperative complication rate was 37.5% (three out of eight patients), including two pulmonary infections and one atrial fibrillation.…”

Section: Resultsmentioning

confidence: 99%

“…We summarize the characteristics of this technique as follows. First, the whole process of anastomosis was finished with continuous suture, which is considered time saving and technically simple owing to the tying of fewer knots (22). Moreover, continuous suturing reduced suture twisting, which is paramount in single-port VATS where visual angle is limited.…”

Section: Discussionmentioning

confidence: 99%

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Initial experience of single-port video-assisted thoracoscopic surgery sleeve lobectomy and systematic mediastinal lymphadenectomy for non-small-cell lung cancer

Chen

Zheng

et al. 2016

J. Thorac. Dis.

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Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Initial experience of single-port video-assisted thoracoscopic surgery sleeve lobectomy and systematic mediastinal lymphadenectomy for non-small-cell lung cancer

Chen

Zheng

et al. 2016

J. Thorac. Dis.

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“…This can interfere with visualization and performance of the anastomosis. This is of particular importance in minimally invasive thoracic surgery, in which surgeons have a limited field of view and narrow working space (17). In addition, we use an absorbable suture.…”

Section: Discussionmentioning

confidence: 99%

Outcomes of minimally invasive sleeve resection

Caso¹,

Watson²,

Khaitan³

et al. 2018

J. Thorac. Dis

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Background: Sleeve resection allows for preservation of lung parenchyma and improved long-term outcomes when compared with pneumonectomy. Little is known about minimally invasive sleeve resection, especially indications, feasibility, technical aspects, complications, and outcomes. We reviewed our institutional experience with sleeve resections via a minimally invasive approach. Methods: We performed a retrospective review of a prospectively maintained database from 01/01/2010 to 11/01/2017. Indications, operative details, pathology, postoperative complications were reviewed and longerterm follow-up was reviewed. Results: Fifteen patients were identified (5 males, 10 females). Details are presented in Table 1. Patients ranged in age from 7 to 82 years (median, 57 years). Approaches included video-assisted thoracoscopic surgery (VATS) and robotic. Airway sleeve resection was performed in all patients with an additional arterioplasty in 4, one patient having a double sleeve. Length of stay ranged from 3 to 10 days (median, 5 days). Indication for surgery included carcinoid in 5 (1 atypical), NSCLC in 6, and 4 additional pathologies. Complications occurred in 6 patients: air leak [2], pericardial effusion [1], transient brachial plexopathy [1], and atrial fibrillation [2]. There were no anastomotic complications. Median follow-up was 4.2 years. There were no anastomotic strictures. Conclusions: In experienced centers, sleeve resection via a minimally invasive approach is feasible with acceptable morbidity and mortality. Results in this small series appear comparable with the open approach.

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“…However, Li et al (10) believed that tightening the sutures may lead to anastomotic leakage or, in the worst-case scenario, anastomotic dehiscence. To overcome the disadvantage of simple interrupted sutures and simple continue sutures, some (16). Second, good exposure of the operative view is maintained.…”

Section: Discussionmentioning

confidence: 99%

Modified bronchial anastomosis in video-assisted thoracoscopic sleeve lobectomy: a report of 32 cases

Chen

Huang

et al. 2016

J. Thorac. Dis.

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Background: Bronchial anastomosis is a key technical challenge in sleeve lobectomy, especially when using the video-assisted thoracoscopic surgery (VATS) approach. A retrospective study was conducted to evaluate the feasibility and safety of a modified bronchial anastomosis technique developed by the authors at Fujian Union Hospital.Methods: From October 2010 to October 2015, we performed 32 cases of VATS sleeve lobectomy through a three-port or single-port approach. All bronchial anastomoses were performed using modified bronchial anastomosis technique: the bronchial anastomosis was begun with an initial stitch on the posterior wall, and the bilateral quarters of the circumference were continuously sutured. The other two bilateral quarters were then similarly sutured, and the last knot was made outside the bronchial lumen.Results: All cases were completed uneventfully. No perioperative deaths or serious complications occurred.The mean operative time, bronchial anastomosis time, and blood loss volume were 271.8±67.5, 37.6±12.0 min, and 177.5±102.9 mL, respectively. The mean follow-up time was 21.0±11.7 months, and the follow-up rate was 96.9% (31/32). An electronic bronchoscope scan was performed 6 months after surgery, and a fine healing stoma was detected in all cases. No anastomotic fistula, anastomotic stenosis, or other serious postoperative anastomotic complications occurred until the end of follow-up.Conclusions: Modified bronchial anastomosis technique applied in bronchial anastomosis was safe and feasible in three-port and single-port VATS sleeve lobectomy with good short-term and long-term therapeutic results. Adequate management of the operative process and implementation of a skilled bronchial anastomosis technique could help to reduce the difficulty of VATS sleeve lobectomy.

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Clinical experience of sleeve lobectomy with bronchoplasty using a continuous absorbable barbed suture

Cited by 18 publications

References 7 publications

Initial experience of single-port video-assisted thoracoscopic surgery sleeve lobectomy and systematic mediastinal lymphadenectomy for non-small-cell lung cancer

Initial experience of single-port video-assisted thoracoscopic surgery sleeve lobectomy and systematic mediastinal lymphadenectomy for non-small-cell lung cancer

Outcomes of minimally invasive sleeve resection

Modified bronchial anastomosis in video-assisted thoracoscopic sleeve lobectomy: a report of 32 cases

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