Flexible Videopericardioscopy in cT4 Nonsmall-Cell Lung Cancer With Radiologic Evidence of Proximal Vascular Invasion

Pompeo, Eugenio; Tacconi, Federico; Mineo, Tommaso Claudio

doi:10.1016/j.athoracsur.2006.09.031

Cited by 7 publications

(3 citation statements)

References 26 publications

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“…In contrast, Dartavelle et al reported on 30 cases of T4 tumors invading the superior vena cava [14]. In the recent decades some advanced staging techniques, transesophageal echocardiography (TEE), and videopericardioscopy (VPC), have been used to better delineate the intrapericardial invasion and to prevent futile thoracotomies and incomplete resections [15][16][17]. During the study period TEE was unavailable and videoperioscopy was rarely performed.…”

Section: Discussionmentioning

confidence: 99%

The factors affecting morbidity, mortality and survival in patients who underwent intrapericardial resections due to non-small cell lung cancer

Pekçolaklar¹,

Nalbant²,

Metin³

2021

Curr Thorac Surg

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Background: Complete surgical resection has been the gold standard in the treatment of lung cancer. Intrapericardial approach may be required to resect the advanced stage tumors completely. This study aims to compare the morbidity and mortality rates of intrapericardial and standard pneumonectomies. Materials and Methods: The records of patients operated on due to non-small cell cancer between the years 2001 and 2008 were evaluated retrospectively. The data including age, sex, respiratory function tests, tumor site, cell type, stage, resection type, complications, mortality and survival rates were recorded. The morbidity, mortality and survival rates of intrapericardial and standard penumonectomies were compared. Results: The study included 126 cases with pneumonectomy (90 standard, 36 intrapericardial) with mean age of 56.6 ± 8.42 years. Major morbidity rates of intrapericardial and standard groups were 30.6% and 21.1% respectively, and the difference was not significant (p = 0.233). Mortality rates of intrapericardial and standard groups were 8.3% and 8.9% respectively, and the difference was not significant (p = 0.533). The mean survival of all patients was 24.13 ± 3.13 months. The survival rate was significantly in the intrapericardial group compared to standard group (23 months vs 32 months, p = 0.03). Conclusions: Intrapericardial approach is a safe method in the treatment of locally advanced lung cancer without increasing morbidity or mortality.

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Section: Discussionmentioning

confidence: 99%

The factors affecting morbidity, mortality and survival in patients who underwent intrapericardial resections due to non-small cell lung cancer

Pekçolaklar¹,

Nalbant²,

Metin³

2021

Curr Thorac Surg

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“…Pulmonary resection was indicated in 21 patients after confirmation of the feasibility of intrapericardial ligation of the vessels. Pompeo and colleagues 19 recently reported the use of flexible videopericardioscopy in patients with radiologic evidence of proximal vascular invasion observed by multislice CT. In 7 of 21 patients undergoing flexible videopericardioscopy, radical resection was carried out.…”

Section: Staging Of Lung Cancermentioning

confidence: 99%

Video-Assisted Surgery for Lung Cancer. State of the Art and Personal Experience

Loscertales

Jiménez-Merchán

Congregado

et al. 2009

Asian Cardiovasc Thorac Ann

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This paper reviews the role of videothoracoscopy in lung cancer, highlighting its utility in definitive staging, diagnosis, and treatment. We show exploratory videothoracoscopy to be the perfect technique for last-minute staging, looking for tumor invasion, especially parietal T3 and vascular T4 (due to videopericardioscopy), management of solitary pulmonary nodules, and the possibility of radical treatment with video-assisted thoracoscopic lobectomy. We perform an overview of the literature and analyze our experience of 1,381 patients with lung cancer. In 1,277 of them, the final decision on resectability was made by exploratory videothoracoscopy, including 91 by videopericardioscopy (only 30 were considered non-resectable on videopericardioscopy). Solitary pulmonary nodules were diagnosed in 382 cases (190 were cancer), and we performed 260 major lung resections by video-assisted thoracoscopic surgery (22 pneumonectomies, 238 lobectomies/bilobectomies).

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“…Resectability of the primary tumor can be determined, especially in case of possible mediastinal invasion (clinical T4). When there is suspected proximal vascular inva-sion on multislice computed tomography, flexible videopericardioscopy is technically feasible and allows a better assessment of T4 status (9). Limitations of VATS are a longer operative time and the need for double lumen intubation.…”

Section: Vats and Staging Of Lung Cancermentioning

confidence: 99%

E04-03: Advantages in surgical staging. Thoracoscopy or video-assisted thoracic surgery (VATS).

Schil

2007

Journal of Thoracic Oncology

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Flexible Videopericardioscopy in cT4 Nonsmall-Cell Lung Cancer With Radiologic Evidence of Proximal Vascular Invasion

Cited by 7 publications

References 26 publications

The factors affecting morbidity, mortality and survival in patients who underwent intrapericardial resections due to non-small cell lung cancer

The factors affecting morbidity, mortality and survival in patients who underwent intrapericardial resections due to non-small cell lung cancer

Video-Assisted Surgery for Lung Cancer. State of the Art and Personal Experience

E04-03: Advantages in surgical staging. Thoracoscopy or video-assisted thoracic surgery (VATS).

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