Video-assisted minithoracotomy versus muscle-sparing thoracotomy for performing lobectomy

Giudicelli, R; Thomas, Philippe; Lonjon, T; Ragni, J.; Morati, N.; Ottomani, R; Fuentès, P.; Shennib, H; Noirclerc, M

doi:10.1016/0003-4975(94)90732-3

Cited by 186 publications

(71 citation statements)

References 15 publications

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“…Nomori et al reported that pain scores between 1 week and 6 months after surgery were significantly lower after anterior limiting thoracotomy (ALT) than after PL [20], and that VATS resulted in a further lowering of the pain score for 1 week following surgery [21]. However, no significant difference in pulmonary function between after ALT and after VATS has been found [6,21]. In the present study, VC and FEV1 were higher in older (>68 years) patients than in young patients, perhaps because older patients tend to tolerate pain relatively better [22].…”

Section: Discussionmentioning

confidence: 87%

See 1 more Smart Citation

Pulmonary function after pulmonary resection by posterior thoracotomy, anterior thoracotomy or video-assisted surgery

Endoh

Tanaka

Yajima

et al. 2010

European Journal of Cardio-Thoracic Surgery

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Objective: Predicted postoperative forced expiratory volume in 1 s (ppoFEV1) is estimated in lung cancer patients before pulmonary resection, as well as the clinical stage. This study aims to evaluate ppoFEV1 and ppo-vital capacity (ppoVC) on postoperative day 7 (POD7) and to compare the results following video-assisted thoracic surgery (VATS) and open thoracotomy procedures. Methods: Of the 155 patients who underwent pulmonary resection, 70 had VATS; 30 had muscle-sparing thoracotomy (anterior limiting thoracotomy (AL)); and 55 had postero-lateral thoracotomy (PL). VC and FEV1 were measured on POD7 and compared with the VC and FEV1 before surgery using analysis of covariance (ANCOVA). The ratio of the actual-and the ppoVC and FEV1 was evaluated to identify factors associated with variations in postoperative residual VC/FEV1. Results: There were significant differences by analysis of covariance (ANCOVA) in the VC/FEV1 among the three surgical approaches. In the VATS group, the VC ratio and the FEV1 ratio were 96.5% and 94.7%, respectively; they were significantly higher in the VATS group than in the thoracotomy group (AL: 90.4% and 90.1%, respectively; PL: 87.4% and 87.6%, respectively). Non-chronic obstructive pulmonary disease (COPD) and upper lobectomy were also associated with a low VC ratio and FEV1 ratio. Conclusion: Predicted postoperative pulmonary function might be overestimated in COPD patients or in those undergoing VATS or lower lobectomy. #

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Section: Discussionmentioning

confidence: 87%

“…Although the VATS approach is less invasive than a PL, its advantages over a limited or muscle-sparing thoracotomy for lung cancer surgery have been a matter of controversy [6,7]. Recently, several advantages of VATS lobectomy have been demonstrated with respect to postoperative clinical findings and prognosis [8,9].…”

Section: Discussionmentioning

confidence: 99%

Pulmonary function after pulmonary resection by posterior thoracotomy, anterior thoracotomy or video-assisted surgery

Endoh

Tanaka

Yajima

et al. 2010

European Journal of Cardio-Thoracic Surgery

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“…Early evidence confiermed that patients who undergo resections via the VATS approach experience less immediate post-operative pain than those having the thoracotomy approach. This has been documented in several large case controlled studies either by objective assessment in terms of analgesic requirements Walker et al, 1996), or subjective assessment in terms of pain scoring, usually in the form of a visual analogue scale (Giudicelli et al, 1994;Demmy & Curtis, 1999). A trend for reduced post-operative analgesic requirement was also seen in early studies comparing VATS with thoracotomy for lobectomy (Kirby et al, 1995;Sugiura et al, 1999).…”

Section: The Rise and Fall Of Early Vats Lobectomymentioning

confidence: 87%

“…By reducing such surgical trauma and post-operative pain, VATS lung resections may reduce the incidence of post-operative shoulder dysfunction. Previous studies have reported that the strengths of the lattisimus dorsi and serratus anterior muscles may be better preserved following VATS when compared to thoracotomy Giudicelli et al, 1994). In a prospective study, Li et al reported that short-term shoulder strength and range of movement were significantly better in patients who received VATS pulmonary resection than those who received thoracotomy (Li et al, 2003).…”

Section: Improving the Validation Of Outcomes Following Vats Lobectomymentioning

confidence: 89%

The Evolution of VATS Lobectomy

Sihoe¹

2012

Topics in Thoracic Surgery

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“…Aksiller torakotominin kas koruyucu yapılması, insizyonun minimal olması ve kostaların az miktarda ayrılması, daha az ağrılı, iyi bir görüş alanı ve geniş plörektomi sahası sağlaması nedeniyle standart posterolateral torakotomilere göre SP'ların cerrahi tedavisinde iyi bir alternatif oluşturmaktadır [17,18]. Fakat VATS'ın özellikle son dönemde SP tedavisinde daha az ağrılı olması postoperatif solunum fonksiyonlarının korunması, hastanede kalış süresinin kısalığı gibi avantajları nedeni ile tercih edilmektedir [19,20].…”

Section: Discussionunclassified

Mini Axillary Thoracotomy Experience in Spontaneous Pneumothorax

Döngel¹,

Bayram²

2012

Ann Clin Anal Med

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ÖzetAmaç: Pnömotoraks, göğüs cerrahisinin sık gözlenen ve hayati tehlike arz eden acil müdahale gerektiren hastalığıdır. Sıklıkla tüp torakostomi ve minimal invaziv cerrahi girişimlerle tedavi edilir. Bu çalışmada spontan pnömo-toraksta mini aksiler torakotomi deneyimimizi paylaşmayı amaçladık. Gereç ve Yöntem: Kliniğimizde Haziran 2009-Temmuz 2010 tarihleri arasında spontan pnömotoraks (SP) nedeni ile yedi hastaya mini aksiller torakotomi uygulandı. Hastalar yaş, cinsiyet, hastaneye geliş şikâyeti, pnömotoraks tipi, lokalizasyonu, tek veya iki taraflı olduğu, cerrahi öncesi ve sonrası tüp süresi, hastanede kalış süresi, bül ve bleb varlığı, morbidite açısından değerlendirildi. Bulgular: Hastaların altısı (%86) erkek, biri (%14) bayan, yaş medyan değeri 20'idi. 6 tanesi primer spontan pnömotoraks (PSP), 1 tanesi sekonder (tüberküloz) spontan pnömotoraks (SSP) nedeni ile cerrahiye alındı. Altı hastaya uzamış hava kaçağı ve bir hastaya bir hafta ara ile bilateral PSP gelişmesi nedeni ile cerrahi yapıldı. Dört hastaya wedge rezeksiyon, parsiyel plörektomi ve plevral abrazyon, 2 hastaya bül ligasyonu, parsiyel plörektomi ve plevral abrazyon ve tüberküloz düşünülen 1 hastaya wedge rezeksiyon ve plevral tend yapıldı. Hastanede kalış süresi medyan değeri 10 gün hesaplandı. Cerrahi öncesi dren süresi medyan değeri 7 gün, operasyon sonrası 3 gün olduğu hesaplandı. Sonuç: Mini aksiler torakotomi; posterolateral torakotomiye göre, kasların korunması, post operatif hastanede kalış süresinin kısalığı, ağrının daha az, kozmetik açıdan daha iyi olması, kolay apikal wedge rezeksiyon, bül ligasyonu, plörektomi ve abrazyona olanak vermesi nedeni ile spontan pnömotorakslarda, videotorakoskopik cerrahi (VATS) yapılabilme imkânı olmadığında uygulanabilir bir seçenektir. Anahtar Kelimeler Pnömotoraks; Minimal invaziv; Aksiller TorakotomiAbstract Aim: Pneumothorax is a frequent disorder which is needed urgent attemption since life threatening condition. It's usually treated by tube thoracostomy or minimally invasive procedures. We aimed to share our experience in miniaxillary thoracotomy due to spontaneous pneumothorax (SP). Material and Method: Mini-axillary thoracotomy were performed in 7 patients between June 2009 and July 2010. Age and sex of the patients, type, side and localisation of pneumothorax, pre and post-operative tube duration, duration of hospitalisation, presence of bullae and bleb, morbidity were evaluated. Results: Six of the patients were male and one patient was female. Median value of age was 20 years. Primary SP were detected in 6 patients and SP secondary to tuberculosis was detected in one patient. Surgery performed due to prolonged air leak in 6 patients and developing of bilateral SP within 7 days.Wedge resection (lineer stappler), partial pleurectomy and pleural abrassion were performed to 4 patients, bullae ligation, partial pleurectomy and pleural abrassion were performed to 2 patients and wedge resection and pleural tend were performed to 1 patient considered as tuberculosis. Median hospitalisation durati...

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Video-assisted minithoracotomy versus muscle-sparing thoracotomy for performing lobectomy

Cited by 186 publications

References 15 publications

Pulmonary function after pulmonary resection by posterior thoracotomy, anterior thoracotomy or video-assisted surgery

Pulmonary function after pulmonary resection by posterior thoracotomy, anterior thoracotomy or video-assisted surgery

The Evolution of VATS Lobectomy

Mini Axillary Thoracotomy Experience in Spontaneous Pneumothorax

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