Video-assisted thoracic surgery (VATS) lobectomy: 13 years’ experience

Congregado, Miguel; Merchán, R. Jiménez; Gallardo, Gregorio; Ayarra, Javier; Loscertales, Jesús

doi:10.1007/s00464-007-9720-z

Cited by 48 publications

(34 citation statements)

References 23 publications

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“…In a randomized trial conducted in Germany, there were fewer complications after the VATS approach (14.2%) compared with thoracotomy (50%) [15]. Reported morbidity after VATS pulmonary resections ranges from 7.7% to 29.9% [2,[16][17][18]. The complication rate in this series was 18%, which compares favorably with reported results from conventional VATS approaches.…”

Section: Discussionsupporting

confidence: 62%

A hybrid technique: video-assisted thoracoscopic surgery (VATS) pulmonary resections for community-based surgeons

2009

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Section: Discussionsupporting

confidence: 62%

A hybrid technique: video-assisted thoracoscopic surgery (VATS) pulmonary resections for community-based surgeons

2009

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“…Deciding whether to choose surgery as a treatment option is one of the many important decisions that both surgeons and patients alike have to make. When it becomes clear that surgery is the only viable option, video-assisted thoracoscopic surgery (VATS) is the optimal choice, because it has been proven to be both safe and technically feasible [1]. It provides increased comfort for the patient and lower morbidity compared with standard thoracotomy procedures [2].…”

Section: Introductionmentioning

confidence: 99%

Video-assisted thoracoscopic solitary pulmonary nodule resection after CT-guided hookwire localization: 43 cases report and literature review

et al. 2010

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Background Peripheral subpleural solitary pulmonary nodules can be visualized and resected easily at thoracoscopy, but it is very difficult to localize deep nonpalpable pulmonary nodules that lie in lung parenchyma. The purpose of this article was to study the effectiveness of video-assisted thoracoscopic solitary pulmonary nodules resection after computed tomography (CT)-guided hookwire localization and to review the literature related to solitary pulmonary nodule diagnosis and treatment. Methods From April 2008 to June 2009, 43 patients with a solitary pulmonary nodule who had undergone CT-guided hookwire localization and video-assisted thoracoscopic surgery (VATS) were studied. Results Two cases were considered unsuccessful, other patients underwent CT-guided hookwire localization successfully, and ten patients had an asymptomatic minimal pneumothorax that did not require any intervention. The diameter of nodules ranged from 5 to 30 mm as measured by CT (mean 17.2 ± 7.5 mm). The distance between the center of nodule and visceral pleural ranged from 2 to 40 mm (mean 18.5 ± 9.3 mm). Of the 41 scheduled VATS procedures, 38 patients underwent thoracoscopic wedge resection. Twenty-two of 41 patients who revealed primary lung cancer after frozen-section examination underwent VATS lobectomy and lymphadenectomy. Three patients were converted to thoracotomy, and a major postoperative hemothorax occurred in one patient. No intra-or postoperative mortality or morbidity was recorded. Conclusions Video-assisted thoracoscopic solitary pulmonary nodule resection after CT-guided hookwire localization is a safe and effective procedure for accurate diagnosis and resection of indeterminate solitary pulmonary nodules.

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“…Nowadays, ,25% of all operations in a thoracic surgery unit are performed using videoendoscopy: mediastinoscopy; thoracoscopy; sympathectomy; bullectomy and pleurodesis; resection of mediastinal cysts and tumours; lung resection, such as lobectomies; and pneumonectomies, including adenectomy. The advantages for the patient have been proven, with less post-operative pain, early recovery from operations, and equal safety and efficacy in the procedures [6,7].…”

Section: Thoracic Surgery: Highlights Of the Last Two Decadesmentioning

confidence: 99%

Thoracic surgery and lung transplantation: Thoracic Surgery Assembly contribution to the celebration of 20 years of the ERS

Canalís¹,

Boehler²,

Subotic³

2010

European Respiratory Journal

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Video-assisted thoracic surgery (VATS) lobectomy: 13 years’ experience

Abstract: VATS lobectomy is a viable safe procedure that meets oncological criteria for lung cancer surgery. In our experience, VATS is currently to be considered ideally indicated for certain benign processes and for T1-T2 N0 M0 bronchogenic carcinomas.

Cited by 48 publications

References 23 publications

A hybrid technique: video-assisted thoracoscopic surgery (VATS) pulmonary resections for community-based surgeons

A hybrid technique: video-assisted thoracoscopic surgery (VATS) pulmonary resections for community-based surgeons

Video-assisted thoracoscopic solitary pulmonary nodule resection after CT-guided hookwire localization: 43 cases report and literature review

Thoracic surgery and lung transplantation: Thoracic Surgery Assembly contribution to the celebration of 20 years of the ERS

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