Application of ICG Fluorescent Endoscope Systems in Identifying Small Lung Cancers on the Periphery of the Lungs in Thoracoscopic Surgery

2020 ◽  
pp. 81-91
Author(s):  
Yasuhiko Ohshio
Keyword(s):  
Thoracoscopic Surgery ◽  
Lung Cancers

scholarly journals Preoperative virtual simulation for synchronous multiple primary lung cancers using three-dimensional computed tomography lung reconstruction: a case report

2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Weichun Wu ◽  
Yimin Wu ◽  
Gang Shen ◽  
Guofei Zhang
Keyword(s):  
Computed Tomography ◽  
Thoracoscopic Surgery ◽  
Three Dimensional ◽  
Primary Lung Cancer ◽  
Pulmonary Nodules ◽  
Term Survival ◽  
Lung Cancers ◽  
Multiple Primary ◽  
Feasible Alternative

Abstract Background As the positions and sizes of nodules in synchronous multiple primary lung cancer (SMPLC) patients differ, the development of surgical strategies to maximize long-term survival and preserved postoperative pulmonary function in SMPLC patients for whom surgical resection is an alternative strategy presents challenges. Case presentation We provide a case managed through video-assisted thoracoscopic surgery (VATS) resection using three-dimensional computed tomography lung reconstruction (3D-CTLR) to reconstruct lobes containing pulmonary nodules to preoperatively simulate and intraoperatively guide the extent and method of resection. Conclusion The successful attempt demonstrates a technically simplified, feasible alternative to preoperative plans utilizing less invasive VATS to manage SMPLC.

scholarly journals Simultaneous three-port thoracoscopic surgery for bilateral lung cancers with a pulmonary vein anomaly: A case report

2019 ◽  
Vol 54 ◽  
pp. 66-69
Author(s):  
Miho Akabane ◽  
Tadasu Kohno ◽  
Sakashi Fujimori ◽  
Naoko Kimura ◽  
Souichirou Suzuki ◽  
...  
Keyword(s):  
Case Report ◽  
Pulmonary Vein ◽  
Thoracoscopic Surgery ◽  
Lung Cancers ◽  
Pulmonary Vein Anomaly ◽  
Bilateral Lung

scholarly journals Single Stapling of Right Upper Lobe Vein and Truncus Anterior Artery in Videothoracoscopic Lobectomy

2021 ◽  
Author(s):  
İlker Kolbas ◽  
Çağatay Tezel ◽  
Talha Dogruyol ◽  
Mustafa Akyıl ◽  
Serdar Evman ◽  
...  
Keyword(s):  
Cost Effectiveness ◽  
Minimally Invasive ◽  
Thoracoscopic Surgery ◽  
Surgical Techniques ◽  
Operation Time ◽  
Video Camera ◽  
Surgical Instruments ◽  
High Tech ◽  
Lung Cancers ◽  
One Step

Videothoracoscopic resections are among the mostly preferred minimally invasive thoracic surgical techniques to treat lung cancers especially in the last two decades. In thoracoscopic surgery video camera technology, high-tech equipment and surgical instruments including staplers are required. We have developed a technique for dissection and cutting of truncus anterior and right upper lobe vein in one step with stapler by this way we aimed to provide less operation time and more cost- effectiveness for right upper lobectomies.

scholarly journals Video-Assisted Thoracoscopic Surgery in Patients With Clinically Resectable Lung Tumors

1996 ◽  
Vol 2 (3) ◽  
pp. 151-155
Author(s):  
H. Sakai ◽  
P. J. Borgstein ◽  
M. A. Cuesta ◽  
S. Meijer ◽  
J. C. van Mourik ◽  
...  
Keyword(s):  
Lung Cancer ◽  
Malignant Tumors ◽  
Lung Metastases ◽  
Thoracoscopic Surgery ◽  
Lung Tumors ◽  
Benign Tumors ◽  
Metastatic Tumors ◽  
Thoracoscopic Resection ◽  
Lung Cancers ◽  
Video Assisted

To investigate the feasibility of thoracoscopic resection, a pilot study was performed in patients with clinically resectable lung tumors. In 40 patients, Video-assisted thoracic surgery (VATS) was performed because of suspicion of malignancy. There were 29 men and 11 women with a median age of 54.8 years (range 18 to 78). Preoperative indications were suspected lung cancer and tumor in 27 patients, assessment of tumor resectability in 7 patients, and probability of metastatic tumors in 6 patients. The final diagnoses in the 27 patients with suspected lung cancer were 12 primary lung cancers, 6 lung metastases, and 9 benign lesions. The success rates for VATS (no conversion to thoracotomy) were 1 of 12 (8.3%) for resectable stage I lung cancer, 8 of 12 (66.7%) for metastatic tumors, and 9 of 9 (100%) for benign tumors. With VATS, 6 of 7 patients (85.7%), possible stage III non-small cell lung cancer, an explorative thoracotomy with was avoided, significantly reducing morbidity. The reasons for conversion to thoracotomy were 1) oncological (N2 lymph node dissection and prevention of tumor spillage) and 2) technical (inability to locate the nodule, central localization, no anatomical fissure, or poor lung function requiring full lung ventilation). The ultimate diagnoses were 19 lung cancers, 12 metastatic lung tumors, and 9 benign lung tumors. Our data show the limitations of VATS for malignant tumors in general use. These findings, together with the fact that experience in performing thoracoscopic procedures demonstrates a learning curve, may limit the use of thoracoscopic resection as a routine surgical procedure, especially when strict oncological rules are respected.

scholarly journals Technical Aspects And Early Results of Uniportal Video-Assisted Thoracoscopic Complex Segmentectomy: A 30 Case-Series Study

2021 ◽  
Author(s):  
Xianglong Kong ◽  
Jun LU ◽  
Peng-Ju Li ◽  
Bo-Xiong Ni ◽  
Kai-Bin Zhu ◽  
...  
Keyword(s):  
Thoracoscopic Surgery ◽  
Case Series ◽  
Lung Cancers ◽  
Margin Width ◽  
Video Assisted ◽  
Early Results ◽  
Case Series Study ◽  
Prolonged Air Leak ◽  
Complex Procedure ◽  
The Mean

Abstract Background. With the advantages of better cosmetic incision and faster recovery, uniportal video-assisted thoracoscopic surgery (UP-VATS) has developed rapidly worldwide in recent decades and indications for UP-VATS were further expanded as those for conventional VATS. Complex segmentectomy that makes several, or intricate intersegmental planes, with more a complex procedure, continues to be a difficulty in minimally invasive techniques. However, there are few reports as yet on UP-VATS complex segmentectomy. In this report, we describe the perioperative clinical data and operative techniques and present our early results of UP-VATS complex segmentectomy in our hospital. Methods. The records of a total of 30 patients who underwent UP-VATS complex segmentectomy by a single surgeon between January 2021 and June 2021 were retrospectively reviewed. We defined cases as complex segmentectomy if they required resection of segment 9, 10, combined segmentectomy, segmentectomy+subsegmentectomy, subsegmentectomy, or combined subsegmentectomy. Results. The mean age was 52.8±9.9 years old; mean nodule size was 0.84±0.36 cm; the mean margin width was 2.307±0.309 cm; median operative time was 229.0±58.06 minutes; mean operative hemorrhage was 56.60±17.95 mL; 5.58±1.74 lymph nodes dissected had not metastasized; mean duration of postoperative chest tube drainage was 4.7±1.4 days; and mean postoperative hospital stay was 6.5±3.0 days. Although 1 patient experienced a prolonged air leak, the other 29 recovered uneventfully. Another patient failed to reach the 2cm safe margins who received completion lobectomy later. Conclusions. UP-VATS complex segmentectomy is a safe and effective procedure in the treatment of lung cancers, sparing more pulmonary parenchyma and ensuring safe margins, the disadvantage being lengthy operative times during early acquisition of skills.

Nonintubated Uniportal Video-Assisted Thoracoscopic Surgery for Intrathoracic Diseases: Initial Results in Vietnam

2020 ◽  
pp. 155698452096974
Author(s):  
Lu Huu Pham ◽  
Diep Ke Trinh ◽  
Ha Thi-Ngoc Doan ◽  
Uoc Huu Nguyen ◽  
Quynh Danh Do
Keyword(s):  
Thoracoscopic Surgery ◽  
Wedge Resection ◽  
Ground Glass Opacity ◽  
Mediastinal Tumors ◽  
Lung Cancers ◽  
Video Assisted ◽  
Drainage Time ◽  
Operative Indications ◽  
Initial Results ◽  
Video Assisted Thoracoscopic Surgery

Objective Nonintubated uniportal video-assisted thoracoscopic surgery (VATS) is a recent controversial procedure in many countries. Hence, the authors would like to present the experience in performing this approach and evaluate its initial results in the treatment, particularly, of intrathoracic diseases in Vietnam. Methods A prospective, descriptive study was conducted on 17 patients with intrathoracic diseases treated with nonintubated uniportal VATS from February to July 2019. Preoperative, intraoperative, and postoperative parameters were gathered and analyzed by SPSS Statistics, Version 18.0. Results Patients had an average age of 49.2 ± 20.5 (range 6 to 71) years. Regarding operative indications and methods, there were 3 ground glass opacity (17.6%) and 1 bullous lung disease receiving wedge resection (5.9%); 8 mediastinal tumors (47.1%) having resection, and 5 non-small-cell lung cancers receiving lobectomy combined with node dissection (29.4%). The average operative time and pleural drainage time were 108.6 ± 28.17 min (range 60 to 160) and 3.7 ± 1.18 days (range 2 to 8), respectively. The average hospitalization time was 4.9 ± 1.76 (range 3 to 12) days. No mortalities or major complications were recorded postoperatively. Conclusions Nonintubated uniportal VATS is a safe and considerable surgical choice for appropriate intrathoracic conditions.

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