Feasibility of 3-dimensional video-assisted thoracic surgery (3D-VATS) for pulmonary resection

Abstract A best evidence topic in thoracic surgery was written according to a structured protocol. The question addressed was whether the use of 3-dimensional endoscopic vision provides superior clinical outcomes to patients undergoing video-assisted thoracic surgery for lung resection. Altogether 231 unique papers were found using the reported search, of which 6 represented the best evidence to answer the clinical question. The authors, journal, date and country of publication, patient group studied, study type, relevant outcomes and results of these papers are tabulated. Four of the 6 papers demonstrated a statistically significant reduction in operative time, although this difference may not be of sufficient magnitude to be relevant clinically. There was no difference in any other outcomes assessed. We therefore conclude that, in patients undergoing video-assisted thoracic surgery for lung resection, 3-dimensional endoscopic vision has no demonstrable impact on perioperative or oncological outcomes, or cost, although it may reduce operative time.

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Anatomic pulmonary resection via video-assisted thoracic surgery: analysis of 117 cases at a referral center in Brazil

Jornal Brasileiro de Pneumologia ◽

10.1590/s1806-37562015000000352 ◽

2017 ◽

Vol 43 (2) ◽

pp. 129-133 ◽

Cited By ~ 1

Author(s):

Stephan Adamour Soder ◽

Frederico Barth ◽

Fabiola Adelia Perin ◽

José Carlos Felicetti ◽

José de Jesus Peixoto Camargo ◽

...

Keyword(s):

Thoracic Surgery ◽

Pulmonary Resection ◽

Length Of Hospital Stay ◽

International Studies ◽

Referral Center ◽

Video Assisted Thoracic Surgery ◽

Video Assisted ◽

Tube Removal ◽

The Mean ◽

Mean Time

ABSTRACT Objective: To describe our experience with video-assisted thoracic surgery (VATS) for anatomic pulmonary resection at a referral center for thoracic surgery in Brazil. Methods: All patients who underwent anatomic pulmonary resection by VATS between 2010 and 2015 were included. Clinical and pathological data, as well as postoperative complications, were analyzed. Results: A total of 117 pulmonary resections by VATS were performed, of which 98 were lobectomies and 19 were anatomic segmentectomies. The mean age of the patients was 63.6 years (range, 15-86 years). Females predominated (n = 69; 59%). The mean time to chest tube removal was 2.47 days, and the mean length of ICU stay was 1.88 days. The mean length of hospital stay was 4.48 days. Bleeding ≥ 400 mL occurred in 15 patients. Conversion to thoracotomy was required in 4 patients. Conclusions: Our results are similar to those published in major international studies, indicating that VATS is an important strategy for pulmonary resection. They also show that VATS can be safely performed with adequate training. This technique should be used more often for the treatment of lung diseases in Brazil.

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Video-Assisted Thoracic Surgery Pulmonary Resection for Lung Cancer in Patients with Poor Lung Function

The Annals of Thoracic Surgery ◽

10.1016/j.athoracsur.2006.01.038 ◽

2006 ◽

Vol 81 (6) ◽

pp. 1996-2003 ◽

Cited By ~ 38

Author(s):

Juan C. Garzon ◽

Calvin S.H. Ng ◽

Alan D.L. Sihoe ◽

Anthony V. Manlulu ◽

Randolph H.L. Wong ◽

...

Keyword(s):

Lung Cancer ◽

Lung Function ◽

Thoracic Surgery ◽

Pulmonary Resection ◽

Video Assisted Thoracic Surgery ◽

Video Assisted

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Is Major Pulmonary Resection by Video-Assisted Thoracic Surgery an Adequate Procedure in Clinical Stage I Lung Cancer?

CHEST Journal ◽

10.1378/chest.125.5.1742 ◽

2004 ◽

Vol 125 (5) ◽

pp. 1742-1746 ◽

Cited By ~ 58

Author(s):

Takashi Ohtsuka ◽

Hiroaki Nomori ◽

Hirotoshi Horio ◽

Tsuguo Naruke ◽

Keiichi Suemasu

Keyword(s):

Lung Cancer ◽

Thoracic Surgery ◽

Pulmonary Resection ◽

Clinical Stage ◽

Stage I ◽

Video Assisted Thoracic Surgery ◽

Video Assisted ◽

Stage I Lung Cancer

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Simultaneous Uniportal video-assisted thoracic surgery of bilateral pulmonary nodules

Journal of Cardiothoracic Surgery ◽

10.1186/s13019-021-01423-z ◽

2021 ◽

Vol 16 (1) ◽

Author(s):

Shengcheng Lin ◽

Chenglin Yang ◽

Xiaotong Guo ◽

Yafei Xu ◽

Lixu Wang ◽

...

Keyword(s):

Thoracic Surgery ◽

Surgical Resection ◽

Pulmonary Resection ◽

Pulmonary Nodules ◽

Ground Glass Opacity ◽

Ground Glass ◽

Sublobar Resection ◽

Video Assisted Thoracic Surgery ◽

Video Assisted

Abstract Background Surgical resection is an appropriate treatment option for synchronous bilateral pulmonary nodules with ground-glass opacities. The applicability of simultaneous uniportal video-assisted thoracic surgery is not fully understood. We evaluated the feasibility and safety of performing such surgeries at our hospital. Methods Clinical data of 35 patients who underwent simultaneous bilateral pulmonary resection with uniportal video-assisted thoracic surgery at our hospital were reviewed retrospectively. Results Simultaneous bilateral pulmonary resection with uniportal video-assisted thoracic surgery was performed for 35 patients (15 men, 20 women); 97 nodules were operated on, and the average nodule diameter was 11.4 mm (range, 1–38 mm). Computerized tomography showed that most nodules had ground-glass opacity (52/97, 53.6%); solid nodules (24/97, 24.7%) and nodules with mixed ground-glass opacity (21/97, 21.7%) were noted. Surgical resection included lobar-sublobar resection (11/35, 31.4%) and sublobar-sublobar resection (24/35, 68.6%). Wound infection and postoperative 30-day mortality were not observed. Pneumonia was the major postoperative complication, with a higher incidence in the lobar-sublobar group (6/10, 60%) than in the sublobar-sublobar group (4/25, 16%; P = 0.016). Pneumonia did not correlate with operative time (mean, 262.3 ± 108.1 vs. 261.9 ± 87.5 min, P = 0.991), duration of chest drainage (mean, 7.0 ± 4.0 vs 5.4 ± 2.1 days, P = 0.124), and postoperative hospital stay (mean, 10.2 ± 3.6 vs 10.2 ± 6.4 days, P = 0.978). The mean follow-up time was 8 (range, 3–22) months. Recurrence of primary lung cancer or mortality was not noted at the final follow-up. Conclusions Simultaneous bilateral pulmonary resection with uniportal video-assisted thoracic surgery is feasible and safe for appropriate patients. Simultaneous lobar-sublobar pulmonary resection for bilateral nodules can increase the risk of developing pneumonia.

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