scholarly journals Video-assisted thoracic surgery (VATS) lobectomy for lung cancer in a patient with left pulmonary artery hypoplasia with unilateral hyperlucent lung

2015 ◽  
Vol 29 (2) ◽  
pp. 193-197
Author(s):  
Ryota Sumitomo ◽  
Jun Kobayashi ◽  
Masato Okuda
Keyword(s):  
Lung Cancer ◽  
Pulmonary Artery ◽  
Thoracic Surgery ◽  
Left Pulmonary Artery ◽  
Vats Lobectomy ◽  
Video Assisted Thoracic Surgery ◽  
Video Assisted ◽  
Hyperlucent Lung ◽  
Unilateral Hyperlucent Lung ◽  
Pulmonary Artery Hypoplasia

Video-Assisted Thoracic Surgery in Patients with Previous Sternotomy and Cardiac Surgery

2017 ◽  
Vol 12 (1) ◽  
pp. 15-20 ◽  
Author(s):  
Derek R. Serna-Gallegos ◽  
Heather E. Merry ◽  
Robert J. McKenna
Keyword(s):  
Lung Cancer ◽  
Cardiac Surgery ◽  
Coronary Artery ◽  
Thoracic Surgery ◽  
Coronary Artery Bypass ◽  
Valve Replacement ◽  
Artery Bypass ◽  
Vats Lobectomy ◽  
Video Assisted Thoracic Surgery ◽  
Video Assisted

Objective Although video-assisted thoracic surgery (VATS) lobectomy has become a standard approach for early-stage 1 lung cancer, concerns exist regarding potential damage to the heart or bypass grafts when VATS is performed after cardiac surgery via median sternotomy. We could find only case reports regarding VATS lobectomy after sternotomy for cardiac surgery. Therefore, we reviewed our series of patients who underwent VATS anatomic resections after sternotomy for cardiac surgery. Methods Between 1996 and 2010, there were 87 patients who underwent 88 pulmonary resections after sternotomy for coronary artery bypass grafting (64), valve replacement or repair (12), coronary artery bypass graft and valve replacement (6), and transplant (5). There were 10 women (11.5%) and 77 men (88.5%) with a mean age of 76.2 years. Diagnoses included lung cancer (83), pulmonary metastases (4), and benign disease (1). Results Dense adhesions between the lung and the mediastinum sometimes occur after cardiac surgery. Compared with the total series of 2684 VATS lobectomies, operations after sternotomy are associated with greater mortality (12, 0.4% vs 5, 5.7%), myocardial infarction (13, 0.5% vs 2, 2.3%), transfusion (45, 1.7% vs 12, 13.6), conversion to thoracotomy (188, 7% vs 14, 15.9%). Injury occurred to the left main pulmonary artery (1, 1%) and internal mammary artery graft (1, 1%). There were no intraoperative deaths. Conclusions Previous sternotomy for cardiac surgery does increase the risk for VATS lobectomy. Conversion to thoracotomy should be considered if dense adhesions are found. Techniques to reduce the risk for the heart are discussed.

scholarly journals Video-Assisted Thoracic Surgery (VATS) Lobectomy for a Double Lung Cancer in a Patient With Systemic Sclerosis.

Haigan ◽  
2001 ◽  
Vol 41 (4) ◽  
pp. 323-327
Author(s):  
Kenji Hazama ◽  
Akinori Akashi ◽  
Yoshito Maehata ◽  
Yoshinobu Matsuda ◽  
Hiromi Yamashita
Keyword(s):  
Lung Cancer ◽  
Systemic Sclerosis ◽  
Thoracic Surgery ◽  
Vats Lobectomy ◽  
Video Assisted Thoracic Surgery ◽  
Video Assisted

Video-Assisted Thoracic Surgery Lobectomy: Report of CALGB 39802—A Prospective, Multi-Institution Feasibility Study

2007 ◽  
Vol 25 (31) ◽  
pp. 4993-4997 ◽  
Author(s):  
Scott J. Swanson ◽  
James E. Herndon ◽  
Thomas A. D'Amico ◽  
Todd L. Demmy ◽  
Robert J. McKenna ◽  
...  
Keyword(s):  
Lung Cancer ◽  
Thoracic Surgery ◽  
Mediastinal Lymph Node ◽  
Performance Status ◽  
Vats Lobectomy ◽  
Technical Feasibility ◽  
Lung Cancers ◽  
Video Assisted Thoracic Surgery ◽  
Video Assisted ◽  
N2 Disease

Purpose To evaluate the technical feasibility and safety of video-assisted thoracic surgery (VATS) lobectomy for small lung cancers. Patients and Methods The Cancer and Leukemia Group B 39802 trial was a prospective, multi-institutional study designed to elucidate the technical feasibility of VATS in early non–small-cell lung cancer (NSCLC) using a standard definition for VATS lobectomy (one 4- to 8-cm access and two 0.5-cm port incisions) that mandated videoscopic guidance and a traditional hilar dissection without rib spreading. Between 1998 and 2001, 128 patients with peripheral lung nodules ≤ 3 cm in size with suspected NSCLC were prospectively registered for VATS lobectomy. Results One hundred twenty-seven patients (66 males and 61 females; median age, 66 years; range, 37 to 86 years), with a performance status of 0 (74%) or 1 (26%), underwent surgery. Patients with lymph nodes more than 1 cm by computed tomography scan underwent mediastinal lymph node sampling to rule out N2 disease. One hundred eleven patients (87%) had stage I lung cancer, and 96 (86.5%) of these 111 patients underwent successful VATS lobectomies. The median procedure length was 130 minutes (range, 47 to 428 minutes), and median chest tube duration was 3 days (range, 1 to 14 days). Fifty-eight (60%) of 97 patients underwent diagnostic biopsy at lobectomy. Within 30 days, three (2.7%) of 111 patient deaths occurred, none of which were directly related to VATS technique; seven (7.4%) of 95 patients had grade 3 or greater complications, with only one case of bleeding. Conclusion A standardized approach to VATS lobectomy as specifically defined with avoidance of rib spreading is feasible.

Clinical outcomes of powered and manual staplers in video-assisted thoracic surgery lobectomy for lung cancer

2021 ◽  
Author(s):  
Yang Gao ◽  
Fang Xiong ◽  
Xiaozhe Xia ◽  
Pengjuan Gu ◽  
Qinghong Wang ◽  
...  
Keyword(s):  
Lung Cancer ◽  
Thoracic Surgery ◽  
Clinical Outcomes ◽  
Medical Records ◽  
Operation Time ◽  
Patient Characteristics ◽  
Vats Lobectomy ◽  
Video Assisted Thoracic Surgery ◽  
Video Assisted ◽  
Electronic Hospital

Methods: This retrospective cohort study identified patients who underwent video-assisted thoracic surgery (VATS) lobectomy for lung cancer from January 2016 to December 2018 in a Chinese tertiary general hospital. The electronic hospital medical records associated with the VATS lobectomy for lung cancer were the data sources. Results: Based on the analysis of 433 patients with the utilization of staplers in their VATS lobectomy for lung cancer, using powered stapler was associated with significantly shorter operation time and postsurgery hospital stay length than using the manual stapler in the multivariable generalized linear regression analyses with the adjustment of patient characteristics. However, no other significant differences were observed for other clinical outcomes between the two staplers.

Sign in / Sign up

Export Citation Format

Share Document