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Ann Thorac Surg 1993;56:779-783
© 1993 The Society of Thoracic Surgeons

Articles

Major pulmonary resections: Pneumonectomies and lobectomies

Giancarlo Roviaro, MD*, Federico Varoli, MD, Carlo Rebuffat, MD, Contardo Vergani, MD, André D'Hoore, MD, Silvio Marco Scalambra, MD, Marco Maciocco, MD, Fabrizio Grignani, MD

Department of Surgery, S. Giuseppe Hospital, University of Milan, Milan, Italy

* Address reprint requests to Dr Roviaro, Cattedra di Chirurgia Generale, Università di Milano, Divisione Chirurgia, Ospedale S. Giuseppe, Via S. Vittore, 12, 20123-Milano, Italy.

We report on our experience in 20 patients who underwent major thoracoscopic pulmonary resections between October 1991 and November 1992. These consist of 2 left pneumonectomies, 17 lobectomies, and 1 segmentectomy. The indications were strictly limited to benign pulmonary diseases and stage I (TNM) primary lung cancer. A hilar lymphadenectomy was performed in all cases of malignancy. Our surgical technique is described. Our findings demonstrate the feasibility of performing major video-assisted thoracoscopic pulmonary resections, even though the definite role of this procedure in the management of lung cancer must still be defined.




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