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The Annals of Thoracic Surgery, Vol 56, 779-783, Copyright © 1993 by The Society of Thoracic Surgeons

ARTICLES

Major pulmonary resections: pneumonectomies and lobectomies

G Roviaro, F Varoli, C Rebuffat, C Vergani, A D'Hoore, SM Scalambra, M Maciocco and F Grignani
Department of Surgery, S. Giuseppe Hospital, University of Milan, 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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