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The Annals of Thoracic Surgery, Vol 56, 1039-1043, Copyright © 1993 by The Society of Thoracic Surgeons
SR Hazelrigg, SK Nunchuck and J LoCicero 3d
The Video Assisted Thoracic Surgery Study Group was formed to collect data
on thoracoscopic procedures in an effort to define the role for this new
technique. With more than 40 participating institutions, 1,820 cases have
been collected through December 1992. Lung nodules and pleural effusions
represent the most frequent indications, and wedge resection and operation
in the pleural space were the most common procedures performed. Four
hundred thirty-nine procedures (24%) were converted to a thoracotomy
because of the need for more extensive resection (219), inability to find
the pathology (65), too large a lesion or difficult location (62),
adhesions (58), equipment failure (25), or bleeding (10). Prolonged air
leak (> 5 days) was the most frequent complication. Patients undergoing
video-assisted thoracic surgery and wedge resection had a mean hospital
stay of 5.1 days; video- assisted thoracic surgical lobectomy was performed
in 38 patients, who had a mean stay of 6.3 days. Air leaks were more
prevalent in patients with poor pulmonary function (forced expiratory
volume in 1 second < 1 L) and the elderly (> or = 75 years) after
video-assisted thoracic surgical wedge resection. Video-assisted thoracic
surgery appears safe and may be advantageous for some procedures. Further
studies will be required to define its precise role in thoracic surgery.
ARTICLES
Video Assisted Thoracic Surgery Study Group data
Division of Cardiothoracic Surgery, Southern Illinois University School of Medicine, Springfield 62794-9230.
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