| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
|
|
|
|||||||
|
|||||||||
Ann Thorac Surg 1995;59:971-974
© 1995 The Society of Thoracic Surgeons
Department of General Surgery, University of Milan, San Giuseppe Hospital, Milano, Italy
Accepted for publication December 30, 1994.
Videothoracoscopy, routinely performed as the initial step of an operation, opens interesting opportunities for both the operative staging and treatment of lung cancer. Videosurgical maneuvers ensure thorough exploration of the cavity, thus avoiding unnecessary exploratory thoracotomies, confirming resectability of the lesion by open or, in selected cases, by a direct video-assisted approach. We report our experience of 155 patients submitted to videothoracoscopic operative staging between October 1991 and January 1994. Videothoracoscopic operative staging showed unresectability in 13 patients (8.3%) due to preoperatively unexpected (10 patients) or suspected conditions (3 patients). The remaining 142 patients were divided by staging of the lesion and general conditions into three groups. Group A consisted of 13 elderly patients with small peripheral tumor who could not tolerate lobectomy and who underwent thoracoscopic wedge resection. Group B consisted of 63 patients with peripheral clinical T1 N0 or T2 N0 tumor. Fifty-two lobectomies and 4 pneumonectomies were carried out thoracoscopically. Seven conversions to thoracotomy were necessary due to technical problems. The postoperative course was uneventful in 51, 5 had prolonged air leakage, and a bronchial fistula developed in 1 because of positive-pressure postoperative ventilation. Group C consisted of 66 patients with stage II or IIIa neoplasm. Thoracotomy after thoracoscopy proved unresectability in 4, whereas 62 were submitted to a radical pulmonary resection. In the literature the incidence of exploratory thoracotomies for conditions missed by preoperative staging still remains high. After adoption of videothoracoscopic operative staging we reported a 2.6% exploratory thoracotomy rate. This is sufficient to justify routine performing of videothoracoscopic operative staging as the first step of operation for lung cancer. Furthermore, videothoracoscopic operative staging permits confirmation of resectability of the lesion and, in selected patients, even direct video-excision. In our experience videothoracoscopic treatment proved a safe and concrete opportunity.
This article has been cited by other articles:
|
|
 |
|
  P. Solli and L. Spaggiari Indications and Developments of Video-Assisted Thoracic Surgery in the Treatment of Lung Cancer Oncologist, October 1, 2007; 12(10): 1205 - 1214. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 A. Orki, C. Tezel, A. Kosar, A. A. Ersev, C. Dudu, and B. Arman Feasibility of Imprint Cytology for Evaluation of Mediastinal Lymph Nodes in Lung Cancer Jpn. J. Clin. Oncol., February 1, 2006; 36(2): 76 - 79. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 M. Okada, T. Sakamoto, T. Yuki, T. Mimura, K. Miyoshi, and N. Tsubota Hybrid Surgical Approach of Video-Assisted Minithoracotomy for Lung Cancer: Significance of Direct Visualization on Quality of Surgery Chest, October 1, 2005; 128(4): 2696 - 2701. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 D. Sortini, C. V. Feo, P. Carcoforo, G. Carrella, E. Pozza, A. Liboni, and A. Sortini Thoracoscopic Localization Techniques for Patients With Solitary Pulmonary Nodule and History of Malignancy Ann. Thorac. Surg., January 1, 2005; 79(1): 258 - 262. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
G. Roviaro, F. Varoli, C. Vergani, O. Nucca, M. Maciocco, and F. Grignani Long-term Survival After Videothoracoscopic Lobectomy for Stage I Lung Cancer Chest, September 1, 2004; 126(3): 725 - 732. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 W. S. Walker, M. Codispoti, S. Y. Soon, S. Stamenkovic, F. Carnochan, and G. Pugh Long-term outcomes following VATS lobectomy for non-small cell bronchogenic carcinoma Eur. J. Cardiothorac. Surg., March 1, 2003; 23(3): 397 - 402. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
J. Loscertales, R. Jimenez-Merchan, M. Congregado-Loscertales, C. Arenas-Linares, J. C. Giron-Arjona, A. A. Tristan, and J. Ayarra Usefulness of videothoracoscopic intrapericardial examination of pulmonary vessels to identify resectable clinical T4 lung cancer Ann. Thorac. Surg., May 1, 2002; 73(5): 1563 - 1566. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
J. Mouroux, N. Venissac, and M. Alifano Combined video-assisted mediastinoscopy and video-assisted thoracoscopy in the management of lung cancer Ann. Thorac. Surg., November 1, 2001; 72(5): 1698 - 1704. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 G. Roviaro, F. Varoli, A. Romanelli, C. Vergani, and M. Maciocco Complications of tracheal sleeve pneumonectomy: Personal experience and overview of the literature J. Thorac. Cardiovasc. Surg., February 1, 2001; 121(2): 0234 - 240. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
J. F. Gilart, P. G. Garcia, F. R. de Castro, P. R. Suarez, N. S. Rodriguez, and A. V. de Ugarte Extended cervical mediastinoscopy in the staging of bronchogenic carcinoma Ann. Thorac. Surg., November 1, 2000; 70(5): 1641 - 1643. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
J. Deslauriers and J. Gregoire Clinical and Surgical Staging of Non-Small Cell Lung Cancer Chest, April 1, 2000; 117(4_suppl_1): 96S - 103S. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
R. J. McKenna Jr, R. K. Wolf, M. Brenner, R. J. Fischel, and P. Wurnig Is lobectomy by video-assisted thoracic surgery an adequate cancer operation? Ann. Thorac. Surg., December 1, 1998; 66(6): 1903 - 1907. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 G C Roviaro, M Maciocco, F Varoli, C Rebuffat, C Vergani, and A Scarduelli Videothoracoscopic treatment of oesophageal leiomyoma Thorax, March 1, 1998; 53(3): 190 - 192. [Abstract] [Full Text]
|
|
| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
| ANN THORAC SURG | ASIAN CARDIOVASC THORAC ANN | EUR J CARDIOTHORAC SURG |
| J THORAC CARDIOVASC SURG | ICVTS | ALL CTSNet JOURNALS |
