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Ann Thorac Surg 1996;61:202-204
© 1996 The Society of Thoracic Surgeons
Clinique Chirurgicale Universitaire, Hôpital du Bocage, Dijon, France
Accepted for publication September 12, 1995.
Background. The aim of this study was to assess the experience with video-assisted thoracic surgery for the resection of pulmonary nodules.
Methods. This voluntary registry (20 centers) included 388 patients with either benign (n = 171) or malignant (n = 217) pulmonary nodules. Pulmonary nodules were located using computed tomography scan-guided injection of methylene blue (59 patients) and hook wire technique (17 patients).
Results. Video-assisted thoracic surgery was converted into thoracotomy in 67 patients (17%) because of technical emergency in 4, inability to complete resection in 33, and the need to perform lobectomy for cancer through thoracotomy in 30. In other patients, video-assisted thoracic surgery allowed wedge resection in 300 cases and lobectomy in 21 cases. No intraoperative and two postoperative deaths (0.56%) occurred. The complication rate was 8% (n = 31). Mean durations of chest tube placement and hospital stay were 3.3 days (range, 1 to 20 days) and 6 days (range, 1 to 25 days), respectively. Video-assisted thoracic surgery was judged by the surgeon to be a diagnostic procedure 226 times (58%) and a therapeutic procedure 162 times (42%).
Conclusion. Video-assisted thoracic surgery appears to be safe and remains mainly a diagnostic procedure for malignant tumors.
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Ann. Thorac. Surg. 1996 61: 204-205.
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