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Ann Thorac Surg 1997;63:1421-1422
© 1997 The Society of Thoracic Surgeons

Invited Commentary

Invited Commentary

Thomas J. Kirby, MD

Department of Thoracic and Cardiovascular Surgery, The Cleveland Clinic Foundation, 9500 Euclid Ave, Cleveland, OH 44195

The first 20% of the full text of this article appears below.

See also page 1415.

Lewis and associates report their experience with 100 "consecutive" simultaneously stapled (SS) lobectomies. The term consecutive is somewhat misleading because these cases were obviously selected preoperatively from a larger group of patients undergoing standard thoracotomy and lobectomy. Therefore the implied suggestion that one can indiscriminately apply SS lobectomy is without basis.

The rationale used to develop SS lobectomy was that individual isolation, ligation, and transection of the bronchovascular structures using a video-assisted thoracic surgical (VATS) approach to lobectomy was "awkward, cumbersome, and at times dangerous." In my experience and that of others in more than 200 cases of VATS and anatomic lobectomy this has not proved to be the case [1, 2]. Also Lewis and associates could not predict when developing this technique whether SS lobectomy might have carried even more risks than the traditional technique. There was no reported work in an animal model to verify . . . [Full Text of this Article]


Related Article

One Hundred Video-Assisted Thoracic Surgical Simultaneously Stapled Lobectomies Without Rib Spreading
Ralph J. Lewis, Robert J. Caccavale, Glenn E. Sisler, Jean-Philippe Bocage, and James W. Mackenzie
Ann. Thorac. Surg. 1997 63: 1415-1421. [Abstract] [Full Text]



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