Microlobectomy: A Novel Form of Endoscopic Lobectomy
| Autor: | Dennis A. Wigle, Mohamed ElSaegh, Marco Nardini, Joel Dunning, Henrik Jessen Hansen, René Horsleben Petersen, Malgorzata Kornaszewska, Shanda H. Blackmon, W. S. Walker, Bryan S. Helsel, Hatam Naase, Erin A. Gillaspie, Malcolm B. Will |
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| Rok vydání: | 2017 |
| Předmět: |
Pulmonary and Respiratory Medicine
Male medicine.medical_specialty Lung Neoplasms medicine.medical_treatment VATS lobectomy Operative Time 030204 cardiovascular system & hematology 03 medical and health sciences Pneumonectomy 0302 clinical medicine medicine Humans Lung cancer Aged business.industry Endoscopy General Medicine Middle Aged medicine.disease Surgery Treatment Outcome Cardiothoracic surgery 030220 oncology & carcinogenesis Female business Cardiology and Cardiovascular Medicine |
| Zdroj: | Innovations (Philadelphia, Pa.). 12(4) |
| ISSN: | 1559-0879 |
| Popis: | ObjectiveMicrolobectomy is a novel form of videoscopic-assisted thoracic surgery lobectomy. Strict inclusion criteria consist of the following: no intercostal incisions greater than 5 mm, 12 mm subxiphoid port, subxiphoid removal of the specimen, total endoscopic technique with CO2insufflation, vision through a 5-mm camera, stapling via the subxiphoid port, or with 5-mm stapling devices.MethodsThe combined early experiences of six hospitals from three countries were combined from September 2014 to May 2016. During that time, the study represents a consecutive cohort study of this technique.ResultsSeventy-two patients underwent microlobectomy. The median (range) age was 66 (27–82). Half of the patients were female. There were 48 right-sided resections and 24 on the left. There were four segmental resections and there was one right pneumonectomy. Four operations were performed robotically (with 8-mm intercostal incisions). The median (range) operative time was 180 (94–285) minutes and the blood loss was 118 (5–800) mL. There were three conversions to thoracotomy and two conversions to videoscopic-assisted thoracic surgery by means of an intercostal utility incision to complete the operation. The median (range)length of stay was 3(1–44) days and 30 patients (42%) when home by day 2 and 16 patients (22%) were discharged on day 1. There were no deaths. Five patients (7%) had a prolonged airleak. There were no wound infections and there was one incisional hernia.ConclusionsWe believe that microlobectomy is an interesting novel form of videoscopic-assisted thoracic surgery lobectomy and has several theoretical advantages. We have presented our early results and hope that this will stimulate others to investigate this type of videoscopic-assisted thoracic surgery lobectomy further. |
| Databáze: | OpenAIRE |
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