Video-assisted thoracic surgery (VATS) lobectomy for bronchogenic carcinoma
Autor: | Randall Kevin Wolf, Richard J. Fischel, Robert McKenna, Peter Wurnig |
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Rok vydání: | 1998 |
Předmět: |
Pulmonary and Respiratory Medicine
Adult medicine.medical_specialty medicine.medical_treatment VATS lobectomy medicine Thoracoscopy Humans Thoracotomy Lung cancer Intraoperative Complications Aged Aged 80 and over Microscopy Video medicine.diagnostic_test business.industry Bronchial Neoplasms Carcinoma Cancer General Medicine Middle Aged Thoracic Surgical Procedures medicine.disease Thoracoscopes Surgery Bronchogenic carcinoma Dissection Cardiothoracic surgery Evaluation Studies as Topic Cardiology and Cardiovascular Medicine business Follow-Up Studies |
Zdroj: | Seminars in thoracic and cardiovascular surgery. 10(4) |
ISSN: | 1043-0679 |
Popis: | Video-assisted thoracic surgery (VATS) lobectomy remains controversial because surgeons have been concerned about the safety of the procedure and the adequacy of the cancer operation when it is performed for lung cancer. This review of a 4.5-year experience with 212 VATS lobectomies for primary lung cancer was undertaken to address these issues. All operations involved a standard anatomic dissection and lymph node sampling or dissection. The mean length of stay was 4.6 days. There were no serious problems of intraoperative bleeding. There was one death owing to mesenteric venous infarct. The 4.5-year survival for stage I lung cancer was 76%. The data suggest that a complete cancer operation for primary lung cancer can be safely performed with VATS, with survival that is comparable with operations performed with a thoracotomy. |
Databáze: | OpenAIRE |
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