| Autor: |
Kuda, Tomoharu, Genka, Keiichirou, Ishikawa, Kiyoshi, Koja, Kageharu, Kusaba, Akira, Second Department of Surgery, Faculty of Medicine, University of Ryukyus, Research Center of Comprehensive Medicine, Faculty of Medicine, University of Ryukyus, National Okinawa Hospital, Okinawa, Japan |
| Jazyk: |
angličtina |
| Rok vydání: |
1997 |
| Předmět: |
|
| Zdroj: |
琉球医学会誌 = Ryukyu Medical Journal. 17(1):25-30 |
| ISSN: |
1346-888X |
| Popis: |
We analyzed 47 patients who underwent exploratory thoracotomy (thoracotomy without resection) for advanced primary lung cancer. After the introduction of video-assisted thoracic surgery (VATS), we studied its usefulness and compared it with exploratory thoracotomy in marginal cases. Between 1978 and 1991, exploratory thoracotomy was performed on 7% of primary lung cancer patients with bulky N2 disease, intrapulmonary metastasis (pm) and/or pleural dissemination. After the introduction of VATS, this decreased to 5.8% (4 of 69 cases). Although there was no significant difference in the incidence after the introduction of VATS, exploratory thoracotomy was avoided in 5 cases by using VATS. Bulky N2 disease in the subaortic nodules was also diagnosed via VATS. We conelude that VATS is useful in the diagnosis of pm and/or pleural dissemination and in avoiding unnecessary exploratory thoracotomy. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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