Tags

Type your tag names separated by a space and hit enter

[Intraoperative conversion and postoperative complication of video-assisted thoracoscopic surgery lobectomy for primary lung cancer].
Kyobu Geka. 2003 Oct; 56(11):939-42.KG

Abstract

By 2002, we had attempted video-assisted thoracoscopic surgery (VATS) lobectomy or segmentectomy for 140 primary lung cancer cases. Four cases (2.9%) were converted to standard posterolateral thoracotomy for oncologic reasons and aortic injury, and 7 cases (5%) were converted to minithoracotomy with a 10 cm incision due to almost injuring the vascular system. Average blood loss in these cases was 379 ml, and there was no blood transfusion required. Seven of these 11 cases had true pleural symphysis in the thoracic cavity. The remaining 129 cases, consisted of 93 lobectomies and 34 segmentectomies, performed with a minithoracotomy of 5 cm using 2 ports. Average surgical duration was 227 minutes, and blood loss was 100 ml. Postoperative complication occurred in 15 patients (11.6%). Major complications included 1 broncho-pleural fistula, 1 pulmonary infarction, 1 cerebral infarction and 1 respiratory failure needed for mechanical ventilation. However, there were no hospital deaths. The mean postoperative hospital stay was 12 days. We recommend that surgeons should pay attention to hilar dissection, particularly in the presences of adhesion and carefully judge whether to convert to thoracotomy at the time of hemorrhage. The VATS procedure has a low mortality and morbidity for lung cancer, but particulaly in high risk patients, requires care and management the same as an open thoracotomy.

Authors+Show Affiliations

Yokohama Rosai Hospital, Yokohama, Japan.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

English Abstract
Journal Article

Language

jpn

PubMed ID

14579697

Citation

Maehara, T, et al. "[Intraoperative Conversion and Postoperative Complication of Video-assisted Thoracoscopic Surgery Lobectomy for Primary Lung Cancer]." Kyobu Geka. the Japanese Journal of Thoracic Surgery, vol. 56, no. 11, 2003, pp. 939-42.
Maehara T, Takei H, Nishii T, et al. [Intraoperative conversion and postoperative complication of video-assisted thoracoscopic surgery lobectomy for primary lung cancer]. Kyobu Geka. 2003;56(11):939-42.
Maehara, T., Takei, H., Nishii, T., Itoh, H., Inui, K., Watanabe, K., & Nakayama, H. (2003). [Intraoperative conversion and postoperative complication of video-assisted thoracoscopic surgery lobectomy for primary lung cancer]. Kyobu Geka. the Japanese Journal of Thoracic Surgery, 56(11), 939-42.
Maehara T, et al. [Intraoperative Conversion and Postoperative Complication of Video-assisted Thoracoscopic Surgery Lobectomy for Primary Lung Cancer]. Kyobu Geka. 2003;56(11):939-42. PubMed PMID: 14579697.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Intraoperative conversion and postoperative complication of video-assisted thoracoscopic surgery lobectomy for primary lung cancer]. AU - Maehara,T, AU - Takei,H, AU - Nishii,T, AU - Itoh,H, AU - Inui,K, AU - Watanabe,K, AU - Nakayama,H, PY - 2003/10/29/pubmed PY - 2003/11/5/medline PY - 2003/10/29/entrez SP - 939 EP - 42 JF - Kyobu geka. The Japanese journal of thoracic surgery JO - Kyobu Geka VL - 56 IS - 11 N2 - By 2002, we had attempted video-assisted thoracoscopic surgery (VATS) lobectomy or segmentectomy for 140 primary lung cancer cases. Four cases (2.9%) were converted to standard posterolateral thoracotomy for oncologic reasons and aortic injury, and 7 cases (5%) were converted to minithoracotomy with a 10 cm incision due to almost injuring the vascular system. Average blood loss in these cases was 379 ml, and there was no blood transfusion required. Seven of these 11 cases had true pleural symphysis in the thoracic cavity. The remaining 129 cases, consisted of 93 lobectomies and 34 segmentectomies, performed with a minithoracotomy of 5 cm using 2 ports. Average surgical duration was 227 minutes, and blood loss was 100 ml. Postoperative complication occurred in 15 patients (11.6%). Major complications included 1 broncho-pleural fistula, 1 pulmonary infarction, 1 cerebral infarction and 1 respiratory failure needed for mechanical ventilation. However, there were no hospital deaths. The mean postoperative hospital stay was 12 days. We recommend that surgeons should pay attention to hilar dissection, particularly in the presences of adhesion and carefully judge whether to convert to thoracotomy at the time of hemorrhage. The VATS procedure has a low mortality and morbidity for lung cancer, but particulaly in high risk patients, requires care and management the same as an open thoracotomy. SN - 0021-5252 UR - https://www.unboundmedicine.com/medline/citation/14579697/[Intraoperative_conversion_and_postoperative_complication_of_video_assisted_thoracoscopic_surgery_lobectomy_for_primary_lung_cancer]_ L2 - http://www.diseaseinfosearch.org/result/4334 DB - PRIME DP - Unbound Medicine ER -