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[Complications of major lung resections by video-assisted thoracoscopic surgery].
Kyobu Geka. 2003 Oct; 56(11):943-8.KG

Abstract

Lobectomy by video-assisted thoracoscopic surgery (VATS) is gradually being performed more frequently because of advantages regarding pain and pulmonary function. Complications sometimes occur during or after VATS lobectomy. The purpose of this study was to analyze the incidence and the causes of the complications. From 1997 to 2003, 185 patients underwent VATS lobectomies. Selected diseases for this approach included primary lung cancer (n = 172), metastatic lung cancer (n = 7), benign lung tumors (n = 3) and lung sequestration (n = 3). The VATS approach was converted to open thoracotomy in 15 (8.1%) of 185 patients because of bleeding (n = 8), dense hilar adenopathy (DHA, n = 3), local extent of disease (n = 3) of intraoperative cardiac trouble (n = 1). Intraoperative complications involved injury to a blood vessel (n = 21), stapling failure (n = 15), lung injury (n = 7), nerve injury (n = 3), and others. Predictive factors for injury to pulmonary arteries was DHA (OR 37.0, p < 0.0001). Postoperative surgical death occurred in 2 patients due to pneumonia. Postoperative morbidity was 22.9%. A surgical operation without any good direct or thoracoscopic view or the use of a thoracoscopic tool without knowledge of the directions on its use should be avoided. The VATS approach should be replaced by open thoracotomy if there are DHA.

Authors+Show Affiliations

Department of Second Surgery, School of Medicine, Sapporo Medical University, Sapporo, 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
Review

Language

jpn

PubMed ID

14579698

Citation

Watanabe, A, et al. "[Complications of Major Lung Resections By Video-assisted Thoracoscopic Surgery]." Kyobu Geka. the Japanese Journal of Thoracic Surgery, vol. 56, no. 11, 2003, pp. 943-8.
Watanabe A, Osawa H, Watanabe T, et al. [Complications of major lung resections by video-assisted thoracoscopic surgery]. Kyobu Geka. 2003;56(11):943-8.
Watanabe, A., Osawa, H., Watanabe, T., Mawatari, T., Ichimiya, Y., Takahashi, N., & Abe, T. (2003). [Complications of major lung resections by video-assisted thoracoscopic surgery]. Kyobu Geka. the Japanese Journal of Thoracic Surgery, 56(11), 943-8.
Watanabe A, et al. [Complications of Major Lung Resections By Video-assisted Thoracoscopic Surgery]. Kyobu Geka. 2003;56(11):943-8. PubMed PMID: 14579698.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Complications of major lung resections by video-assisted thoracoscopic surgery]. AU - Watanabe,A, AU - Osawa,H, AU - Watanabe,T, AU - Mawatari,T, AU - Ichimiya,Y, AU - Takahashi,N, AU - Abe,T, PY - 2003/10/29/pubmed PY - 2003/11/5/medline PY - 2003/10/29/entrez SP - 943 EP - 8 JF - Kyobu geka. The Japanese journal of thoracic surgery JO - Kyobu Geka VL - 56 IS - 11 N2 - Lobectomy by video-assisted thoracoscopic surgery (VATS) is gradually being performed more frequently because of advantages regarding pain and pulmonary function. Complications sometimes occur during or after VATS lobectomy. The purpose of this study was to analyze the incidence and the causes of the complications. From 1997 to 2003, 185 patients underwent VATS lobectomies. Selected diseases for this approach included primary lung cancer (n = 172), metastatic lung cancer (n = 7), benign lung tumors (n = 3) and lung sequestration (n = 3). The VATS approach was converted to open thoracotomy in 15 (8.1%) of 185 patients because of bleeding (n = 8), dense hilar adenopathy (DHA, n = 3), local extent of disease (n = 3) of intraoperative cardiac trouble (n = 1). Intraoperative complications involved injury to a blood vessel (n = 21), stapling failure (n = 15), lung injury (n = 7), nerve injury (n = 3), and others. Predictive factors for injury to pulmonary arteries was DHA (OR 37.0, p < 0.0001). Postoperative surgical death occurred in 2 patients due to pneumonia. Postoperative morbidity was 22.9%. A surgical operation without any good direct or thoracoscopic view or the use of a thoracoscopic tool without knowledge of the directions on its use should be avoided. The VATS approach should be replaced by open thoracotomy if there are DHA. SN - 0021-5252 UR - https://www.unboundmedicine.com/medline/citation/14579698/[Complications_of_major_lung_resections_by_video_assisted_thoracoscopic_surgery]_ L2 - https://medlineplus.gov/lungcancer.html DB - PRIME DP - Unbound Medicine ER -