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Video-assisted thoracic surgery sleeve lobectomy: a case series.
Ann Thorac Surg. 2008 Feb; 85(2):S729-32.AT

Abstract

BACKGROUND

As thoracic surgery moves towards more minimally invasive procedures, such as video-assisted thoracic surgery (VATS) lobectomy, conversion from a VATS to open thoracotomy has been required for a sleeve resection. This article reports a large experience of VATS sleeve lobectomy.

METHODS

We reviewed our thoracic surgery database of more than 1500 VATS lobectomies for VATS sleeve resections. Preoperative, operative, and perioperative outcome variables, including morbidity and mortality were examined.

RESULTS

Identified were 13 patients (median age, 59 years; range, 16 to 82 years) who underwent VATS sleeve lobectomy. There were no conversions to thoracotomy. Diagnoses included non-small cell lung cancer in 8 patients, typical carcinoid in 4, and metastatic sarcoma in 1 patient. Median tumor size was 2.1 cm (range, 0 to 6.6 cm). Median data were operative time, 167 minutes (range, 90 to 300 minutes); blood loss, 250 mL (range, 75 to 800 mL); chest tube drainage, 692 mL (range, 459 to 1590 mL); and chest tube duration, 3 days (range, 2 to 6 days). Median intensive care unit stay was 0 days (range, 0 to 4 days), and median hospital stay was 3 days (range, 2 to 8 days). No complications occurred in 9 patients (69%). Morbidity in the remaining 4 patients included 1 patient each with atrial fibrillation, anastomotic stricture, reintubation, and bronchial tear requiring repair. There were no deaths at 30 days.

CONCLUSIONS

In experienced centers, VATS sleeve lobectomy is possible with acceptable morbidity and mortality as well as short length of stay.

Authors+Show Affiliations

Department of Thoracic Surgery, Cedars-Sinai Medical Center, Los Angeles, California 90048, USA. mahtabifarda@cshs.orgNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

18222205

Citation

Mahtabifard, Ali, et al. "Video-assisted Thoracic Surgery Sleeve Lobectomy: a Case Series." The Annals of Thoracic Surgery, vol. 85, no. 2, 2008, pp. S729-32.
Mahtabifard A, Fuller CB, McKenna RJ. Video-assisted thoracic surgery sleeve lobectomy: a case series. Ann Thorac Surg. 2008;85(2):S729-32.
Mahtabifard, A., Fuller, C. B., & McKenna, R. J. (2008). Video-assisted thoracic surgery sleeve lobectomy: a case series. The Annals of Thoracic Surgery, 85(2), S729-32. https://doi.org/10.1016/j.athoracsur.2007.12.001
Mahtabifard A, Fuller CB, McKenna RJ. Video-assisted Thoracic Surgery Sleeve Lobectomy: a Case Series. Ann Thorac Surg. 2008;85(2):S729-32. PubMed PMID: 18222205.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Video-assisted thoracic surgery sleeve lobectomy: a case series. AU - Mahtabifard,Ali, AU - Fuller,Clark B, AU - McKenna,Robert J,Jr PY - 2007/08/03/received PY - 2007/12/02/revised PY - 2007/12/03/accepted PY - 2008/1/29/pubmed PY - 2008/3/12/medline PY - 2008/1/29/entrez SP - S729 EP - 32 JF - The Annals of thoracic surgery JO - Ann. Thorac. Surg. VL - 85 IS - 2 N2 - BACKGROUND: As thoracic surgery moves towards more minimally invasive procedures, such as video-assisted thoracic surgery (VATS) lobectomy, conversion from a VATS to open thoracotomy has been required for a sleeve resection. This article reports a large experience of VATS sleeve lobectomy. METHODS: We reviewed our thoracic surgery database of more than 1500 VATS lobectomies for VATS sleeve resections. Preoperative, operative, and perioperative outcome variables, including morbidity and mortality were examined. RESULTS: Identified were 13 patients (median age, 59 years; range, 16 to 82 years) who underwent VATS sleeve lobectomy. There were no conversions to thoracotomy. Diagnoses included non-small cell lung cancer in 8 patients, typical carcinoid in 4, and metastatic sarcoma in 1 patient. Median tumor size was 2.1 cm (range, 0 to 6.6 cm). Median data were operative time, 167 minutes (range, 90 to 300 minutes); blood loss, 250 mL (range, 75 to 800 mL); chest tube drainage, 692 mL (range, 459 to 1590 mL); and chest tube duration, 3 days (range, 2 to 6 days). Median intensive care unit stay was 0 days (range, 0 to 4 days), and median hospital stay was 3 days (range, 2 to 8 days). No complications occurred in 9 patients (69%). Morbidity in the remaining 4 patients included 1 patient each with atrial fibrillation, anastomotic stricture, reintubation, and bronchial tear requiring repair. There were no deaths at 30 days. CONCLUSIONS: In experienced centers, VATS sleeve lobectomy is possible with acceptable morbidity and mortality as well as short length of stay. SN - 1552-6259 UR - https://www.unboundmedicine.com/medline/citation/18222205/Video_assisted_thoracic_surgery_sleeve_lobectomy:_a_case_series_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0003-4975(07)02457-5 DB - PRIME DP - Unbound Medicine ER -