Tags

Type your tag names separated by a space and hit enter

[Video-assisted thoracoscopic surgery lobectomy: expanding indications based on the optimization of surgical techniques].

Abstract

Video-assisted thoracoscopic surgery (VATS) lobectomy is a less invasive procedure when compared with the traditional thoracotomy. With the development of operative techniques, VATS lobectomy has become a definite procedure for stage I and some stage II a lung cancer. However, it is still controversial due to operative difficulty whether it is feasible to perform thoracoscopic surgery in anatomic pulmonary segmentectomy, bronchial sleeve lobectomy, bronchial and arterial sleeve lobectomy, large tumor (> 5 cm), pneumonectomy and resection of Pancoast tumor. Some difficulties in performing thoracoscopic lobectomy such as: pleural cavity adhesions or atresia, local invasion, interlobar fissure dysplasia, bleeding, as well as "troublesome hilum", were once thought to be indication for conversion to thoracotomy. We proposed a new concept of thoracoscopic lung resection: "single-direction thoracoscopic lobectomy", which has been proved to be simple, safe, and effective and has been widely accepted in our country. In practice, we are still proceeding with further exploration, technical optimization and expanding its application in more complicated lung surgery. For instance, we have developed strategies of "fast recovery" and "mini-invasive diagnosis and synchronous treatment of lung cancer" and a series of stylized techniques such as thoracoscopic adhesiolysis, bloodless technique, suction-compressing angiorrhaphy technique, presumptive control of the main pulmonary artery, hollow-out method in thoracoscopic lobectomy. With accumulative experience utilizing these innovative techniques, we believe that thoracoscopic lobectomy would become the mainstream for surgical management of pulmonary diseases.

Authors+Show Affiliations

Department of Thoracic Surgery, West China Hospital, Sichuan University, Chengdu 610041, China.No affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

chi

PubMed ID

23600221

Citation

Liu, Lun-Xu, et al. "[Video-assisted Thoracoscopic Surgery Lobectomy: Expanding Indications Based On the Optimization of Surgical Techniques]." Sichuan Da Xue Xue Bao. Yi Xue Ban = Journal of Sichuan University. Medical Science Edition, vol. 44, no. 1, 2013, pp. 104-8.
Liu LX, Liu CW, Yang JJ. [Video-assisted thoracoscopic surgery lobectomy: expanding indications based on the optimization of surgical techniques]. Sichuan Da Xue Xue Bao Yi Xue Ban. 2013;44(1):104-8.
Liu, L. X., Liu, C. W., & Yang, J. J. (2013). [Video-assisted thoracoscopic surgery lobectomy: expanding indications based on the optimization of surgical techniques]. Sichuan Da Xue Xue Bao. Yi Xue Ban = Journal of Sichuan University. Medical Science Edition, 44(1), pp. 104-8.
Liu LX, Liu CW, Yang JJ. [Video-assisted Thoracoscopic Surgery Lobectomy: Expanding Indications Based On the Optimization of Surgical Techniques]. Sichuan Da Xue Xue Bao Yi Xue Ban. 2013;44(1):104-8. PubMed PMID: 23600221.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Video-assisted thoracoscopic surgery lobectomy: expanding indications based on the optimization of surgical techniques]. AU - Liu,Lun-Xu, AU - Liu,Cheng-Wu, AU - Yang,Jun-Jie, PY - 2013/4/23/entrez PY - 2013/4/23/pubmed PY - 2015/7/15/medline SP - 104 EP - 8 JF - Sichuan da xue xue bao. Yi xue ban = Journal of Sichuan University. Medical science edition JO - Sichuan Da Xue Xue Bao Yi Xue Ban VL - 44 IS - 1 N2 - Video-assisted thoracoscopic surgery (VATS) lobectomy is a less invasive procedure when compared with the traditional thoracotomy. With the development of operative techniques, VATS lobectomy has become a definite procedure for stage I and some stage II a lung cancer. However, it is still controversial due to operative difficulty whether it is feasible to perform thoracoscopic surgery in anatomic pulmonary segmentectomy, bronchial sleeve lobectomy, bronchial and arterial sleeve lobectomy, large tumor (> 5 cm), pneumonectomy and resection of Pancoast tumor. Some difficulties in performing thoracoscopic lobectomy such as: pleural cavity adhesions or atresia, local invasion, interlobar fissure dysplasia, bleeding, as well as "troublesome hilum", were once thought to be indication for conversion to thoracotomy. We proposed a new concept of thoracoscopic lung resection: "single-direction thoracoscopic lobectomy", which has been proved to be simple, safe, and effective and has been widely accepted in our country. In practice, we are still proceeding with further exploration, technical optimization and expanding its application in more complicated lung surgery. For instance, we have developed strategies of "fast recovery" and "mini-invasive diagnosis and synchronous treatment of lung cancer" and a series of stylized techniques such as thoracoscopic adhesiolysis, bloodless technique, suction-compressing angiorrhaphy technique, presumptive control of the main pulmonary artery, hollow-out method in thoracoscopic lobectomy. With accumulative experience utilizing these innovative techniques, we believe that thoracoscopic lobectomy would become the mainstream for surgical management of pulmonary diseases. SN - 1672-173X UR - https://www.unboundmedicine.com/medline/citation/23600221/[Video-assisted_thoracoscopic_surgery_lobectomy:_expanding_indications_based_on_the_optimization_of_surgical_techniques] L2 - https://medlineplus.gov/lungcancer.html DB - PRIME DP - Unbound Medicine ER -