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Article: Technique for delivering large tumors in video-assisted thoracoscopic lobectomy

TitleTechnique for delivering large tumors in video-assisted thoracoscopic lobectomy
Authors
Issue Date2014
Citation
Asian Cardiovascular and Thoracic Annals, 2014, v. 22 n. 3, p. 319-328 How to Cite?
AbstractBackground: The optimal technique for delivering large tumors during video-assisted thoracoscopic lobectomy remains uncertain. Methods: In 258 patients receiving video-assisted thoracoscopic lobectomy for lung cancer, techniques for delivering the resected lobe included complete video-assisted thoracoscopic lobectomy without rib spreading (n=206, 80%), resection of a short rib segment (n=9, 3%), brief rib spreading (n=12, 5%), and conversion to a minithoracotomy (n=21, 8%). In 10 (4%) patients, a novel anterior rib cutting technique was used: one rib at the utility port was cut near its anterior end to widen the intercostal space without forcible rib spreading for lobe delivery. Results: There was no mortality or major morbidity using the anterior rib cutting technique, and it delivered tumors of a larger mean diameter than complete video-assisted thoracoscopic lobectomy (5.4.3.4 vs. 2.3.1.4 cm, p=0.017) whilst yielding a similar mean operation time and blood loss to the other non-complete video-assisted thoracoscopic lobectomy techniques. The anterior rib cutting technique gave similar postoperative patient pain scores and analgesic use to complete video-assisted thoracoscopic lobectomy, and shorter mean hospital stay than the other non-complete video-assisted thoracoscopic lobectomy techniques (5.6.2.8 vs. 10.0.7.1 days, p=0.003). Conclusions: In video-assisted thoracoscopic lobectomy, the anterior rib cutting technique is a safe and feasible procedure for delivering large tumors, causing no more pain than complete video-assisted thoracoscopic lobectomy, and allowing faster recovery than other non-complete video-assisted thoracoscopic lobectomy techniques.
Persistent Identifierhttp://hdl.handle.net/10722/196726
ISSN
2015 SCImago Journal Rankings: 0.264

 

DC FieldValueLanguage
dc.contributor.authorSihoe, AD-
dc.contributor.authorChawla, S-
dc.contributor.authorPaul, S-
dc.contributor.authorNair, A-
dc.contributor.authorLee, J-
dc.contributor.authorYin, K-
dc.date.accessioned2014-04-24T02:10:36Z-
dc.date.available2014-04-24T02:10:36Z-
dc.date.issued2014-
dc.identifier.citationAsian Cardiovascular and Thoracic Annals, 2014, v. 22 n. 3, p. 319-328-
dc.identifier.issn0218-4923-
dc.identifier.urihttp://hdl.handle.net/10722/196726-
dc.description.abstractBackground: The optimal technique for delivering large tumors during video-assisted thoracoscopic lobectomy remains uncertain. Methods: In 258 patients receiving video-assisted thoracoscopic lobectomy for lung cancer, techniques for delivering the resected lobe included complete video-assisted thoracoscopic lobectomy without rib spreading (n=206, 80%), resection of a short rib segment (n=9, 3%), brief rib spreading (n=12, 5%), and conversion to a minithoracotomy (n=21, 8%). In 10 (4%) patients, a novel anterior rib cutting technique was used: one rib at the utility port was cut near its anterior end to widen the intercostal space without forcible rib spreading for lobe delivery. Results: There was no mortality or major morbidity using the anterior rib cutting technique, and it delivered tumors of a larger mean diameter than complete video-assisted thoracoscopic lobectomy (5.4.3.4 vs. 2.3.1.4 cm, p=0.017) whilst yielding a similar mean operation time and blood loss to the other non-complete video-assisted thoracoscopic lobectomy techniques. The anterior rib cutting technique gave similar postoperative patient pain scores and analgesic use to complete video-assisted thoracoscopic lobectomy, and shorter mean hospital stay than the other non-complete video-assisted thoracoscopic lobectomy techniques (5.6.2.8 vs. 10.0.7.1 days, p=0.003). Conclusions: In video-assisted thoracoscopic lobectomy, the anterior rib cutting technique is a safe and feasible procedure for delivering large tumors, causing no more pain than complete video-assisted thoracoscopic lobectomy, and allowing faster recovery than other non-complete video-assisted thoracoscopic lobectomy techniques.-
dc.languageeng-
dc.relation.ispartofAsian Cardiovascular and Thoracic Annals-
dc.titleTechnique for delivering large tumors in video-assisted thoracoscopic lobectomy-
dc.typeArticle-
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.doi10.1177/0218492313503641-
dc.identifier.scopuseid_2-s2.0-84894148246-
dc.identifier.hkuros247062-
dc.identifier.volume22-
dc.identifier.issue3-
dc.identifier.spage319-
dc.identifier.epage328-

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