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Related Experiment Videos

Thoracoscopy using a substernal handport for palpation.

Frank C Detterbeck1, Thomas M Egan

  • 1Division of Cardiothoracic Surgery, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina 27599-7065, USA. fdetter@med.unc.edu

The Annals of Thoracic Surgery
|September 1, 2004
PubMed
Summary

A substernal handport enables lung palpation during thoracoscopic surgery, improving lesion detection. This minimally invasive technique is safe and effective for metastasectomy, comparable to open procedures.

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Area of Science:

  • Thoracic Surgery
  • Minimally Invasive Procedures
  • Surgical Oncology

Background:

  • Thoracoscopy has limitations in palpating the lung, hindering the detection of certain lesions.
  • A substernal handport offers a solution by enabling direct palpation of lung tissue.

Purpose of the Study:

  • To evaluate the safety and efficacy of a substernal handport in thoracic surgery.
  • To assess its utility in performing metastasectomy and biopsying difficult-to-find lesions.

Main Methods:

  • The substernal handport approach was utilized in 24 consecutive patients.
  • Indications included planned metastasectomy and cases requiring enhanced palpation for deep or small lesions.

Main Results:

  • The procedure was safe, with no long-term complications and only minor or unrelated early complications.

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  • Adequate resection was achieved in 67% of patients via a minimally invasive approach; 33% required conversion to open surgery.
  • Incomplete resection and recurrence rates were comparable to open metastasectomy, with a median hospital stay of 3 days for those undergoing the procedure alone.

    • Conclusions:

    • A substernal handport is a safe and effective technique for thoracic surgery, facilitating adequate metastasectomy.
    • It enables biopsy of lesions not amenable to standard minimally invasive methods.
    • This approach should be considered a standard option in thoracic surgical practice.