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Updated: May 23, 2026

Thoracoscopic Extended Right Middle Plus Lower Sleeve Lobectomy for Non-Small-Cell Lung Cancer
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Thoracoscopic Extended Right Middle Plus Lower Sleeve Lobectomy for Non-Small-Cell Lung Cancer

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[85 consecutive VATS non-rib spread simultaneously stapled lobectomies for malignancy].

R J Lewis1, R J Caccavale, G E Sisler

  • 1University of Medicine and Dentistry of New Jersey, Robert Wood Johnson Medical School, University Thoracic Surgical Service, St. Peter's Medical Center, Robert Wood Johnson University Hospital, New Brunswick, New Jersey, USA.

Zentralblatt Fur Chirurgie
|April 3, 2012
PubMed
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This study introduces a novel VATS non-rib spread technique for pulmonary lobectomy in lung cancer patients. The minimally invasive approach demonstrated excellent safety and efficacy, with no mortality or major complications.

Area of Science:

  • Thoracic Surgery
  • Surgical Oncology
  • Minimally Invasive Procedures

Background:

  • Pulmonary lobectomy is a standard surgical procedure for malignant lung lesions.
  • Traditional open thoracotomy can lead to significant morbidity.
  • Video-assisted thoracoscopic surgery (VATS) offers a less invasive alternative.

Purpose of the Study:

  • To evaluate the safety and efficacy of a novel VATS non-rib spread Simultaneously Stapled Lobectomy technique.
  • To assess perioperative outcomes and short-term results in patients undergoing this new VATS lobectomy approach.

Main Methods:

  • Eighty-five consecutive patients with pulmonary neoplasms underwent VATS non-rib spread Simultaneously Stapled Lobectomy.
  • Patient demographics, tumor types, and locations were recorded.

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Intraoperative Strategy under Complex Vascular Adhesion for Laparoscopic Radical Resection of Bismuth-Corlette Type IIIb Perihilar Cholangiocarcinoma
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  • Perioperative data including operating time, blood transfusion, length of stay, and complications were collected.

    • Main Results:

    • The average operating time was 84.5 minutes, with no patient requiring a blood transfusion.
    • Post-operative length of stay averaged 3.38 days.
    • There were no surgical mortalities, hemorrhages, or conversions to open surgery; all complications were minor and fully recovered.

    Conclusions:

    • VATS non-rib spread Simultaneously Stapled Lobectomy is a safe and effective minimally invasive technique for pulmonary lobectomy in malignant lesions.
    • This approach achieves outcomes comparable to traditional open surgery with reduced morbidity.
    • Further studies are warranted to confirm long-term survival data.