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Experience with thoracoscopic pneumonectomies at a single institution
Anthony W Kim1, Annabelle L Fonseca, Daniel J Boffa
1From the Section of Thoracic Surgery, Yale School of Medicine, New Haven, CT USA.
Innovations (Philadelphia, Pa.)
|April 24, 2014
Summary
Video-assisted thoracoscopic pneumonectomy (VATP) is a feasible surgical option for lung cancer, showing acceptable outcomes and complication rates comparable to open procedures. Further experience will clarify its full benefits.
Area of Science:
- Thoracic Surgery
- Minimally Invasive Surgery
- Surgical Oncology
Background:
- Pneumonectomy is a major surgical procedure for lung cancer.
- Video-assisted thoracoscopic surgery (VATS) offers potential benefits over open procedures.
Purpose of the Study:
- To review a single institution's experience with video-assisted thoracoscopic pneumonectomy (VATP).
Main Methods:
- Retrospective review of medical records for patients undergoing pneumonectomy (total and completion) for lung cancer between July 2008 and December 2012.
- Analysis of clinical parameters and outcomes.
Main Results:
- 16% (7/45) of pneumonectomies were performed thoracoscopically.
- Indications included primary lung cancer and metastatic esophageal cancer.
- Four complications occurred: atrial fibrillation, pneumonia, and two bronchopleural fistulas.
- Median length of stay was 4 days.
- 24-month survival was 75%.
Conclusions:
- Introduction of VATP is feasible for experienced thoracoscopic surgeons.
- Outcomes and complication profiles are comparable to open pneumonectomy.
- Additional data from greater experience is needed to fully evaluate VATP.
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