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Video-assisted thoracoscopic surgery lobectomy using "the caudal approach": results and evolution
Giampiero Dolci1, Alessio Campisi1, Domenica Giunta1
1Department of CardioThoracic and Vascular Surgery, University Hospital S. Orsola Malpighi, Bologna, Italy.
Journal of Visualized Surgery
|February 6, 2018
Summary
A new caudal approach for video-assisted thoracoscopic surgery (VATS) lobectomy offers a reliable and comfortable option for surgeons. This technique demonstrated comparable outcomes to the standard anterior VATS approach for lung cancer resection.
Area of Science:
- Thoracic Surgery
- Minimally Invasive Surgery
- Surgical Oncology
Background:
- Video-assisted thoracoscopic surgery (VATS) is a prevalent method for diagnosing and treating thoracic conditions.
- This study evaluates a novel caudal positioning technique for VATS anatomical lung resections.
Purpose of the Study:
- To compare the efficacy and safety of a new caudal VATS technique with the standard anterior VATS approach for lung resections.
- To assess operative time, conversion rates, hospital stay, and post-operative outcomes.
Main Methods:
- A retrospective study of 92 lung cancer patients undergoing VATS lobectomy from January 2016 to October 2017.
- Patients were divided into two groups: conventional anterior three-portal VATS (34 patients) and caudal three-portal VATS (58 patients).
- Key perioperative outcomes were compared between the two groups.
Main Results:
- No significant differences were observed in surgical time, post-operative drainage, prolonged air leak incidence, or post-operative pain between the caudal and anterior VATS groups.
- The caudal approach was found to be a reliable and comfortable procedure for surgeons performing thoracoscopic lobectomy.
Conclusions:
- The caudal approach for thoracoscopic lobectomy is a reliable and comfortable surgical technique.
- The study's success paves the way for standardizing biportal and uniportal VATS with the surgeon in the caudal position.