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Thoracoscopic wedge resection in single-lung patients
Davide Zampieri1, Giuseppe Marulli1, Giovanni Maria Comacchio1
1Thoracic Surgery Unit, Department of Cardiologic, Thoracic and Vascular Sciences, University of Padua, Padua, Italy.
Journal of Thoracic Disease
|April 3, 2018
Summary
Thoracoscopic wedge resections are a feasible option for lung cancer in single-lung patients after pneumonectomy. This minimally invasive approach offers successful tumor removal with low morbidity, enabling further targeted therapies.
Area of Science:
- Thoracic Surgery
- Surgical Oncology
Background:
- Thoracoscopic surgery is standard for lung resections.
- Its efficacy in single-lung patients post-pneumonectomy requires further study.
Purpose of the Study:
- To evaluate the feasibility of thoracoscopic wedge resection for lung cancer in patients with a history of pneumonectomy.
Main Methods:
- Eight patients with prior pneumonectomy underwent video-assisted thoracoscopic wedge resection for small, peripheral lung nodules.
- Surgery was performed during apnea with the lung deflated.
Main Results:
- All eight patients had successful margin-free wedge resections, with only one requiring conversion to mini-thoracotomy.
- Median operative time was 37 minutes, with no postoperative deaths and 12.5% morbidity.
Conclusions:
- Thoracoscopic surgery is a viable option for selected single-lung patients after pneumonectomy.
- Histological confirmation aids in planning further targeted therapies.
- Further randomized trials are needed to define optimal management for lung nodules in these patients.
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