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Major pulmonary resections: pneumonectomies and lobectomies
G Roviaro1, F Varoli, C Rebuffat
1Department of Surgery, S. Giuseppe Hospital, University of Milan, Italy.
The Annals of Thoracic Surgery
|September 1, 1993
Summary
This study shows that major video-assisted thoracoscopic pulmonary resections are feasible for benign lung diseases and early-stage lung cancer. Further research is needed to define its role in lung cancer management.
Area of Science:
- Thoracic Surgery
- Pulmonary Medicine
- Surgical Oncology
Background:
- Video-assisted thoracoscopic surgery (VATS) offers minimally invasive options.
- Major pulmonary resections present unique surgical challenges.
Purpose of the Study:
- To evaluate the feasibility of major thoracoscopic pulmonary resections.
- To assess VATS for benign lung diseases and early-stage lung cancer.
Main Methods:
- Retrospective review of 20 patients undergoing VATS pulmonary resections (lobectomy, pneumonectomy, segmentectomy).
- Procedures performed between October 1991 and November 1992.
- Hilar lymphadenectomy performed for all malignancies.
Main Results:
- Successful completion of 2 pneumonectomies, 17 lobectomies, and 1 segmentectomy.
- Indications included benign diseases and Stage I lung cancer.
- Surgical technique was detailed.
Conclusions:
- Major video-assisted thoracoscopic pulmonary resections are feasible.
- The definitive role of VATS in lung cancer management requires further definition.