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Video-assisted thoracic surgery (VATS) lobectomy: the initial Swedish experience
U Hermansson1, I E Konstantinov, C Arén
1Department of Cardiothoracic Surgery, University Hospital, Linköping, Sweden.
Seminars in Thoracic and Cardiovascular Surgery
|November 4, 1998
Summary
Video-assisted thoracic surgery using simultaneous stapling for pulmonary lobectomy is a safe and feasible procedure. This technique demonstrated good outcomes for lung cancer resection, warranting further long-term evaluation.
Area of Science:
- Thoracic Surgery
- Minimally Invasive Procedures
- Oncology
Background:
- Evaluating the technical feasibility and validity of video-assisted pulmonary lobectomy.
- Focus on simultaneous stapling of hilar structures.
Purpose of the Study:
- Assess the safety and efficacy of video-assisted thoracic surgery (VATS) with simultaneous stapling for lobectomy.
- Determine the validity of this minimally invasive approach for lung resections.
Main Methods:
- Performed 30 video-assisted thoracic non-rib spread simultaneously stapled lobectomies (VATS n SSL) between December 1995 and July 1997.
- Included various lobectomies for lung neoplasms and benign lesions.
Main Results:
- No surgical mortality or transfusions were reported.
- Average operating time decreased over the series, and average hospitalization was 4.4 days.
- Two procedures required conversion to open thoracotomy.
Conclusions:
- Video-assisted thoracic surgical non-rib spread simultaneously stapled lobectomy is technically feasible and safe.
- Further long-term follow-up studies are needed to evaluate therapeutic outcomes for resected neoplasms.