Uniportal video-assisted thoracoscopic lobectomies in lung cancer management
OBJECTIVE. The study summarized personal surgical experience of uniportal video-assisted thoracoscopic (VATS) lobectomies for patients with stage I-II non-small cell lung cancer. MATERIAL AND METHODS. The authors have performed 72 VATS lobectomies for patients with stage I-II non-small lung cancer u...
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Pavlov First Saint Petersburg State Medical University
2017-10-01
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Online Access: | https://www.vestnik-grekova.ru/jour/article/view/395 |
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doaj-5f80c6b968e948c097a44459f24b72e42021-07-28T13:46:22ZrusPavlov First Saint Petersburg State Medical UniversityВестник хирургии имени И.И. Грекова0042-46252017-10-011765333710.24884/0042-4625-2017-176-5-33-37394Uniportal video-assisted thoracoscopic lobectomies in lung cancer managementA. I. Arsen’Ev0A. O. Nefedov1A. A. Barchuk2S. A. Tarkov3K. A. Kostitsyn4A. V. Nefedova5N. N. Petrov Research Institute of OncologyN. N. Petrov Research Institute of OncologyN. N. Petrov Research Institute of OncologyN. N. Petrov Research Institute of OncologyN. N. Petrov Research Institute of OncologyN. N. Petrov Research Institute of OncologyOBJECTIVE. The study summarized personal surgical experience of uniportal video-assisted thoracoscopic (VATS) lobectomies for patients with stage I-II non-small cell lung cancer. MATERIAL AND METHODS. The authors have performed 72 VATS lobectomies for patients with stage I-II non-small lung cancer using modified minimally invasive single incision above anterior part of musculus latissimus dorsi. RESULTS. During the implementation period, there were carried out 2 (2,8 %) conversions to open thoracotomy. There weren’t observed lethal postoperative complications of VATS lobectomies. Other complications had 5 (6,9 %) patients. Postoperative pneumonia was in 1 (1,4 %) patient. Arrhytmia was noted in 4 (5,6 %) patients. The average operation time consisted of 227,4 min (from 60 to 460 min). Learning curve demonstrated a significant decrease of operation time with every following VATS lobectomy from 227,4 to 90,3 min (p=0,03). The quantity of removed regional lymph nodes estimated 14,2 ± 0,7 during uniportal VATS lobectomy. The median blood loss was 98,3 ml (from 10 to 300 ml). The average duration of air leak was 2,3 ± 0,65 days after uniportal VATS lobectomy. The mean term of drainage was 4,6 ± 0,53 days. CONCLUSIONS. The data obtained justified the feasibility, efficacy and safety of VATS lobectomies in patients with I-II stage of lung cancer.https://www.vestnik-grekova.ru/jour/article/view/395lung cancerlobectomyvideo-assisted thoracoscopyuniportal lobectomy |
collection |
DOAJ |
language |
Russian |
format |
Article |
sources |
DOAJ |
author |
A. I. Arsen’Ev A. O. Nefedov A. A. Barchuk S. A. Tarkov K. A. Kostitsyn A. V. Nefedova |
spellingShingle |
A. I. Arsen’Ev A. O. Nefedov A. A. Barchuk S. A. Tarkov K. A. Kostitsyn A. V. Nefedova Uniportal video-assisted thoracoscopic lobectomies in lung cancer management Вестник хирургии имени И.И. Грекова lung cancer lobectomy video-assisted thoracoscopy uniportal lobectomy |
author_facet |
A. I. Arsen’Ev A. O. Nefedov A. A. Barchuk S. A. Tarkov K. A. Kostitsyn A. V. Nefedova |
author_sort |
A. I. Arsen’Ev |
title |
Uniportal video-assisted thoracoscopic lobectomies in lung cancer management |
title_short |
Uniportal video-assisted thoracoscopic lobectomies in lung cancer management |
title_full |
Uniportal video-assisted thoracoscopic lobectomies in lung cancer management |
title_fullStr |
Uniportal video-assisted thoracoscopic lobectomies in lung cancer management |
title_full_unstemmed |
Uniportal video-assisted thoracoscopic lobectomies in lung cancer management |
title_sort |
uniportal video-assisted thoracoscopic lobectomies in lung cancer management |
publisher |
Pavlov First Saint Petersburg State Medical University |
series |
Вестник хирургии имени И.И. Грекова |
issn |
0042-4625 |
publishDate |
2017-10-01 |
description |
OBJECTIVE. The study summarized personal surgical experience of uniportal video-assisted thoracoscopic (VATS) lobectomies for patients with stage I-II non-small cell lung cancer. MATERIAL AND METHODS. The authors have performed 72 VATS lobectomies for patients with stage I-II non-small lung cancer using modified minimally invasive single incision above anterior part of musculus latissimus dorsi. RESULTS. During the implementation period, there were carried out 2 (2,8 %) conversions to open thoracotomy. There weren’t observed lethal postoperative complications of VATS lobectomies. Other complications had 5 (6,9 %) patients. Postoperative pneumonia was in 1 (1,4 %) patient. Arrhytmia was noted in 4 (5,6 %) patients. The average operation time consisted of 227,4 min (from 60 to 460 min). Learning curve demonstrated a significant decrease of operation time with every following VATS lobectomy from 227,4 to 90,3 min (p=0,03). The quantity of removed regional lymph nodes estimated 14,2 ± 0,7 during uniportal VATS lobectomy. The median blood loss was 98,3 ml (from 10 to 300 ml). The average duration of air leak was 2,3 ± 0,65 days after uniportal VATS lobectomy. The mean term of drainage was 4,6 ± 0,53 days. CONCLUSIONS. The data obtained justified the feasibility, efficacy and safety of VATS lobectomies in patients with I-II stage of lung cancer. |
topic |
lung cancer lobectomy video-assisted thoracoscopy uniportal lobectomy |
url |
https://www.vestnik-grekova.ru/jour/article/view/395 |
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