A novel approach for the complete extraction of large tumours in video-assisted thoracoscopic surgery
Background: Video-assisted thoracoscopic (VATS) lobectomy has recently become the standard for treating lung cancer. However, the complete removal of large tumours from the chest cavity is often difficult. Therefore, we developed a novel approach to extract large tumours from the wound without rib r...
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Wolters Kluwer Medknow Publications
2021-01-01
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doaj-dad99bea67d045ee8e395a06bdc8d21d2021-07-07T13:34:07ZengWolters Kluwer Medknow PublicationsJournal of Minimal Access Surgery0972-99411998-39212021-01-0117329930410.4103/jmas.JMAS_255_19A novel approach for the complete extraction of large tumours in video-assisted thoracoscopic surgeryMasato AragakiKichizo KagaYasuhiro HidaTatsuya KatoYoshiro MatsuiBackground: Video-assisted thoracoscopic (VATS) lobectomy has recently become the standard for treating lung cancer. However, the complete removal of large tumours from the chest cavity is often difficult. Therefore, we developed a novel approach to extract large tumours from the wound without rib resection or fracture (the eXtraction of resected specimens through the Lower INterCostal route [XLINC] method). Subjects and Methods: In XLINC, a skin incision is made on the tenth intercostal space, and the resected lung tissue is extracted. This retrospective study included patients who underwent VATS lobectomy using XLINC in our institution from 2016 to 2018. As a control group, six patients who had undergone thoracotomy during VATS surgery due to a large tumour diameter were included in the conversion group. Results: Four men and six women (median age = 66 years, maximum median tumour diameter = 59 mm) were included in the study. The median length of the wound incision for XLINC was 4.5 (range: 4–8) cm. The median operative time was 183 min, and the estimated blood loss was 50 ml. Rib resection was not required, and no fractures were noted. The median length of hospital stay was 8 days. No patients developed major complications caused by XLINC. There were no significant differences, except in operation time and amount of blood loss, between the two groups. However, the XLINC group used fewer post-operative analgesics. Conclusion: Our report suggests that XLINC might be a simpler, less invasive procedure that could be used in patients with large tumours.http://www.journalofmas.com/article.asp?issn=0972-9941;year=2021;volume=17;issue=3;spage=299;epage=304;aulast=extraction of resected specimens through the lower intercostal route methodlung cancerreduced port surgeryvideo-assisted thoracoscopic surgery |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Masato Aragaki Kichizo Kaga Yasuhiro Hida Tatsuya Kato Yoshiro Matsui |
spellingShingle |
Masato Aragaki Kichizo Kaga Yasuhiro Hida Tatsuya Kato Yoshiro Matsui A novel approach for the complete extraction of large tumours in video-assisted thoracoscopic surgery Journal of Minimal Access Surgery extraction of resected specimens through the lower intercostal route method lung cancer reduced port surgery video-assisted thoracoscopic surgery |
author_facet |
Masato Aragaki Kichizo Kaga Yasuhiro Hida Tatsuya Kato Yoshiro Matsui |
author_sort |
Masato Aragaki |
title |
A novel approach for the complete extraction of large tumours in video-assisted thoracoscopic surgery |
title_short |
A novel approach for the complete extraction of large tumours in video-assisted thoracoscopic surgery |
title_full |
A novel approach for the complete extraction of large tumours in video-assisted thoracoscopic surgery |
title_fullStr |
A novel approach for the complete extraction of large tumours in video-assisted thoracoscopic surgery |
title_full_unstemmed |
A novel approach for the complete extraction of large tumours in video-assisted thoracoscopic surgery |
title_sort |
novel approach for the complete extraction of large tumours in video-assisted thoracoscopic surgery |
publisher |
Wolters Kluwer Medknow Publications |
series |
Journal of Minimal Access Surgery |
issn |
0972-9941 1998-3921 |
publishDate |
2021-01-01 |
description |
Background: Video-assisted thoracoscopic (VATS) lobectomy has recently become the standard for treating lung cancer. However, the complete removal of large tumours from the chest cavity is often difficult. Therefore, we developed a novel approach to extract large tumours from the wound without rib resection or fracture (the eXtraction of resected specimens through the Lower INterCostal route [XLINC] method).
Subjects and Methods: In XLINC, a skin incision is made on the tenth intercostal space, and the resected lung tissue is extracted. This retrospective study included patients who underwent VATS lobectomy using XLINC in our institution from 2016 to 2018. As a control group, six patients who had undergone thoracotomy during VATS surgery due to a large tumour diameter were included in the conversion group.
Results: Four men and six women (median age = 66 years, maximum median tumour diameter = 59 mm) were included in the study. The median length of the wound incision for XLINC was 4.5 (range: 4–8) cm. The median operative time was 183 min, and the estimated blood loss was 50 ml. Rib resection was not required, and no fractures were noted. The median length of hospital stay was 8 days. No patients developed major complications caused by XLINC. There were no significant differences, except in operation time and amount of blood loss, between the two groups. However, the XLINC group used fewer post-operative analgesics.
Conclusion: Our report suggests that XLINC might be a simpler, less invasive procedure that could be used in patients with large tumours. |
topic |
extraction of resected specimens through the lower intercostal route method lung cancer reduced port surgery video-assisted thoracoscopic surgery |
url |
http://www.journalofmas.com/article.asp?issn=0972-9941;year=2021;volume=17;issue=3;spage=299;epage=304;aulast= |
work_keys_str_mv |
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