Document Detail


Major pulmonary resection by video assisted mini-thoracotomy. Initial experience in 35 patients.
MedLine Citation:
PMID:  8043288     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Video-assisted thoracic surgery is emerging as a viable approach to increasingly complex intrathoracic therapeutic procedures. From February to July 1993, 35 patients (25 male, 10 female; mean age = 60 years, range: 17-74) underwent a major pulmonary resection using a video-assisted technique: lobectomy (n = 30) or pneumonectomy (n = 5). Pathology disclosed bronchogenic carcinomas (n = 26), metastases (n = 3), and miscellaneous disorders (n = 6). All procedures required one 10.5 mm port for the video-camera, one 3.5 to 5 cm utility thoracotomy through which surgical instrumentation was inserted and the operative specimen removed, and one occasional supplementary 12 mm port. Lung resections were performed with separated dissection and division of each component of the pedicle. The mean operative time was 145 min (SD: +/- 17). There were two postoperative deaths (5.7%) that were not directly related to the technique. Seven patients (20%) experienced non-fatal complications. After lobectomy, the mean duration of chest tube placement was 7.3 days (SD: +/- 1.6). The mean hospital stay was 11 days (SD: +/- 3). All the patients experienced minor postoperative chest pain. We conclude that video-assisted lung resections are technically feasible without an increased risk.
Authors:
R Giudicelli; P Thomas; T Lonjon; J Ragni; J C Bulgare; R Ottomani; P Fuentes
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery     Volume:  8     ISSN:  1010-7940     ISO Abbreviation:  Eur J Cardiothorac Surg     Publication Date:  1994  
Date Detail:
Created Date:  1994-09-01     Completed Date:  1994-09-01     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8804069     Medline TA:  Eur J Cardiothorac Surg     Country:  GERMANY    
Other Details:
Languages:  eng     Pagination:  254-8     Citation Subset:  IM    
Affiliation:
Department of Thoracic Surgery, Sainte-Marguerite University Hospital, Marseille, France.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Aged
Carcinoma, Bronchogenic / physiopathology,  surgery*
Female
Humans
Lung / surgery*
Lung Neoplasms / physiopathology,  surgery*
Male
Middle Aged
Morbidity
Pain, Postoperative
Pneumonectomy / methods*
Postoperative Care
Postoperative Complications / mortality
Thoracotomy / methods*
Video Recording* / instrumentation

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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