Video-assisted Thoracic Surgery (VATS) Lobectomy: Chest Disease Institute Experience

Authors

  • Choosak Kasemsarn Department of Cardiothoracic Surgery, Chest Disease Institute, Nonthaburi, Thailand
  • Kriengkri Namthaisong Department of Cardiothoracic Surgery, Chest Disease Institute, Nonthaburi, Thailand
  • Vibhan Sungkahaphong Department of Anesthesiology, Chest Disease Institute, Nonthaburi, Thailand

Keywords:

: video-assisted thoracic surgery, pulmonary lobectomy

Abstract

Background: Improvements in surgical equipment have rendered video-assisted thoracic surgery (VATS) an effective means for thoracic surgeons. Nowadays several intrathoracic diseases can benefit from this approach. This development has expanded potential use and recently the technical feasibility of major lung resections by VATS has been demonstrated. The purpose of this report is to review our experience of VATS lobectomy.

Materials and Methods: From January 2001 to December 2005 we proposed VATS for major pulmonary resections with the following indications: benign lung lesions, solitary pulmonary mass and established stage 1-2 non-small cell lung cancer (NSCLC).

Results: Of 47 patients, we successfully performed VATS procedure in 38 cases. Final diagnoses included 27 primary lung cancers, one metastatic lung cancer, 5 bronchiectases, 2 tuberculoses, one cryptococcosis, one actinomycosis and one pulmonary sequestration. While in another 9 patients (19.1%) a conversion to conventional thoracotomy was required. There were 33 lobectomies, 4 bilobectomies and one pneumonectomy. In all unproved benign lesions, radical lymphadenectomy was performed. There was no mortality. The major complication is prolonged air leak which occurred in 5 patients (13%).

Conclusion: We believed that VATS in pulmonary lobectomy is a safe and effective approach. It has several benefits over standard thoracotomy other than smaller incision.

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Published

2006-03-31

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Kasemsarn C, Namthaisong K, Sungkahaphong V. Video-assisted Thoracic Surgery (VATS) Lobectomy: Chest Disease Institute Experience. Thai J Surg [Internet]. 2006 Mar. 31 [cited 2024 Mar. 29];27(1):42-8. Available from: https://he02.tci-thaijo.org/index.php/ThaiJSurg/article/view/242053

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