EP1.17-03 New Approach to Complete Video-Assisted Thoracoscopic Lobectomy in T2 and T3 Non-Small Cell Lung Cancer

Abstract

The advantages of complete video assisted thoracoscopic surgery(c-VATS) include less postoperative pain and early cosmetic benefit because of the small incision recured. If large tumors can be successfully removed without need for a long thoracic incision or extensive costal rib resection, c-VATS may be performed in patients with stage II or III NSCLC. We herein repot our experience with a novel c-VATS technique that involves removal of resected lung tissu from an abdominal incision in patinets with T2 and T3 NSCLC. Fifteen patients with T2 and T3 NSCLC who underwent surgical treatment. Five patients underwent c-VATS lobectomy, and 10 patients under went hybrid VATS(h-VATS), which is performed mainly by direct visualization using video assistance. The tumour large perpendicular was 60 to 140mm in the c-VATS group and 52mm to 82mm in the h-VATSgroup. Surgical procedure. For lobectomy, the ports were placed in the 3rd, 5fh, and 7th intercostal spaces on the anterior axillary line for the operator and camera pole and in the 6th and 8th intercostal spaces on the infrascapular line for the assistant. An abdominal skin incision of <5cm was then created just below the xiphoid in Fig1. A forceps was inserted through this incision into the intrapleural cavity through the preperitoneal space to remove the resected lung tissu by grabbing the endocatch bag. the resected lung tissue was remoed with the forceps through this route. Comparison between c-VATS and h-VATS groups. Significantly fewer patients in the c-VATS than h-VATS group developed severe pain in Table1.table 1View Large Image Figure ViewerDownload Hi-res image Download (PPT) The present study suggests that the indications for c-VATS lobectomy in patients with T2 and T3 NSCLC can be expanded by implementation of our approach, which involves removal of the free lobe through an abdoninal incision.