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Abstract
Methods From April 2012 to date, we performed 42 completely thoracoscopic lobectomies (non rib-spreading) with anterior approach to the pulmonary hilum. Clinical stages I were included and T3 or T4 tumors, central tumors, cN1-N2, previous ipsilateral thoracotomy were excluded. Whenever possible, we have obtained a preoperative diagnosis with CT-guided needle biopsy (n = 35, 83%); otherwise lobectomy was preceded by atypical resection and extemporaneous examination. A preoperative mediastinoscopy was performed following the guidelines of the National Comprehensive Cancer Network, 2013 (n = 18, 43%), in the same operative time with extemporaneous examination of the lymph nodes. Lung resection was always associated with a lymphadenectomy of at least 4 ilo-mediastinal stations.
Highlights
The purpose of this work is to evaluate the feasibility, safety and oncological appropriateness of a completely videothoracoscopic surgical program of major pulmonary resections (VATS-L) in a single center, in its first year of development
We have obtained a preoperative diagnosis with CT-guided needle biopsy (n = 35, 83%); otherwise lobectomy was preceded by atypical resection and extemporaneous examination
In 4 cases (9%) it was necessary to convert the procedure, in 3 cases for minor arterial lesions and in one case for venous injury
Summary
The purpose of this work is to evaluate the feasibility, safety and oncological appropriateness of a completely videothoracoscopic surgical program of major pulmonary resections (VATS-L) in a single center, in its first year of development. Videothoracoscopic lobectomy: first year of experience in a single center A Gonfiotti*, D Barale, MO Jaus, F Montinaro, F Mannini From 23rd World Congress of the World Society of Cardio-Thoracic Surgeons Split, Croatia.
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