Supplement: 2nd International Bi-Annual Minimally Invasive Thoracic Surgery SummitSection III: Lung cancer—other perspectiveSafe and Effective Minimally Invasive Approaches for Small Ground Glass Opacity
Section snippets
Material and Methods
This retrospective study was approved by the Toranomon Hospital Institutional Review Board of Clinical Research. The need for informed consent from patients was waived because of its retrospective design.
Results
There were no procedurally related deaths. The final pathology included papillary adenocarcinomas or BAC type C in 9 (Fig 3), BACs type A or B in 75 (Fig 4), AAHs in 7 (Fig 5), and organizing pneumonias in 5 (Fig 6;Table 1). No relation was found between the HRCT findings and the final pathology. Eleven BACs diagnosed as noninvasive by intraoperative frozen section examination were BACs type C, invasive lesions at the final diagnosis. No patients had had local recurrences. No recurrence was
Comment
Recent advances in physical check up with CT and widespread use of CT for evaluation of lung pathology in Japan has increased the number of patients we have encountered with so-called GGO lesions. Some of the lesions are ordinarily papillary adenocarcinomas, some are noninvasive BACs, some are AAHs, and some are organizing pneumonias. The treatment option should be different according to its pathology. The correlation between GGO lesions on HRCT and pathologic findings has been studied [6];
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Management of Intraoperative Difficulties During Uniportal Video-Assisted Thoracoscopic Surgery
2017, Thoracic Surgery ClinicsCitation Excerpt :The presence of calcified hilar and/or periarterial lymph nodes can complicate vascular dissection: the key in these cases is to find the adventitial plane.14 Then, through bimanual instrumentation, the dissection can be performed with simple instruments (curved forceps, long scissors, suction and a conventional dissector); in really complex situations is possible to staple 2 anatomic structures together as described by Kohno and colleagues.28 A previous ipsilateral surgery is also no longer a contraindication, because good outcomes of redo VATS surgery have been reported.29
Lipiodol lOcalization for Ground-glass opacity mInimal Surgery: Rationale and design of the LOGIS trial
2015, Contemporary Clinical TrialsCitation Excerpt :For surgical biopsy, VATS has become the optimal method for the diagnosis and treatment of pulmonary nodules because of its minimal invasiveness and safety [12,32]. In addition, in patients for whom surgical resection is considered appropriate, data strongly suggest that limited VATS wedge or segmental resections may be considered in place of a standard lobectomy [33,34]. However, conversion to thoracotomy because of localization failure is common, and it is the most common cause of VATS failure [24].
Impact of preoperative marking coils on surgical and pathologic management of impalpable lung nodules
2014, Annals of Thoracic SurgeryNodule Characterization. Subsolid Nodules.
2014, Radiologic Clinics of North AmericaCitation Excerpt :Although with 100% or near 100% 5-year disease-free survival rate of AAH, AIS, and MIA have been reported, greater understanding is needed to further refine indications for surgery.3 More immediately, although still controversial, a number of studies have supported limited sublobar resection, including wedge resection and segmentectomy for subsolid nodules measuring 2 cm or smaller in place of lobectomy, with no significant difference in survival and locoregional recurrence rates.28,87,97,138–143 For example, in a 13-year analysis study by El-Sherif and colleagues,142 there was no significant difference between survival and recurrence rates in the sublobar and lobar resection groups.