Skip to main content
Erschienen in:

14.09.2022 | Original Article

Three Ports One Lung: Videothoracoscopic Pneumonectomy for Lung Cancer

verfasst von: Kenan Can Ceylan, Güntuğ Batıhan, Şeyda Örs Kaya

Erschienen in: Indian Journal of Surgery | Sonderheft 2/2023

Einloggen, um Zugang zu erhalten

Abstract

Pneumonectomy is a type of lung resection with high morbidity and mortality and is more commonly performed for the treatment of lung cancer. The aim of this study is to demonstrate the feasibility and safety of VATS pneumonectomy in the treatment of non-small cell lung cancer based on our own clinical experience. We retrospectively analyzed patients with NSCLC who underwent pneumonectomy between January 2016 and May 2021. Preoperative, operative, and postoperative results of VATS and thoracotomy groups were analyzed and compared. This study was approved by the local ethics committee and informed consent was obtained from all individual participants included in the study (Registration number: 49109414–604.02; Date: 24/01/2020). A total of 135 patients were included in the study. There were 20 patients who underwent VATS pneumonectomy and 115 patients who underwent open pneumonectomy. There was no difference between VATS and thoracotomy groups in terms of operative and postoperative complications. The mean visual analog scale score was significantly lower in the VATS group. In the light of the data of our study, we can conclude that VATS pneumonectomy is a safe and feasible procedure in selected patients.
Literatur
1.
Zurück zum Zitat McKenna RJ Jr, Houck W, Fuller CB (2006) Video-assisted thoracic surgery lobectomy: experience with 1,100 cases. Ann Thorac Surg 81:421–5 (discussion 425-6)CrossRefPubMed McKenna RJ Jr, Houck W, Fuller CB (2006) Video-assisted thoracic surgery lobectomy: experience with 1,100 cases. Ann Thorac Surg 81:421–5 (discussion 425-6)CrossRefPubMed
2.
Zurück zum Zitat Onaitis MW, Petersen RP, Balderson SS et al (2006) Thoracoscopic lobectomy is a safe and versatile procedure: experience with 500 consecutive patients. Ann Surg 244:420–425CrossRefPubMedPubMedCentral Onaitis MW, Petersen RP, Balderson SS et al (2006) Thoracoscopic lobectomy is a safe and versatile procedure: experience with 500 consecutive patients. Ann Surg 244:420–425CrossRefPubMedPubMedCentral
3.
Zurück zum Zitat Flores RM, Park BJ, Dycoco J et al (2009) Lobectomy by video-assisted thoracic surgery (VATS) versus thoracotomy for lung cancer. J Thorac Cardiovasc Surg 138:11–18CrossRefPubMed Flores RM, Park BJ, Dycoco J et al (2009) Lobectomy by video-assisted thoracic surgery (VATS) versus thoracotomy for lung cancer. J Thorac Cardiovasc Surg 138:11–18CrossRefPubMed
4.
Zurück zum Zitat Hennon MW, Demmy TL (2012) Video-assisted thoracoscopic surgery (VATS) for locally advanced lung cancer. Ann Cardiothorac Surg 1(1):37–42PubMedPubMedCentral Hennon MW, Demmy TL (2012) Video-assisted thoracoscopic surgery (VATS) for locally advanced lung cancer. Ann Cardiothorac Surg 1(1):37–42PubMedPubMedCentral
5.
Zurück zum Zitat Petersen RP, Pham D, Burfeind WR et al (2007) Thoracoscopic lobectomy facilitates the delivery of chemotherapy after resection for lung cancer. Ann Thorac Surg 83(4):1245–1249CrossRefPubMed Petersen RP, Pham D, Burfeind WR et al (2007) Thoracoscopic lobectomy facilitates the delivery of chemotherapy after resection for lung cancer. Ann Thorac Surg 83(4):1245–1249CrossRefPubMed
6.
Zurück zum Zitat Hennon M, Sahai RK, Yendamuri S et al (2011) Nwogu C. Safety of thoracoscopic lobectomy in locally advanced lung cancer. Ann Surg Oncol. 18(13):3732–6CrossRefPubMed Hennon M, Sahai RK, Yendamuri S et al (2011) Nwogu C. Safety of thoracoscopic lobectomy in locally advanced lung cancer. Ann Surg Oncol. 18(13):3732–6CrossRefPubMed
7.
Zurück zum Zitat Demmy TL, Nwogu CE, Yendamuri S (2010) Thoracoscopic chest wall resection: what is its role? Ann Thorac Surg 89:S2142–S2145CrossRefPubMed Demmy TL, Nwogu CE, Yendamuri S (2010) Thoracoscopic chest wall resection: what is its role? Ann Thorac Surg 89:S2142–S2145CrossRefPubMed
8.
Zurück zum Zitat Mineo TC, Ambrogi V, Pompeo E et al (1996) En bloc minimal laser resection for T3-chest wall lung cancer in patients with poor pulmonary function. Chest 110(4):1092–1096CrossRefPubMed Mineo TC, Ambrogi V, Pompeo E et al (1996) En bloc minimal laser resection for T3-chest wall lung cancer in patients with poor pulmonary function. Chest 110(4):1092–1096CrossRefPubMed
9.
Zurück zum Zitat Santambrogio L, Cioffi U, De Simone M et al (2002) Video-assisted sleeve lobectomy for mucoepidermoid carcinoma of the left lower lobar bronchus: a case report. Chest 121:635–636CrossRefPubMed Santambrogio L, Cioffi U, De Simone M et al (2002) Video-assisted sleeve lobectomy for mucoepidermoid carcinoma of the left lower lobar bronchus: a case report. Chest 121:635–636CrossRefPubMed
10.
Zurück zum Zitat Nakanishi R, Fujino Y, Yamashita T et al (2014) Thoracoscopic anatomic pulmonary resection for locally advanced non-small cell lung cancer. Ann Thorac Surg 97(3):980–985CrossRefPubMed Nakanishi R, Fujino Y, Yamashita T et al (2014) Thoracoscopic anatomic pulmonary resection for locally advanced non-small cell lung cancer. Ann Thorac Surg 97(3):980–985CrossRefPubMed
11.
Zurück zum Zitat Gonfiotti A, Bongiolatti S, Bertolaccini L et al (2017) Italian VATS Group. Thoracoscopic lobectomy for locally advanced-stage non-small cell lung cancer is a feasible and safe approach: analysis from multi-institutional national database. J Vis Surg. 3:160CrossRefPubMedPubMedCentral Gonfiotti A, Bongiolatti S, Bertolaccini L et al (2017) Italian VATS Group. Thoracoscopic lobectomy for locally advanced-stage non-small cell lung cancer is a feasible and safe approach: analysis from multi-institutional national database. J Vis Surg. 3:160CrossRefPubMedPubMedCentral
12.
Zurück zum Zitat Conlan AA, Sandor A (2003) Total thoracoscopic pneumonectomy: indications and technical considerations. J Thorac Cardiovasc Surg 126:2083–2085CrossRefPubMed Conlan AA, Sandor A (2003) Total thoracoscopic pneumonectomy: indications and technical considerations. J Thorac Cardiovasc Surg 126:2083–2085CrossRefPubMed
13.
Zurück zum Zitat Nwogu CE, Glinianski M, Demmy TL (2006) Minimally invasive pneumonectomy. Ann Thorac Surg 82:e3-4CrossRefPubMed Nwogu CE, Glinianski M, Demmy TL (2006) Minimally invasive pneumonectomy. Ann Thorac Surg 82:e3-4CrossRefPubMed
14.
Zurück zum Zitat Ceylan KC, Acar A, Örs KŞ (2020) The initial experience on thoracoscopic sleeve lobectomy: continuous suturing technique of the bronchial anastomosis in 12 cases. Surg Laparosc Endosc Percutan Tech 30(5):476–479CrossRefPubMed Ceylan KC, Acar A, Örs KŞ (2020) The initial experience on thoracoscopic sleeve lobectomy: continuous suturing technique of the bronchial anastomosis in 12 cases. Surg Laparosc Endosc Percutan Tech 30(5):476–479CrossRefPubMed
15.
Zurück zum Zitat Sahai RK, Nwogu CE, Yendamuri S et al (2009) Is thoracoscopic pneumonectomy safe? Ann Thorac Surg 88(4):1086–1092CrossRefPubMed Sahai RK, Nwogu CE, Yendamuri S et al (2009) Is thoracoscopic pneumonectomy safe? Ann Thorac Surg 88(4):1086–1092CrossRefPubMed
16.
Zurück zum Zitat Nagai S, Imanishi N, Matsuoka T et al (2014) Video-assisted thoracoscopic pneumonectomy: retrospective outcome analysis of 47 consecutive patients. Ann Thorac Surg 97(6):1908–1913CrossRefPubMed Nagai S, Imanishi N, Matsuoka T et al (2014) Video-assisted thoracoscopic pneumonectomy: retrospective outcome analysis of 47 consecutive patients. Ann Thorac Surg 97(6):1908–1913CrossRefPubMed
17.
Zurück zum Zitat Yegin A, Erdogan A, Kayacan N et al (2003) Early postoperative pain management after thoracic surgery; pre- and postoperative versus postoperative epidural analgesia: a randomised study. Eur J Cardiothorac Surg 24(3):420–424CrossRefPubMed Yegin A, Erdogan A, Kayacan N et al (2003) Early postoperative pain management after thoracic surgery; pre- and postoperative versus postoperative epidural analgesia: a randomised study. Eur J Cardiothorac Surg 24(3):420–424CrossRefPubMed
Metadaten
Titel
Three Ports One Lung: Videothoracoscopic Pneumonectomy for Lung Cancer
verfasst von
Kenan Can Ceylan
Güntuğ Batıhan
Şeyda Örs Kaya
Publikationsdatum
14.09.2022
Verlag
Springer India
Erschienen in
Indian Journal of Surgery / Ausgabe Sonderheft 2/2023
Print ISSN: 0972-2068
Elektronische ISSN: 0973-9793
DOI
https://doi.org/10.1007/s12262-022-03567-1

Neu im Fachgebiet Chirurgie

Ab sofort gelten die neuen Verordnungsausnahmen für Lipidsenker

Freie Fahrt für Lipidsenker? Das nicht, doch mit niedrigerem Schwellenwert fürs Infarktrisiko und neuen Indikationen hat der G-BA die Verordnungs-Handbremse ein gutes Stück weit gelockert.

Appendizitis und Darminfarkt durch Blinddarm-Lipom

Eigentlich sind Lipome recht harmlos. Im Zäkum können sie jedoch erhebliche Komplikationen mit Darminfarkt und Appendizitis verursachen.

Gluteuslappen nach Rektumkarzinom-Op. schützt vor Abszessen

Die Wunddeckung mit einem autologen Rotationslappen nach Entfernung eines Rektumkarzinoms konnte in einer randomisierten Studie gegenüber dem primären Wundverschluss vor allem in einer Hinsicht punkten: Sie führte deutlich seltener zu präsakralen Abszessen.

Webinar

MedTalk Leitlinie KOMPAKT: S3-Leitline zu peripheren Nervenverletzungen

  • Webinar | 10.02.2025 | 13:00

Über den Weg zur finalen Fassung der S3-Leitlinie "Versorgung peripherer Nervenverletzungen" spricht Prof. Dr. Leila Harhaus-Wähner im MedTalk Leitlinie KOMPAKT. In dem kurzen Video geht es darum, was sich im Vergleich zur vorigen Fassung der Leitlinie geändert hat, welche Aspekte für die tägliche Praxis besonders wichtig sind und was jeder gemäß Leitlinie nun anders oder besser machen sollte.

Update Chirurgie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.