Video-assisted thoracic surgery for left upper lobectomy for complex lesions: how to extend the indication with optimal safety?

The feasibility of extending the VATS approach to locally advanced NSCLC has been described with good clinical outcome. These complex resections are still technically challenging and patient safety must remain the highest priority. In this article, we describe our routine VATS approach for left uppe...

Full description

Saved in:
Bibliographic Details
Published inActa chirurgica belgica Vol. 116; no. 4; p. 231
Main Authors Bayard, Nathanaël Frank, Barnett, Stephen Arthur, Rinieri, Philippe, Melki, Jean, Peillon, Christophe, Baste, Jean Marc
Format Journal Article
LanguageEnglish
Published England 03.07.2016
Subjects
Carcinoma, Non-Small-Cell Lung - pathology
Carcinoma, Non-Small-Cell Lung - surgery
Female
Follow-Up Studies
Humans
Imaging, Three-Dimensional
Middle Aged
Neoplasm Invasiveness - pathology
Neoplasm Staging
Patient Safety
Pneumonectomy - methods
Thoracic Surgery, Video-Assisted - methods
Treatment Outcome
lung cancer
Thoracic surgery
video-assisted
complications
oncology
Online AccessGet more information

Cover

More Information
Summary:The feasibility of extending the VATS approach to locally advanced NSCLC has been described with good clinical outcome. These complex resections are still technically challenging and patient safety must remain the highest priority. In this article, we describe our routine VATS approach for left upper lobectomy in proximal, locally advanced lesions. Both surgical and anaesthesiology teams are trained during simulation sessions to respond rapidly in case of urgent thoracotomy. Encircling arterial and venous vessels allow control of inadvertent bleeding during difficult dissection. Also, whenever needed the double vessel control technique is a time saver waiting for conversion to thoracotomy.
ISSN:0001-5458
DOI:10.1080/00015458.2016.1171077