Surgical treatment of lung cancer by video-assisted thoracoscopic surgery

• Published in: Zhongguo fei ai za zhi Vol. 7; no. 5; p. 431
• Main Authors: Liu, Lunxu, Zhou, Qinghua, Che, Guowei, Wu, Zhu, Kou, Yingli, Li, Dingbiao, Huang, Xuzhong, Zhao, Yongfan, Shi, Yingkang, Yang, Junjie
• Format: Journal Article
• Language: Chinese
• Published: China Chinese Anti-Cancer Association Chinese Antituberculosis Association 20.10.2004
• Subjects: Lung cancer; Lymphatic system; Metastasis
• ISSN: 1009-3419; 1999-6187
• DOI: 10.3779/cjlc.v7i5.2640

To investigate the role of curative and palliative surgical treatment of lung cancer with video-assisted thoracoscopic surgery (VATS). Forty-three patients with lung cancer were prescribed operations with VATS, which included 5 cases of stage IA, 14 cases of IB, 1 case of IIA, 4 cases of IIB, 7 cases of IIIA, 6 cases of T4-IIIB and 6 cases of IV. The 7 patients of stage IIIA were previously staged as N0 before operation, but reevaluated as N2-IIIA after operation. There were 3 cases of malignant pleural effusion and 3 cases of pleural implantation in stage IIIB cases. There were 2 cases of cardiac tamponade, 1 case of solitary brain metastasis, and 3 cases of ipsilateral or contralateral solitary lung metastasis in cases of stage IV. The main methods of operation performed included lobectomy in 36 cases, wedge resection in 5 cases, and pericardial opening in 2 cases. Systemly mediastinal lymph node dissections were performed in 36 cases. Concurrent contralateral pulmonary wedge resections were performed in 2