Thoracoscopic-assisted pulmonary resection in lung cancer

Thoracoscopic-assisted pulmonary resection for lung cancer is controversial. The appropriateness of this approach has to be compared with the golden standard of an open resection. This study consists of 66 patients with a clinical stage 1 disease. A thoracoscopic exploration was executed in 41 patie...

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Bibliographic Details
Published inInternational surgery Vol. 81; no. 3; p. 248
Main Authors Proot, L M, Dillemans, B R, De Letter, J A, Vandelanotte, M, Lanckneus, M J
Format Journal Article
LanguageEnglish
Published Italy 01.07.1996
Subjects
Adult
Aged
Aged, 80 and over
Carcinoma, Non-Small-Cell Lung - pathology
Carcinoma, Non-Small-Cell Lung - surgery
Endoscopes
Female
Humans
Length of Stay
Lung - pathology
Lung Neoplasms - pathology
Lung Neoplasms - surgery
Male
Middle Aged
Neoplasm Staging
Pneumonectomy - instrumentation
Postoperative Complications - etiology
Thoracoscopes
Treatment Outcome
Video Recording - instrumentation
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Summary:Thoracoscopic-assisted pulmonary resection for lung cancer is controversial. The appropriateness of this approach has to be compared with the golden standard of an open resection. This study consists of 66 patients with a clinical stage 1 disease. A thoracoscopic exploration was executed in 41 patients. Only in 16 cases was a thoracoscopic resection finally possible. The clinical and pathological TNM classification, the histological types and the surgical procedure are reported. The reasons for conversion are documented. To investigate the appropriateness of the thoracoscopic approach we evaluated only the pathologically proven stage 1 disease in both groups. Postoperative complications, hospital stay and survival are compared. Until now we can conclude that there is no adverse effect on survival because of the thoracoscopic approach.
ISSN:0020-8868