Thoracoscopic major lung resection--indications, technique, and early results: experience from two centers in Asia.

摘要: The application of video-assisted thoracic surgery (VATS) to major lung resection is controversial. We reviewed our combined experience in this technique from two centers Asia. From January 1993 December 1995, 78 patients (44 male and 34 female with ages ranging 16 85 years) successfully underwent VATS resections. Selection criteria for approach include (a) lesions < 5 cm maximal diameter; (b) primary carcinomas, clinical stage I status; (c) absence chest wall involvement; (d) pleural symphysis; (e) complete or near interlobar fissures. Procedures included segmentectomy (1), lobectomy (69), bilobectomy (2), pneumonectomy (6) together mediastinal lymph node sampling cases malignancy. emphasized not spreading ribs using conventional instruments dissection wound protection on specimen retrieval. There was one perioperative death five nonfatal complications that persistent air leak over 10 days patients, pneumonia one, dysesthesia related two. conclude technically feasible. Stringent patient selection important. Specific exist special training needed. exact role remains be defined by prospective randomized study compared thoracotomy long-term follow-up.