Kook Nam Han1, Hyun Koo Kim1, Hyun Joo Lee1, Young Ho Choi1. 1. Departments of Thoracic and Cardiovascular Surgery, Korea University Guro Hospital, Korea University College of Medicine, Seoul, Korea.
Abstract
BACKGROUND: A video-assisted thoracic surgery (VATS) sublobar resection for early lung malignancy has been applied recently in selected patients with the improvement in surgical technique. METHODS: From 2012, we began VATS segmentectomy with 2-cm single incision in early lung cancer (T1a, tumor size <2 cm) and no lymph node metastasis with preoperative dual localization for lung lesion. RESULTS: In the video clip, we performed a 2-cm single-incisional VATS segmentectomy for early lung cancer at left upper lobe upper divisional segment and lymph node dissection using a 5-mm thoracoscope, articulating or curved endoscopic devices. Dual localization for lung lesion could help to identify the specific location of lung lesion. The potential benefits of single-incisional VATS segmentectomy include less intercostal pain, better postoperative outcomes more over than less incisional scar. CONCLUSIONS: A single-incision VATS segmentectomy might be a feasible option for the treatment of early lung cancer in selected patients.
BACKGROUND: A video-assisted thoracic surgery (VATS) sublobar resection for early lung malignancy has been applied recently in selected patients with the improvement in surgical technique. METHODS: From 2012, we began VATS segmentectomy with 2-cm single incision in early lung cancer (T1a, tumor size <2 cm) and no lymph node metastasis with preoperative dual localization for lung lesion. RESULTS: In the video clip, we performed a 2-cm single-incisional VATS segmentectomy for early lung cancer at left upper lobe upper divisional segment and lymph node dissection using a 5-mm thoracoscope, articulating or curved endoscopic devices. Dual localization for lung lesion could help to identify the specific location of lung lesion. The potential benefits of single-incisional VATS segmentectomy include less intercostal pain, better postoperative outcomes more over than less incisional scar. CONCLUSIONS: A single-incision VATS segmentectomy might be a feasible option for the treatment of early lung cancer in selected patients.
Authors: Gaetano Rocco; Nicola Martucci; Carmine La Manna; David R Jones; Giuseppe De Luca; Antonello La Rocca; Arturo Cuomo; Rosanna Accardo Journal: Ann Thorac Surg Date: 2013-06-19 Impact factor: 4.330
Authors: Diego Gonzalez-Rivas; Eva Fieira; Maria Delgado; Mercedes de la Torre; Lucia Mendez; Ricardo Fernandez Journal: J Thorac Dis Date: 2014-10 Impact factor: 2.895
Authors: Calvin S H Ng; Hyun Koo Kim; Randolph H L Wong; Anthony P C Yim; Tony S K Mok; Young Ho Choi Journal: Thorac Cardiovasc Surg Date: 2015-01-20 Impact factor: 1.827