To show the feasibility and good results of LASER plus pleural sealant in resections of lung coin lesions. Precision cautery excision and precision LASER resection have been previously described, followed by lung plication with sutures. New tools as wavelenght 1318 nm LASER (ERASER , Rolle and Rolle) and new pleural sealant (PleuraSeal , Covidien) gave us the idea to use them together to improve results in lung sparing resections. By avoiding plication after LASER or associated to stapling we would potentially save a certain amount of lung parenchyma.
In eight months we operated upon 20 patients (14 males and 6 females) with lung metastases (n = 12), primary tumors with poor lung function (n = 5) or lesions that resulted to be benign (n = 3). We made a thoracotomy (n = 12) or a VATS (n = 8), and a precision LASER resection followed by sealing with PleuraSeal . Mean age was 65 (54–82). The number of nodules was 1 in 17 patients, 2 in two and 3 in one.
Patients stood at hospital 4 days (3–6). No mortality was recorded. The only complication was a pneumothorax after discharge of a metastasis resection patient requiring a chest tube for 3 days. Benign cases were 2 hamartomas and 1 tuberculous granuloma. Primary tumours were 3 adenocarcinomas and 2 squamous cell carcinomas, all of them T1 N0. Metastases were from colon in 5 patients, sarcoma in 3, breast in 2 and previously treated lung carcinoma in 2.
The technique was feasible, with good immediate results.
This enables us to further research on oncological results and potential functional advantages by comparing series of LASER + pleural sealant versus stapling or segmental resections.
Emilio Canalis, No Financial Disclosure Information; No Product/Research Disclosure Information