0
Abstract: Poster Presentations |

PRECISE EXCISION OF LUNG NODULES WITH 1318 NM LASER PLUS PLEURAL SEALANT FREE TO VIEW

Emilio A. Canalis, MD*; Antoni Pardo, MD; Cristina Gonçalves; Anna Palau; Aleydis Caro; Maria-Jose Alcaide; Miriam Estors; Xavier Aguilar, PhD; Joan Font-Givell; Alfonso Guedea; Lidia Macias, MD; Gabriel Buendia
Author and Funding Information

Hospital Universitari Joan XXIII, IISPV, URV, Tarragona, Spain


Chest


Chest. 2009;136(4_MeetingAbstracts):140S. doi:10.1378/chest.136.4_MeetingAbstracts.140S
Text Size: A A A
Published online

Abstract

PURPOSE:  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.

METHODS:  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.

RESULTS:  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.

CONCLUSION:  The technique was feasible, with good immediate results.

CLINICAL IMPLICATIONS:  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.

DISCLOSURE:  Emilio Canalis, No Financial Disclosure Information; No Product/Research Disclosure Information

Wednesday, November 4, 2009

12:45 PM - 2:00 PM


Figures

Tables

References

NOTE:
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).

Some tools below are only available to our subscribers or users with an online account.

Related Content

Customize your page view by dragging & repositioning the boxes below.

Find Similar Articles
CHEST Journal Articles
  • CHEST Journal
    Print ISSN: 0012-3692
    Online ISSN: 1931-3543