0
Abstract: Slide Presentations |

MINIMALLY INVASIVE PULMONARY LOBECTOMY: IS IT ANY BETTER? FREE TO VIEW

John R. Handy, Jr, MD, FCCP*; James Asaph, MD, FCCP; Amy Manning, RN; Kelly Denniston, BA; E. Charles Douville, MD; Gary Ott, MD; Andrew Tsen, MD
Author and Funding Information

Providence Cancer Center, Portland, OR



Chest. 2006;130(4_MeetingAbstracts):102S. doi:10.1378/chest.130.4_MeetingAbstracts.102S-b
Text Size: A A A
Published online

Abstract

PURPOSE: Despite being described in 1991, few surgeons nationwide perform minimally invasive video-assisted thoracic surgery (VATS) lobectomy. Concerns include safety and oncologic adequacy. We initiated VATS lobectomy in 2001 and seek to characterize our experience in a large number of pulmonary resections using different operative techniques.

METHODS: We queried our practice-specific thoracic surgery database for all pulmonary lobectomies performed at Providence Portland Medical Center inclusive of 1995-2005. The database dates to 1980, containing 3,834 patients. It is maintained by dedicated nurse data manager, assuring data integrity and allowing real-time admission-specific follow-up data. The patients were divided into 3 groups: thoracotomy (TH), median sternotomy (MS) and VATS lobectomies (VATS). Each group was analyzed for demographics, operative characteristics including positive margins and presence of lymph node dissection (LND) and outcomes including mortality, complications and length of stay (LOS).

RESULTS: Analysis:.

CONCLUSION: VATS lobectomy is technically advanced with a steep learning curve. Patients undergoing VATS lobectomy have better preop pulmonary reserve but the same perioperative risk profile. Complications and LOS are improved for VATS lobectomy compared to thoracotomy and median sternotomy, while intraoperative oncologic adequacy is the same.

CLINICAL IMPLICATIONS: VATS lobectomy provides fewer complications and shorter LOS. Differences in functional outcomes and quality of life need to be investigated for different surgical approaches.

DISCLOSURE: John Handy, Jr, None.

Monday, October 23, 2006

2:30 PM - 4:00 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.

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