Thoracoscopic Pneumonectomy

The role of thoracoscopic pneumonectomy in the management of non–small cell lung cancer: A multicenter study

“…Battoo and colleagues 3 found that in their single-center experience of 107 patients, of whom 67 (63%) underwent a VATS approach, there were no significant differences in perioperative complications and overall survival between VATS and open pneumonectomy. 3 Their conversion rate reported was 16%, which is similar to the conversation rate of 19% in this study. Liu and colleagues 4 also found no significant differences in perioperative complication rates between VATS and open pneumonectomy.…”

“…The first reports demonstrating technical feasibility of thoracoscopic pneumonectomy were published in the early 1990s, but since then, studies have been limited largely to case reports. [5][6][7][8][9][10][11][12][13][14][15] There have been only 2 other studies that have evaluated the outcomes of VATS versus open pneumonectomy in patients with NSCLC, 3,4 with findings similar to those reported in the present study. Battoo and colleagues 3 found that in their single-center experience of 107 patients, of whom 67 (63%) underwent a VATS approach, there were no significant differences in perioperative complications and overall survival between VATS and open pneumonectomy.…”

“…To date, there have been only 2 single-center studies that have compared the outcomes of VATS with open pneumonectomy for NSCLC; in those studies, no significant differences in perioperative complications and 30-day mortality were found. 3,4 The purpose of this study was to build on the current data regarding the safety and feasibility of VATS pneumonectomy by assessing the short-and long-term outcomes among patients undergoing VATS versus open pneumonectomy for NSCLC in a multicenter setting. Our objective was to test the hypothesis that the VATS approach in appropriately selected patients is not associated with significant differences in perioperative and oncologic outcomes when compared with pneumonectomy by thoracotomy.…”

Pulmonary Artery Bleeding During Video-Assisted Thoracoscopic Surgery

“…[7][8][9] Reports have also documented that a minimally invasive VATS approach can be used in more advanced situations, such as large and central tumors with clinically positive nodal disease and after induction therapy, as well as for sleeve resections, chest wall resections, and pneumonectomy. [10][11][12][13][14] Despite the advances and demonstrated benefits of minimally invasive thoracic surgery, a VATS approach for lobectomy has not been universally adopted. As recently as 2010, a VATS approach was used in the minority (45%) of lobectomies recorded in the Society of Thoracic Surgeons General Thoracic Surgery Database.…”

Technique of video-assisted thoracoscopic left pneumonectomy

“…In all cases the pulmonary artery was able to be controlled safely. Using intent to treat analysis, perioperative outcomes and survival curves matched by stages were similar (16).…”