Video-assisted thoracoscopic surgery lobectomy at 20 years: a consensus statement

Yan, Tristan D.; Cao, Christopher; D’Amico, Thomas A.; Demmy, Todd L.; He, Jianxing; Hansen, Henrik Jessen; Swanson, Scott J.; Casali, Gianluca; Dunning, Joel; Shackcloth, Michael; Shah, Rajesh; Stamenkovic, Sasha; Routledge, Tom; Walker, William S.; Woo, E.; Woolley, Steve; Baste, Jean-Marc; Gossot, Dominique; Roviaro, Giancarlo; Solaini, Luciano; Loscertales, Jesús; González-Rivas, Diego; Decaluwé, Herbert; Decker, G. Anton; Ryck, Frédéric De; Sokolow, Youri; Oosterhuis, J. Wolter; Siebenga, Jan; Schmid, Thomas; Bodner, Johannes; Dienemann, Henrik; Leschber, Gunda; Schneiter, Didier; Licht, Peter B.; Petersen, René Horsleben; Piwkowski, Cezary; D'Amico, T.; Deschamps, Claude; Howington, John A.; Liptay, Mike; McKenna, Robert J.; Mitchell, John D.; Meyers, Bryan F.; Park, Bernard J.; Lee, Hyun-Sung; Li, Yun; Liu, Zhidong; Wu, Nan; Yim, Anthony P.C.; Weicheng, YU; Kohno, Tadasu; Wright, Gavin

doi:10.1093/ejcts/ezt463

Cited by 185 publications

(124 citation statements)

References 19 publications

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“…The commonly accepted indications for minimally invasive approach in lung cancers with VATS are localized stage I or II disease (24). Some series report the use of VATS in patients with locally advanced NSCLC (16)(17)(18)(19)25,26), but few studies describe the use of the robotic approach specifically for locally advanced disease (27).…”

Section: Introductionmentioning

confidence: 99%

Robotic assisted lobectomy for locally advanced lung cancer

et al. 2017

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Some series report the use of video-assisted thoracic surgery (VATS) in patients with locally advanced non-small cell lung cancer (NSCLC) but, few studies describe the use of the robotic approach specifically for locally advanced disease. One potential advantage of the robotic approach over traditional VATS is the increased radicality. While the benefit of the robotic approach over open thoracotomy is directly related to reduced surgical trauma and the improved tolerability in fragile patients that have received induction treatment. In case of occult N2 disease, robotic assisted surgery can translate into a quicker recovery with improved compliance with adjuvant treatments following surgery. Technical details are reported and described. The robotic instrument technology allows sharp and controlled dissection compared to the typical blunt sweeping methods used in most VATS lobectomy techniques. The authors believe that robotic technology favors a more radical resection in the case of complex locally advanced tumors. Robotic technology has some limitations that have affected adoption such as significant capital and maintenance costs, reduced operating room efficiencies, and a steep learning curve.

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Section: Introductionmentioning

confidence: 99%

Robotic assisted lobectomy for locally advanced lung cancer

et al. 2017

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“…In this minimally invasive approach, anatomic lobectomy and mediastinal lymph node dissection or sampling are performed using one, two or three ports without retractor use or rib spreading (19).…”

Section: Discussionmentioning

confidence: 99%

Electro-physiological evidence of intercostal nerve injury after thoracotomy: an experimental study in a sheep model

Zhang¹,

Schwabe²,

Krüger³

et al. 2017

J. Thorac. Dis.

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Background: Although intercostal nerve injury is one of the major causes for post-thoracotomy pain, the exact mechanisms are still unclear. We sought to evaluate the electro-physiological changes of intercostal nerve injury after thoracotomy in a sheep model. Methods:Adult sheep underwent thoracotomy in the sixth intercostal space by employing diathermy to superior border of the seventh rib. In two sheep, ribs were then spread using retractor spreading for a distance of 7 cm for 30 minutes. In the third sheep, thoracotomy was followed by harvesting intercostal muscles including the neurovascular bundle adjacent to inferior edge of the sixth rib. Thereafter, ribs were spread in the same way, but with the muscle flap dangled between the blades for intercostal nerve protection (dangling muscle flap technique). The nerve conduction velocity of the intercostal nerve was recorded before and after incision of intercostal muscles, immediately and 30 minutes after retractor placement and 30 minutes after removal of the retractor.Results: In the sheep undergoing conventional thoracotomy, the physiological conductivity of intercostal nerve was completely blocked immediately after retractor placement using the same stimulation intensity or even the supra-threshold intensity. The conduction block persisted for 30 minutes during the retractor placement and further 30 minutes after removal of the retractor. In contrast, intercostal nerve conduction was not impaired throughout the experiment with the dangling muscle flap technique. Conclusions:Our experiment provides electro-physiological evidence for intercostal nerve injury after thoracotomy. The injury is primarily attributed to mechanical compression caused by the rib retractor.

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“…Video-assisted thoracoscopic surgery lobectomy at 20 years: a consensus statement [10] Tristan D. Yan, Christopher Cao, Thomas A. D'Amico et al…”

Section: /1 1185mentioning

confidence: 99%

TheEJCTSpublication family is growing: the appointment of new editors forICVTSandMMCTS

Beyersdorf

Lorusso

Prêtre

et al. 2016

Eur J Cardiothorac Surg

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Video-assisted thoracoscopic surgery lobectomy at 20 years: a consensus statement

Abstract: The present Consensus Statement represents a collective agreement among 50 international experts to establish a standardized practice of VATS lobectomy for the thoracic surgical community after 20 years of clinical experience.

Cited by 185 publications

References 19 publications

Robotic assisted lobectomy for locally advanced lung cancer

Robotic assisted lobectomy for locally advanced lung cancer

Electro-physiological evidence of intercostal nerve injury after thoracotomy: an experimental study in a sheep model

TheEJCTSpublication family is growing: the appointment of new editors forICVTSandMMCTS

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