Video-assisted thoracoscopic surgery lobectomy: The first Indian report

被引:6
作者
Kumar, Arvind [1 ]
Bin Asaf, Belal [1 ]
Puri, Harsh Vardhan [1 ]
Sharma, Manish Kumar [2 ]
Lingaraju, Vijay C. [1 ]
Rajput, Vimesh S. [1 ]
机构
[1] Sir Ganga Ram Hosp, Ctr Chest Surg, New Delhi, India
[2] Sir Ganga Ram Hosp, Dept Cardiol, New Delhi, India
关键词
Lobectomy for benign diseases; lung cancer; thoracoscopic lobectomy; video-assisted thoracoscopic surgery lobectomy; CELL LUNG-CANCER; LONG-TERM OUTCOMES; THORACIC-SURGERY; STAGE-I; INITIAL EXPERIENCE; OPEN THORACOTOMY; BENIGN DISEASE; VATS LOBECTOMY; METAANALYSIS; GUIDELINES;
D O I
10.4103/jmas.JMAS_148_17
中图分类号
R61 [外科手术学];
学科分类号
摘要
Introduction: The fear of pleural adhesions and densely stuck lymph nodes in India, a country where tuberculosis is endemic, is one major factor keeping our surgeons away from video-assisted thoracoscopic surgery (VATS) lobectomy. In this paper, we aim to report our experience with performing VATS lobectomy in 102 cases using a standardised three-port anterior approach. Materials and Methods: Between March 2012 and September 2016, we performed 102 VATS lobectomies. Sixty patients (58.8%) were males and 42 females (41.2%), with a mean age of 42.02 years. Diagnoses were as follows: benign disease (72), lung cancer (27) and pulmonary metastases (3). Among the cases with primary lung cancer, twenty out of 27 (74%) were adenocarcinoma and 7 cases of squamous carcinoma (25.92%). All patients underwent lobectomy by a standardised three-port anterior approach. Results: The overall conversion rate was 8.82% (n = 9). We observed no postoperative complications in 82 (80.4%) patients. The average blood loss was 211.37 ml. Mean operative time was 173 min. Median length of hospital stay was 5 with median chest tube duration of 4.9 days. There was no in hospital or 30-day mortality. The most common complication was prolonged air leak. Conclusion: From this first Indian series, it is clear that VATS lobectomy is feasible in both benign and malignant cases. It also shows that the fear of adhesions is unwarranted and properly selected benign cases can also undergo VATS lobectomy safely.
引用
收藏
页码:291 / 297
页数:7
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