Initial experience of thoracoscopic lobectomy with partial removal of the superior vena cava for lung cancers

被引:3
作者
Xu, Xin [1 ,2 ,3 ]
Chen, Hanzhang [1 ,2 ,3 ]
Yin, Weiqiang [1 ,2 ,3 ]
Shao, Wenlong [1 ,2 ,3 ]
Wang, Wei [1 ,2 ,3 ]
Peng, Guilin
Huang, Jun [1 ,2 ,3 ]
He, Jianxing [1 ,2 ,3 ]
机构
[1] Guangzhou Med Univ, Affiliated Hosp 1, Dept Cardiothorac Surg, Guangzhou 510120, Guangdong, Peoples R China
[2] Guangzhou Inst Resp Dis, Guangzhou, Guangdong, Peoples R China
[3] China State Key Lab Resp Dis, Guangzhou, Guangdong, Peoples R China
关键词
Video-assisted thoracic surgery (VATS); Non-small-cell lung cancer; Lung surgery; Superior vena cava; THORACIC-SURGERY LOBECTOMY; LOWER MORBIDITY; RADIOTHERAPY; CONCURRENT; CISPLATIN;
D O I
10.1093/ejcts/ezu416
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
OBJECTIVES: The objectives of this study were to report the surgical techniques and clinical outcome of thoracoscopic lobectomy with partial removal of the superior vena cava for lung carcinomas. METHODS: Between January 2010 and November 2013, 1132 patients with lung cancer underwent radical surgery by thoracoscopy; 5 (0.4%) underwent thoracoscopic lobectomy with partial removal of the superior vena cava. Perioperative variables and postoperative outcomes of these cases were analysed to evaluate the technical feasibility and safety of this operation. RESULTS: For all cases, a right upper lobectomy was performed. The average time of surgery was 260 min (range, 170-380, 260 +/- 90 min). The intraoperative blood loss averaged 160 ml (range, 50-300, 160 +/- 90 ml). The median postoperative hospital stay was 11 days (interquartile range, 7-15 days). Postoperatively, tracheal extubation was achieved in the recovery room without further need for mechanical ventilation. In 1 case, the patient experienced postoperative superior vena cava thrombosis; he recovered after administration of anticoagulation drugs. None of the patients developed active blood leakage postoperatively. Perioperative mortality was not observed. CONCLUSION: Thoracoscopic lobectomy with partial removal of the superior vena cava can be considered a feasible and safe operation for selected patients with lung cancer.
引用
收藏
页码:E8 / E12
页数:5
相关论文
共 16 条
[1]   Concurrent cisplatin, etoposide, and chest radiotherapy in Pathologic stage IIIB non-small-cell lung cancer: A Southwest Oncology Group Phase II Study, SWOG 9019 [J].
Albain, KS ;
Crowley, JJ ;
Turrisi, AT ;
Gandara, DR ;
Farrar, WB ;
Clark, JI ;
Beasley, KR ;
Livingston, RB .
JOURNAL OF CLINICAL ONCOLOGY, 2002, 20 (16) :3454-3460
[2]   A meta-analysis of unmatched and matched patients comparing video-assisted thoracoscopic lobectomy and conventional open lobectomy [J].
Cao, Christopher ;
Manganas, Con ;
Ang, Su C. ;
Yan, Tristan D. .
ANNALS OF CARDIOTHORACIC SURGERY, 2012, 1 (01) :16-23
[3]   Is lung cancer surgery justified in patients with direct mediastinal invasion? [J].
Doddoli, C ;
Rollet, G ;
Thomas, P ;
Ghez, O ;
Serée, Y ;
Giudicelli, R ;
Fuentes, P .
EUROPEAN JOURNAL OF CARDIO-THORACIC SURGERY, 2001, 20 (02) :339-343
[4]   Phase III study of concurrent versus sequential thoracic radiotherapy in combination with mitomycin, vindesine, and cisplatin in unresectable stage III non-small-cell lung cancer [J].
Furuse, K ;
Fukuoka, M ;
Kawahara, M ;
Nishikawa, H ;
Takada, Y ;
Kudoh, S ;
Katagami, N ;
Ariyoshi, Y .
JOURNAL OF CLINICAL ONCOLOGY, 1999, 17 (09) :2692-2699
[5]  
JEMAL A, 2011, CA-CANCER J CLIN, V61, P69, DOI DOI 10.3322/CAAC.20107
[6]  
Jones DR, 2008, OPER TECH THORAC CAR, V13, P274, DOI 10.1053/j.optechstcvs.2009.01.002
[7]   A tip for controlling the main pulmonary artery during video-assisted thoracic major pulmonary resection: the outside-field vascular clamping technique [J].
Kamiyoshihara, Mitsuhiro ;
Nagashima, Toshiteru ;
Ibe, Takashi ;
Takeyoshi, Isumi .
INTERACTIVE CARDIOVASCULAR AND THORACIC SURGERY, 2010, 11 (05) :693-695
[8]   Video-Assisted Thoracic Surgery Lobectomy: Single Institutional Experience With 704 Cases [J].
Kim, Kwhanmien ;
Kim, Hong Kwan ;
Park, Joon Suk ;
Chang, Sung Wook ;
Choi, Yong Soo ;
Kim, Jhingook ;
Shim, Young Mog .
ANNALS OF THORACIC SURGERY, 2010, 89 (06) :S2118-S2122
[9]   100 CONSECUTIVE PATIENTS UNDERGOING VIDEO-ASSISTED THORACIC OPERATIONS [J].
LEWIS, RJ ;
CACCAVALE, RJ ;
SISLER, GE ;
MACKENZIE, JW .
ANNALS OF THORACIC SURGERY, 1992, 54 (03) :421-426
[10]   Video-assisted thoracic surgery sleeve lobectomy: A case series [J].
Mahtabifard, Ali ;
Fuller, Clark B. ;
McKenna, Robert J., Jr. .
ANNALS OF THORACIC SURGERY, 2008, 85 (02) :S729-S732