Video-assisted thoracoscopic surgery lobectomy with chest wall resection

被引:7
作者
Dal Agnol, Guilherme [1 ]
Oliveira, Ricardo [2 ]
Ugalde, Paula A. [3 ]
机构
[1] Amer Ctr Oncol Integrado, Div Thorac Surg, Rio De Janeiro, Brazil
[2] Univ Affiliated Hosp, Santa Casa de Misericordia Bahia, Div Thorac Surg, Quebec City, PQ, Canada
[3] Laval Univ, Inst Univ Cardiol & Pneumol Quebec, Dept Resp Med & Thorac Surg, Quebec City, PQ, Canada
关键词
Lung neoplasms; chest wall; metastasis; thoracic surgery; video-assisted; CELL LUNG-CANCER; EN-BLOC RESECTION; LONG-TERM SURVIVAL; SURGICAL-TREATMENT; RIB RESECTION; INVASION; RECONSTRUCTION; PAIN; EXTENT; THORACOTOMY;
D O I
10.21037/jtd.2018.04.72
中图分类号
R56 [呼吸系及胸部疾病];
学科分类号
摘要
Lung cancer presents with chest wall invasion in 5-8% of patients, which imparts some treatment challenges. Surgical resection is currently the standard of care, and there are some controversies regarding the best approach. Published series and case reports confirm the safety and feasibility of video-assisted thoracoscopic surgery (VATS) in highly complex surgical cases including lobectomy with chest wall resection of locally advanced lung cancer. In this article, we present the clinical indications of locally advanced lung cancer that infiltrates the chest wall, the modalities for and importance of accurately staging lung cancers with chest wall invasion, and the technical aspects of accomplishing a safe and oncologically sound extended resection through VATS.
引用
收藏
页码:S2656 / S2663
页数:8
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