Original article: general thoracicBetter pulmonary function and prognosis with video-assisted thoracic surgery than with thoracotomy
Section snippets
Patients and methods
From September 1992 through April 2000, we performed 204 major lung resections under VATS: 13 segmentectomies, 187 lobectomies, and 4 pneumonectomies. There were 120 male and 84 female patients with an average age of 64 years (range, 28 to 87 years). The patients consisted of 159 cases with lung cancer, 13 with bronchiectasis, 9 with granulomas, 8 with metastatic tumors, and 15 with miscellaneous diseases. After intubation with a double-lumen endotracheal tube (Broncho-Cath, Mallinckrodt
Results
Among spirometry variables, the data of vital capacity and forced expiratory volume in 1 s are presented in Table 2. A comparison of postoperative and preoperative values was made between the VATS lobectomy and open thoracotomy groups; the average postoperative vital capacity was divided by the average preoperative value in both the VATS lobectomy and open thoracotomy groups. The resulting quotients were 0.849 and 0.668, respectively (Fig 2). A comparison of another spirometry variable, forced
Comment
Although open thoracotomy has long been adopted as a standard approach in lung resection, it contributes to morbidity, mortality, and prolonged, painful recovery of the patient. All these things are believed to come from the extent of the incision. On the other hand, the less destructive nature of VATS lobectomy is associated with low mortality and morbidity, early recovery, less deformity of the thorax, and better survival than open thoracotomy. Although medical insurance allowed only patients
References (11)
- et al.
One hundred consecutive patients undergoing video-assisted thoracic operations
Ann Thorac Surg
(1992) - et al.
Thoracoscopic lobectomy
Ann Thorac Surg
(1993) - et al.
Video-assisted thoracic surgery (VATS) lobectomythe Japanese experience
Semin Thorac Cardiovasc Surg
(1998) Video-assisted thoracic surgery (VATS) lobectomythe Edinburgh experience
Semin Thorac Cardiovasc Surg
(1998)- et al.
Video-assisted thoracic surgical non-rib spreading simultaneously stapled lobectomy (VATS(n)SSL)
Semin Thorac Cardiovasc Surg
(1998)
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