Thoracoscopic Anatomical Lung Resection – Lobectomy

Česká verzia

Authors: P. Hromádka; S. Černohorský ^*; M. Baader; F. Fidler ^*; J. Škach; L. Příhodová
Authors place of work: Chirurgické oddělení, Krajská nemocnice Liberec, přednosta: prim. MUDr. M. Baader ; Chirurgické oddělení, Nemocnice na Homolce, prim. MUDr. F. Fidler ^*
Published in the journal: Rozhl. Chir., 2008, roč. 87, č. 10, s. 542-545.
Category: Monothematic special - Original

Summary

The authors bring their first experience with a purely endoscopic anatomical lung resection – lobectomy with mediastinal lymphadenectomy. At the department of surgery, Liberec Hospital, we have, so far, done 5 operations using this new technique. Once left superior lobectomy and 4 left inferior lobectomies were carried out. We describe the procedures and surgical tactics in thoracoscopic operations using modern staplers and haemoclips. The aim was to compare the results and benefits of purely endoscopic versus „classical“ operations and to dismantle the myth of the extreme finacial intensiveness of this procedure.

Key words:
lungs – thoracoscopy – lobectomy

Zdroje

1. Hájek, M. Komentář k článku „Robotická plicní lobektomie“. Rozhl. Chir., 2008, roč. 87, č. 3., s. 124.

2. Doležel, J., Jedlička, V., Čapov, I. Robotická plicní lobektomie – naše první zkušenosti. Rozhl. Chir., 2008, roč. 87, č. 3, s. 121–123.

3. Melfi, F. M. A, Ambrogi, M. C, Lucchi, M., Mussi, A. Video robotic lobectomy. MMCTS, 2005.

4. Craig, S. R., Walker, W. S. Potential complications of vascular stapling in thoracoscopic surgery. Ann. Thorac. Surg., 1995, 59: 736–813.

5. Giudicelli, R.,Thomas, P., Lonjon, T., et al. Major pulmonary resection by video-assisted minithoracotomy. Eur. J. Cardioothorac. Surg., 1994, 8: 254–258.

6. Kondo, D., Imaizumi, M., Abe, T., Naruke, T., Suemasu, K. Endoscopic ultrasound examination for mediastinal lymph node metastases of lung cancer. Chest, 1990, Vol. 98, 576–593.

7. McKenna, R. J. Lobectomy by video-assisted thoracis surgery with mediastinal node sampling. J. Thorac. Cardiovasc. Surg., 1994, 107: 879–982.

8. Dajczman, E., Gordon, A., Kreisman, H., Wolkove, N. Long term post thoracotomy pain. Chest, 1991, 99: 270–274.

9. Landreneau, R. J., Mack, M. J., Hazelrigg, S. R., et al. Prevalence of chronic pain after pulmonary resection by thoracotomy or video-assisted thoracic surgery. J. Thorac. Cardiovasc. Surg., 1995, 107: 1079–1086.