The influence of prior multiport experience on the learning curve for single-port thoracoscopic lobectomy: a multicentre comparative study
|
|
- Alan McCormick
- 5 years ago
- Views:
Transcription
1 European Journal of Cardio-Thoracic Surgery 51 (2017) doi: /ejcts/ezx003 Advance Access publication 15 February 2017 ORIGINAL ARTICLE Cite this article as: Martin-Ucar AE, Aragon J, Bolufer Nadal S, Galvez Munoz C, Luo Q, Perez Mendez I et al. The influence of prior multiport experience on the learning curve for single-port thoracoscopic lobectomy: a multicentre comparative study. Eur J Cardiothorac Surg 2017;51: a b c d e The influence of prior multiport experience on the learning curve for single-port thoracoscopic lobectomy: a multicentre comparative study Antonio E. Martin-Ucar a,javieraragon b, Sergio Bolufer Nadal c, Carlos Galvez Munoz c,qigangluo d, Itzel Perez Mendez b,aland.l.sihoe e and Laura Socci a, * Thoracic Surgery Units, Sheffield Teaching Hospital, Sheffield, UK Unidad de Cirugia Toracica, Hospital Universitario Asturias, Oviedo, Spain Unidad de Cirugia Toracica, Hospital Universitario Alicante, Alicante, Spain Department of Thoracic Surgery, The University of Hong Kong Shenzhen Hospital, Shenzhen, China Department of Thoracic Surgery, University Hong Kong, Hong Kong, China * Corresponding author. Northern General Hospital, Sheffield Teaching Hospitals, Herries Road, Sheffield S5 7AT, UK. Tel: ; laura.socci@sth.nhs.uk (L. Socci). Received 29 July 2016; received in revised form 20 November 2016; accepted 23 November 2016 Abstract OBJECTIVES: Competency in video-assisted thoracoscopic (VATS) lobectomy is estimated to be reached after the surgeon completes 50 cases. We wanted to explore the impact of competency in performing multiport VATS lobectomies on completing the needed number of single-port VATS. METHODS: In a retrospective multicentre study, 6 individual surgeons (3 with previous competency in multiport VATS lobectomy and 3 without) submitted their first 50 cases of single-port VATS lobectomies. Extended and sublobar resections were excluded. Pre-, peri- and postoperative data were compared between the groups of surgeons. Chi-square and Wilcoxon s rank tests were used. The less experienced surgeons had previously attended dedicated training courses and visited with experts. RESULTS: A total of 300 cases were included [150 in Group A (surgeons with previous experience performing multiport VATS) and 150 in Group B (surgeons without extensive experience performing multiport VATS)]. Surgeons in Group B performed significantly more elective open lobectomies during their learning curve period than surgeons of Group A (58 vs 1). Patients in Group B were older and had more risk factors. There were 3 in-hospital deaths (respiratory failure, sepsis and fatal stroke). There were no differences between the groups in operative time, intensive care unit admissions, hospital stay, total complications, tumour size or number of N2 stations explored. Only the duration of intercostal drainage (2 vs 3 days, 0.012), incidence of respiratory tract infections (1% vs 7%, P = 0.002) and conversion rates (4% vs 12%, P = 0.018) were better in Group A. Patients characteristics played a role in the development of respiratory infections and longer drainage times but not in the need for conversion. CONCLUSIONS: Overall, postoperative outcomes during the learning curve period for single-port VATS lobectomies are not noticeably affected by previous multiport VATS experience. Less experienced surgeons were more selective in order to achieve competency (more lower lobectomies and more open operations). Competency in single-port VATS lobectomy can be acquired safely with adequate training and good case selection but will be achieved faster with previous competency in multiport VATS lobectomy. Keywords: Training Surgical outcomes Thoracoscopy INTRODUCTION Any development in a surgical approach should be deemed safe, efficient, reproducible and easily learned by the surgeons. Singleport video-assisted thoracoscopy (VATS) was initially recommended for use in minor and intermediate procedures [1, 2]. Presented at the 24th European Conference on General Thoracic Surgery, Naples, Italy, 29 May 1 June With the advances in expertise in traditional multiport VATS and the development of purposely designed thoracoscopic instruments, single-port VATS was used for lobectomies [3]. Other more complex procedures have since been described [4 6], but it is in the area of VATS lobectomy where this approach has expanded around the world. Without engaging in a discussion of the merits of all VATS techniques, it seems clear that the singleport VATS approach can achieve outcomes as satisfactory as VC The Author Published by Oxford University Press on behalf of the European Association for Cardio-Thoracic Surgery. All rights reserved.
2 1184 A.E. Martin-Ucar et al. / European Journal of Cardio-Thoracic Surgery Figure 1: Single-port VATS lobectomy using instruments designed specifically for this procedure. The utility incision required to extract the specimen is used to perform the whole procedure. those of other approaches; therefore, its use has expanded rapidly [7 9]. Learning a new technique or approach requires careful attention to physician training and patient selection. The impact of the learning curve for any new procedure on patients and outcomes must be considered and dealt with in order to minimize its effects. It is estimated that competency in performing VATS lobectomy is achieved after 50 procedures. During the period when the surgeon is perfecting the procedure, outcomes should be monitored and patient safety ensured [10]. The single-port VATS lobectomy has been adopted directly from open surgery or after experience with the traditional multiport VATS [11 13]. METHODS The aim of this international multicentre study was to evaluate the effects of the learning curve on surgeons with previous multiport VATS lobectomy experience (at least 50 cases performed) and those who had not completed the 50 cases required for certification of competency in VATS lobectomy before undertaking single-port VATS lobectomy. To achieve this goal, we compared the practice and outcomes of the initial 50 lobectomies performed via the single-port VATS approach by 3 surgeons who had completed at least 50 cases of multiport VATS (Group A) with 3 surgeons who had not (Group B). All surgeons were fully qualified specialists in thoracic surgery with experience in open procedures and had undergone practical training in the procedure by attending courses and visiting experts. For the purpose of this study, complex procedures (segmentectomies, sleeve resections and pneumonectomies) were not included. The operations were performed in centres from different countries (Spain, China and the UK). All surgeons used a similar operative technique: an anterior axillary line incision over the 4th and 5th intercostal space 3 6 cm long as required by the expected size of the tumour/lobe [14]. A longer incision is required for large tumours and lobes of 4 5 segments whereas a 3-cm incision would be sufficient to complete a right upper or a middle lobectomy with a small tumour. A 30-degree optic was placed at the most lateral point of the incision allowing for instrumentation alongside the rest of the incision. Procedures were completed without spreading the ribs, and soft tissue retractors were used per each surgeon s preferences. A specimen bag was used for retrieval of the specimen (Fig. 1). Data were collected retrospectively from 300 patients from preoperative (age, gender, spirometry, comorbities, smoking history and previous malignant disease), intraoperative (side, lobe removed, operative time, conversions, additional ports inserted, number of lymph node stations explored, tumour size, final histological report and staging) and postoperative (postoperative in-hospital deaths, hospital stay, duration of intercostal drainage, admission to the intensive care unit and postoperative complications) periods. Chest or respiratory tract infection was defined as the need for a course of antibiotics in the presence of a positive sputum culture or radiological changes. Vascular complications were defined as the development of a pulmonary embolism, a cerebrovascular accident or a deep vein thrombosis. Renal replacement therapy and cardiac complications (myocardial infarction, atrial fibrillation) were recorded. Wound complications included partial dehiscence, infection and prescription of antibiotics by the general practitioners. The groups were compared using the Chi-square test (and the Fisher s exact test when required) for categorical variables and the Wilcoxon rank test for quantitative variables. Statistical significance was defined by P-values less than 0.05 throughout
3 A.E. Martin-Ucar et al. / European Journal of Cardio-Thoracic Surgery 1185 Table 1: Preoperative data using SPSS v11.5. Data are expressed as number (%) or median (range). RESULTS Age, years 63 (18 82) 68 (21 85) <0.001 FEV1, % 84 (51-137) 86 (32-157) 0.86 TLCO, % 79 (39-117) 71 (33-120) Cardiac comorbidities, n (%) 18 (12) 45 (30) <0.001 Respiratory comorbidities, n (%) 33 (22) 51 (34) Vascular comorbidities, n (%) 13 (9) 22 (15) 0.15 Diabetes, n (%) 32 (21) 18 (12) Previous malignancies, n (%) 38 (25) 54 (36) Open lobectomies, n 1 58 <0.001 Preoperative variables between the groups. Data are presented as number (%) or median (range). FEV1: forced expiratory volume in the first second; TLCO: transfer capacity of the lungs for carbon monoxide. Table 2: Perioperative data* Right: left 82:68 85: Lower lobectomies, n (%) 46 (32) 61 (41) 0.11 Complete excision, n (%) 147 (98) 148 (99) 0.60 Tumour size, cm 2.8 (0.4 12) 2.5 (0.9 10) 0.41 N2 stations, n 3 (1 6) 3 (0 5) 0.58 Operation time, min 195 (60 420) 180 (55 420) Conversion to open surgery, 6 (4) 18 (12) n (%) Insertion of an extra port, n (%) 8 (5) 6 (4) 0.78 Intraoperative variables between the groups. Data are presented as number (%) or median (range). Table 3: Postoperative data Duration of drain, days 2 (0 26) 3 (0 35) Hospital stay, days 4 (1 21) 4 (1 36) 0.68 ICU admission, n (%) 5 (3.3) 3 (2) 0.72 Hospital deaths, n (%) 1 (0.7) 2 (1.3) 0.62 Atrial fibrillation, n (%) 1 (0.7) 5 (3.3) 0.16 Re-insertion of drain, n (%) 8 (5) 8 (5) 0.99 Renal complications, n (%) 3 (2) Vascular complications, n (%) 0 2 (1.4) 0.36 Chest infection, n (%) 1 (0.7) 12 (8) Wound complications, n (%) 3 (2) 10 (7) Postoperative variables between the groups. Data are presented as number (%) or median (range). ICU: intensive care unit. All 6 surgeons contributed data from their initial 50 cases dating from 2011 to The preoperative data are shown in Table 1. Age was more advanced and measurements of the transfer capacity of the lungs for carbon monoxide were lower in Group B; the prevalence of comorbidities was higher (cardiac and respiratory). During this initial period, surgeons in Group B continued to perform elective lobectomies via thoracotomy in their practice (a total combined 58 cases vs 1 in Group A, P < 0.001). The lobectomies were performed for primary lung cancer (87%), secondary deposits (5%) and non-malignant disease (8%). The distribution was similar in the 2 groups. In this experience, only 10 cases had undergone neoadjuvant therapies prior to surgery (3%): 9 in Group A and 1 in Group B. The operative time, anatomical location and size of tumours, number of N2 stations explored and need for insertion of a second port were similar between the groups (Table 2). The conversion rate for surgeons in Group B was 12%, whereas that in Group A was 4% (P = 0.018). Indications for conversion were technical difficulties in 9 cases, bleeding in 13 and local invasion in 2. Conversion was typically performed by all surgeons by extending the incision into an anterior thoracotomy approach. We found no significant differences in postoperative inhospital deaths: 0.7% and 1.3% in Groups A and B, respectively (P = 0.62). Causes of death were respiratory failure, sepsis and a fatal stroke. The incidence of admission to the intensive care unit, overall postoperative complications and duration of stay in hospital were also similar. There was an increase in the incidence of postoperative respiratory tract infection (8% vs 0.7%, P = 0.002) in patients in Group B. Patients operated by surgeons in Group A had their drains removed at a median of 2 days vs 3 days in Group B (P = 0.012) (Table 3). We did not collect data on the duration of air leaks after surgery, but the data can be extrapolated from the duration of intercostal drainage. A total of 6% of patients operated in Group A had their intercostal drains removed after 7 days vs 18% in Group B (P = 0.002). The incidence of wound complications (infection, dehiscence or use of antibiotics) reported approached significance (P = 0.052). The difference between the groups was 2% in Group A vs 7% in Group B. The duration of intercostal drainage was also related to other risk factors: impaired forced expiratory volume in the first second (P = 0.013), impaired transfer capacity of the lungs for carbon monoxide (P = 0.001) and advanced age (P = 0.041). Postoperative pneumonia was also related to advanced age (P = 0.005). Conversion to thoracotomy was, however, only related to the surgeon s previous multiport VATS experience, with no other factors approaching a significant correlation. DISCUSSION Adoption of new techniques and approaches is an integral part of surgical advances. Although there is no set manner in which to learn and implement them, there are initiatives that can aid the progress: visiting experts, attending practical courses in experimental surgery, watching live operations and video libraries. We are fortunate that experts have already assessed the learning
4 1186 A.E. Martin-Ucar et al. / European Journal of Cardio-Thoracic Surgery curve for VATS lobectomy. The recommendations are that the physician should complete about 50 cases to achieve competency [10]. It was suggested that learning the single-port VATS lobectomy might be better achieved if one had previous expertise in the traditional multiport VATS. Other authors with open surgery experience have reported good outcomes from their initial experiences with single-port VATS [11, 12, 15]. Our experience suggests that one can achieve good outcomes like those achieved with previous experiences. The differences are related more to the selection of cases and awareness of one s own limitations than to patient outcomes. Surgeons without previous VATS lobectomy experience are more prone to convert to open surgery, normally because the operation is difficult and the surgeon fails to progress. Also, they are more likely to select patients for single-port VATS lobectomy and to continue performing open resections during the initial stages of their learning curve. Suggestions for the selection process can be found in our own experiences: concentrate initially on dissections that are technically easier, such as lower lobectomies, and select single-port VATS for patients at higher risk of complications from thoracotomy (the elderly, those with important comorbidities or with a restricted pulmonary reserve). Published reports suggest that the application of VATS lobectomy in these groups of patients reduces the operative risks compared to thoracotomy [16 18]. We selected the initial 50 cases performed by all of the surgeons that met the definition of the learning curve after VATS lobectomy. By that point, all of the participating surgeons felt they had achieved initial competency in the approach and were already performing more complex surgeries (e.g. segmentectomies, sleeves). However, more surgeons with previous VATS lobectomy competency performed these complex procedures. Our report also indicates that clinical outcomes (mortality, complications), use of resources (operative time, admission to the intensive care unit and hospital stay) and oncological outcomes (rate of complete R0 excisions, lymph node stations explored during surgery) were similar between the groups. The slight increase in respiratory tract infections in Group B probably reflects the differences in the risk factors of the cohorts of patients (increased age, lower respiratory reserve and more comorbidities). The incidence of infective thoracic complications, however, compares reasonably well with rates reported in the literature [19, 20]. The number of conversions to thoracotomy decreases with experience, as has been shown in multiport VATS [21]. Our rates of 4% and 12% fall within the limits described in the literature [22, 23]. Only three of the conversions (1%) were salvage after a massive haemorrhage, the majority due to failure to progress, minor or moderate vascular injuries or prevention of probable complications. Wound complications, another outcome that differed between the groups, probably represent a softer outcome both by the definition and partly because they depend on the intervention of non-surgical doctors and nurses. They do not, however, represent a significant clinical issue for patients because no re-interventions were required. Similar rates of wound complications after thoracic procedures have been described in the literature [24, 25]. It is important to realize that all of the surgeons involved had attended hands-on operating courses using live animal models, had visited experts and had attended courses where live operations were performed. In most cases, the surgeons made a second visit or attended another course after the initial adoption. All surgeons felt that this second initiative helped them learn tricks and pitfalls encountered during their daily practice. We acknowledge the limitations of our study. It involved a limited number of surgeons with different practices even geographically. These surgeons progressed to single-port VATS lobectomy in diverse environments. The retrospective nature of this work, although based on prospectively recorded databases, is another limitation, as are the differences in the demographics between units. All surgeons have gone on to universally adopt the approach in their practices, so they could be labelled as enthusiasts. These limitations do not, however, restrict the value of our initiative as an honest exploration of our learning curve. The total number of patients included is substantive, and we hope that will make our report of interest to readers. Based on our experience, we believe that competency in performing single-port VATS lobectomies can be enhanced if the surgeon has previous experience performing multiport VATS or open surgeries without compromising outcomes. The competency is, however, acquired faster and with fewer conversions to open surgery when the surgeon has previous experience with multiport VATS lobectomies. An acceptable increase in postoperative respiratory complications and longer drainage time were also identified in the non-vats experience group but were also linked to patient characteristics. Conflict of interest: none declared. REFERENCES [1] Rocco G, Martin-Ucar A, Passera E. Uniportal VATS wedge pulmonary resections. Ann Thorac Surg 2004;77: [2] Rocco G, Khalil M, Jutley R. Uniportal video-assisted thoracoscopic surgery wedge lung biopsy in the diagnosis of interstitial lung diseases. J Thorac Cardiovasc Surg 2005;129: [3] Gonzalez D, Paradela M, Garcia J, De la Torre M. Single-port videoassisted thoracoscopic lobectomy. Interact CardioVasc Thorac Surg 2011;12: [4] Gonzalez-Rivas D, Fieira E, Mendez L, Garcia J. Single-port video-assisted thoracoscopic anatomic segmentectomy and right upper lobectomy. Eur J Cardiothorac Surg 2012;42:e [5] Gonzalez-Rivas D, Fernandez R, Fieira E, Rellan L. Uniportal videoassisted thoracoscopic bronchial sleeve lobectomy: first report. J Thorac Cardiovasc Surg 2013;145: [6] Shih CS, Liu CC, Liu ZY, Pennarun N, Cheng CT. Comparing the postoperative outcomes of video-assisted thoracoscopic surgery (VATS) segmentectomy using a multi-port technique versus a single-port technique for primary lung cancer. J Thorac Dis 2016;8:S [7] Zhu Y, Liang M, Wu W, Zheng J, Zheng W, Guo Z et al. Preliminary results of single-port versus triple-port complete thoracoscopic lobectomy for non-small cell lung cancer. Ann Transl Med 2015;3:92. [8] Mu JW, Gao SG, Xue Q, Zhao J, Li N, Yang K et al. A matched comparison study of uniportal versus triportal thoracoscopic lobectomy and sublobectomy for early-stage nonsmall cell lung cancer. Chin Med J (Engl) 2015;128: [9] Tamura M, Shimizu Y, Hashizume Y. Pain following thoracoscopic surgery: retrospective analysis between single-incision and three-port video-assisted thoracoscopic surgery. J Cardiothorac Surg 2013;12:153. [10] Yan TD, Cao C, D Amico TA, Demmy TL, He J, Hansen H et al. Video-assisted thoracoscopic surgery lobectomy at 20 years: a consensus statement. Eur J Cardiothorac Surg 2014;45: [11] Anile M, Diso D, Mantovani S, Patella M, Russo E, Carillo C et al. Uniportal video assisted thoracoscopic lobectomy: going directly from open surgery to a single port approach. J Thorac Dis 2014;6:S [12] Aragon J, Pérez Méndez I. From open surgery to uniportal VATS: asturias experience. J Thorac Dis 2014;6:S644 9.
5 A.E. Martin-Ucar et al. / European Journal of Cardio-Thoracic Surgery 1187 [13] Liu C-C, Shih C-S, Pennarun N, Cheng C-T. Transition from a multiport technique to a single-port technique for lung cancer surgery: is lymph node dissection inferior using the single-port technique? Eur J Cardiothorac Surg 2016;49:i [14] Gonzalez-Rivas D, Fernandez R, de la Torre M, Martin-Ucar AE. Thoracoscopic lobectomy through a single incision. Multimed Man Cardiothorac Surg 2012; doi: /mmcts/mms007. [15] Ismail M, Helmig M, Swierzy M, Neudecker J, Badakhshi H, Gonzalez-Rivas D et al. Uniportal VATS: the first German experience. J Thorac Dis 2014;6:S [16] Lau KK, Martin-Ucar AE, Nakas A, Waller DA. Lung cancer surgery in the breathless patient the benefits of avoiding the gold standard. Eur J Cardiothorac Surg 2010;38:6 13. [17] Paul S, Altorki NK, Sheng S, Lee PC, Harpole DH, Onaitis MW et al. Thoracoscopic lobectomy is associated with lower morbidity than open lobectomy: a propensity-matched analysis from the STS database. J Thorac Cardiovasc Surg 2010;139: [18] Jeon JH, Kang CH, Kim HS, Seong YW, Park IK, Kim YT et al. Video-assisted thoracoscopic lobectomy in non-small-cell lung cancer patients with chronic obstructive pulmonary disease is associated with lower pulmonary complications than open lobectomy: a propensity scorematched analysis. Eur J Cardiothorac Surg 2014;45: [19] Falcoz PE, Puyraveau M, Thomas PA, Decaluwe H, Hürtgen M, Petersen RH et al. Video-assisted thoracoscopic surgery versus open lobectomy for primary non-small-cell lung cancer: a propensity-matched analysis of outcome from the European society of thoracic surgeon database. Eur J Cardiothorac Surg 2016;49: [20] Petersen RH, Hansen HJ. Learning thoracoscopic lobectomy. Eur J Cardiothorac Surg 2010;37: [21] Li X, Wang J, Ferguson MK. Competence versus mastery: the time course for developing proficiency in video-assisted thoracoscopic lobectomy. J Thorac Cardiovasc Surg 2014;147: [22] Decaluwe H, Petersen RH, Hansen H, Piwkowski C, Augustin F, Brunelli A et al. Major intraoperative complications during videoassisted thoracoscopic anatomical lung resections: an intention-totreat analysis. Eur J Cardiothorac Surg 2015;48:588 98; discussion 599. [23] Puri V, Patel A, Majumder K, Bell JM, Crabtree TD, Krupnick AS et al. Intraoperative conversion from video-assisted thoracoscopic surgery lobectomy to open thoracotomy: a study of causes and implications. J Thorac Cardiovasc Surg 2015;149: [24] Imperatori A, Rovera F, Rotolo N, Nardecchia E, Conti V, Dominioni L. Prospective study of infection risk factors in 988 lung resections. Surg Infect (Larchmt) 2006;7:S [25] Rovera F, Imperatori A, Militello P, Morri A, Antonini C, Dionigi G et al. Infections in 346 consecutive video-assisted thoracoscopic procedures. Surg Infect (Larchmt) 2003;4:45 51.
VATS Lobectomy Tecnica triportale
VATS Lobectomy Tecnica triportale Prof. Giuseppe Marulli UOC Chirurgia Toracica Policlinico Universitario di Padova VATS LOBECTOMY: FIRST EXPERIENCES CLINICAL MAIN CONCERNS Morbidity/mortality rates comparable
More informationComplex Thoracoscopic Resections for Locally Advanced Lung Cancer
Complex Thoracoscopic Resections for Locally Advanced Lung Cancer Duke Thoracoscopic Lobectomy Workshop March 21, 2018 Thomas A. D Amico MD Gary Hock Professor of Surgery Section Chief, Thoracic Surgery,
More informationA multi-center retrospective study of single-port versus multiport video-assisted thoracoscopic lobectomy and anatomic segmentectomy
Original Article A multi-center retrospective study of single-port versus multiport video-assisted thoracoscopic lobectomy and anatomic segmentectomy Chunyu Ji 1 *, Yangwei Xiang 1 *, Vincenzo Pagliarulo
More informationThoracoscopic Lobectomy for Locally Advanced Lung Cancer. Masters of Minimally Invasive Thoracic Surgery Orlando September 19, 2014
for Locally Advanced Lung Cancer Masters of Minimally Invasive Thoracic Surgery Orlando September 19, 2014 Thomas A. D Amico MD Gary Hock Endowed Professor and Vice Chair of Surgery Chief Thoracic Surgery
More informationShiyou Wei, Nan Chen, Chengwu Liu, Kejia Zhao, Longfei Zhu, Lunxu Liu. Introduction
Original Article Page 1 of 10 Does single-port video-assisted thoracic lobectomy have favorable perioperative results for non-small cell lung cancer compared with multi-port approach? A systematic review
More informationIs uniportal thoracoscopic surgery a feasible approach for advanced stages of non-small cell lung cancer?
Original rticle Is uniportal thoracoscopic surgery a feasible approach for advanced stages of non-small cell lung cancer? Diego Gonzalez-Rivas 1,2, Eva Fieira 1, Maria Delgado 1, Lucía Mendez 1, Ricardo
More informationT3 NSCLC: Chest Wall, Diaphragm, Mediastinum
for T3 NSCLC: Chest Wall, Diaphragm, Mediastinum AATS Postgraduate Course April 29, 2012 Thomas A. D Amico MD Professor of Surgery, Chief of Thoracic Surgery Duke University Health System Disclosure No
More informationUnderstanding surgery
What does surgery for lung cancer involve? Surgery for lung cancer involves an operation, which aims to remove all the cancer from the lung. Who will carry out my operation? In the UK, we have cardio-thoracic
More informationTreatment of Clinical Stage I Lung Cancer: Thoracoscopic Lobectomy is the Standard
Treatment of Clinical Stage I Lung Cancer: Thoracoscopic Lobectomy is the Standard AATS General Thoracic Surgery Symposium May 5, 2010 Thomas A. D Amico MD Professor of Surgery, Duke University Medical
More informationSingle-port video-assisted thoracic surgery in 1063 cases: a single-institution experience
European Journal of Cardio-Thoracic Surgery 49 (2016) i31 i36 doi:10.1093/ejcts/ezv408 Cite this article as: Xie D, Wang H, Fei K, Chen C, Zhao D, Zhou X et al. Single-port video-assisted thoracic surgery
More informationUniportal video-assisted thoracoscopic lobectomy: an alternative to conventional thoracoscopic lobectomy in lung cancer surgery?
Interactive CardioVascular and Thoracic Surgery Advance Access published March 3, 2015 Interactive CardioVascular and Thoracic Surgery (2015) 1 7 doi:10.1093/icvts/ivv034 THORACIC Cite this article as:
More informationUniportal video-assisted thoracoscopic right upper posterior segmentectomy with systematic mediastinal lymphadenectomy
Surgical Technique Uniportal video-assisted thoracoscopic right upper posterior segmentectomy with systematic mediastinal lymphadenectomy Guofei Zhang 1, Zhijun Wu 2, Yimin Wu 1, Gang Shen 1, Ying Chai
More informationThoracoscopic Lobectomy: Technical Aspects in Years of Progress
Thoracoscopic Lobectomy: Technical Aspects in 2015 16 Years of Progress 8 th Masters of Minimally Invasive Thoracic Surgery Orlando September 25, 2015 Thomas A. D Amico MD Gary Hock Professor of Surgery
More informationManagement of perioperative complications during uniportal video-assisted thoracoscopic surgery
Review Article Page 1 of 6 Management of perioperative complications during uniportal video-assisted thoracoscopic surgery Guilherme Dal Agnol 1, Etienne Bourdages-Pageau 2, Iñigo Royo-Crespo 3, Paula
More informationUniportal video-assisted thoracoscopic surgery following neoadjuvant chemotherapy for locally-advanced lung cancer
Yang and Zhai Journal of Cardiothoracic Surgery (2018) 13:33 https://doi.org/10.1186/s13019-018-0714-9 RESEARCH ARTICLE Open Access Uniportal video-assisted thoracoscopic surgery following neoadjuvant
More informationAshleigh Clark 1, Jessica Ozdirik 2, Christopher Cao 1,2. Introduction
Review Article Page 1 of 5 Thoracotomy, video-assisted thoracoscopic surgery and robotic video-assisted thoracoscopic surgery: does literature provide an argument for any approach? Ashleigh Clark 1, Jessica
More informationORIGINAL PAPER. Marginal pulmonary function is associated with poor short- and long-term outcomes in lung cancer surgery
Nagoya J. Med. Sci. 79. 37 ~ 42, 2017 doi:10.18999/nagjms.79.1.37 ORIGINAL PAPER Marginal pulmonary function is associated with poor short- and long-term outcomes in lung cancer surgery Naoki Ozeki, Koji
More informationLong-term respiratory function recovery in patients with stage I lung cancer receiving video-assisted thoracic surgery versus thoracotomy
Original Article Long-term respiratory function recovery in patients with stage I lung cancer receiving video-assisted thoracic surgery versus thoracotomy Tae Yun Park 1,2, Young Sik Park 2 1 Division
More informationReasons for conversion during VATS lobectomy: what happens with increased experience
Review Article on Thoracic Surgery Page 1 of 5 Reasons for conversion during VATS lobectomy: what happens with increased experience Dario Amore, Davide Di Natale, Roberto Scaramuzzi, Carlo Curcio Division
More informationTechniques and difficulties dealing with hilar and interlobar benign lymphadenopathy in uniportal VATS
Original Article on Thoracic Surgery Techniques and difficulties dealing with hilar and interlobar benign lymphadenopathy in uniportal VATS William Guido Guerrero 1, Diego Gonzalez-Rivas 1,2, Luis Angel
More informationUniportal Video-Assisted Thoracoscopic Lobectomy: Two Years of Experience
Uniportal Video-Assisted Thoracoscopic Lobectomy: Two Years of Experience Diego Gonzalez-Rivas, MD, Marina Paradela, MD, Ricardo Fernandez, MD, Maria Delgado, MD, Eva Fieira, MD, Lucía Mendez, MD, Carlos
More informationDaniel G. French 1, Calvin Thompson 2, Sebastien Gilbert 1. Introduction
Featured Article Transition from multiple port to single port video-assisted thoracoscopic anatomic pulmonary resection: early experience and comparison of perioperative outcomes Daniel G. French 1, Calvin
More informationClinical Commissioning Policy Proposition: Robotic assisted lung resection for primary lung cancer
Clinical Commissioning Policy Proposition: Robotic assisted lung resection for primary lung cancer Reference: NHS England B10X03/01 Information Reader Box (IRB) to be inserted on inside front cover for
More informationAnterior fissureless uniport vs. posterior intra-fissure triple-port thoracoscopic right upper lobectomy: a propensity-matched study
Original Article Anterior fissureless uniport vs. posterior intra-fissure triple-port thoracoscopic right upper lobectomy: a propensity-matched study Honggang Ke 1, Yifei Liu 2, Xiaoyu Zhou 3, Qun Xue
More informationMinimally Invasive Esophagectomy
Minimally Invasive Esophagectomy M A R K B E R R Y, M D A S S O C I AT E P R O F E S S O R D E PA R T M E N T OF C A R D I O T H O R A C I C S U R G E R Y S TA N F O R D U N I V E R S I T Y S E P T E M
More informationReview Article VATS Lobectomy: Surgical Evolution from Conventional VATS to Uniportal Approach
The Scientific World Journal Volume 2012, Article ID 780842, 5 pages doi:10.1100/2012/780842 The cientificworldjournal Review Article VATS Lobectomy: Surgical Evolution from Conventional VATS to Uniportal
More informationLearning Curve of a Young Surgeon s Video-assisted Thoracic Surgery Lobectomy during His First Year Experience in Newly Established Institution
Korean J Thorac Cardiovasc Surg 2012;45:166-170 ISSN: 2233-601X (Print) ISSN: 2093-6516 (Online) Clinical Research http://dx.doi.org/10.5090/kjtcs.2012.45.3.166 Learning Curve of a Young Surgeon s Video-assisted
More informationUniportal video-assisted thoracic surgery for complicated pulmonary resections
Review Article on Thoracic Surgery Uniportal video-assisted thoracic surgery for complicated pulmonary resections Ding-Pei Han, Jie Xiang, Run-Sen Jin, Yan-Xia Hu, He-Cheng Li Jiaotong University School
More informationUniportal video-assisted lobectomy through a posterior approach
Surgical Technique Uniportal video-assisted lobectomy through a posterior approach Francesco Paolo Caronia 1 *, Ettore Arrigo 1, Alfonso Fiorelli 2 * 1 Thoracic Surgery Unit, Istituto Oncologico del Mediterraneo,
More informationRobotic lobectomy: revolution or evolution?
Editorial Robotic lobectomy: revolution or evolution? Jules Lin Section of Thoracic Surgery, Department of Surgery, University of Michigan Medical Center, Ann Arbor, Michigan, USA Correspondence to: Jules
More informationUniportal video-assisted thoracoscopic sleeve lobectomy and other complex resections
Surgical Technique Uniportal video-assisted thoracoscopic sleeve lobectomy and other complex resections Diego Gonzalez-Rivas,2, Eva Fieira, Maria Delgado, Mercedes de la Torre,2, Lucia Mendez, Ricardo
More informationThree-port single-intercostal versus multiple-intercostal thoracoscopic lobectomy for the treatment of lung cancer: a propensity-matched analysis
Wu et al. BMC Cancer (2019) 19:8 https://doi.org/10.1186/s12885-018-5256-y RESEARCH ARTICLE Open Access Three-port single-intercostal versus multiple-intercostal thoracoscopic lobectomy for the treatment
More informationEarly Outcomes of Single-Port Video-Assisted Thoracic Surgery for Primary Spontaneous Pneumothorax
Korean J Thorac Cardiovasc Surg 2014;47:384-388 ISSN: 2233-601X (Print) ISSN: 2093-6516 (Online) Clinical Research http://dx.doi.org/10.5090/kjtcs.2014.47.4.384 Early Outcomes of Single-Port Video-Assisted
More informationFacing Surgery for Lung Cancer? Learn about minimally invasive da Vinci Surgery
Facing Surgery for Lung Cancer? Learn about minimally invasive da Vinci Surgery Treatments & Surgery Options: The treatment and surgical options for the most common lung cancer, non-small cell lung cancer,
More informationRuijin robotic thoracic surgery: S segmentectomy of the left upper lobe
Case Report Page 1 of 5 Ruijin robotic thoracic surgery: S 1+2+3 segmentectomy of the left upper lobe Han Wu, Su Yang, Wei Guo, Runsen Jin, Yajie Zhang, Xingshi Chen, Hailei Du, Dingpei Han, Kai Chen,
More informationUniportal video assisted thoracoscopy major lung resections after neoadjuvant chemotherapy
Original Article Uniportal video assisted thoracoscopy major lung resections after neoadjuvant chemotherapy Mahmoud Ismail 1, Dania Nachira 2, Marc Swierzy 1, Gian Maria Ferretti 2, Julianna Paulina Englisch
More informationVATS after induction therapy: Effective and Beneficial Tips on Strategy
VATS after induction therapy: Effective and Beneficial Tips on Strategy AATS Focus on Thoracic Surgery Mastering Surgical Innovation Las Vegas Nevada Oct. 27-28 2017 Scott J. Swanson, M.D. Professor of
More informationUniportal complete video-assisted thoracoscopic surgery lobectomy with partial pulmonary arterioplasty for lung cancer with calcified lymph node
Surgical Technique Uniportal complete video-assisted thoracoscopic surgery lobectomy with partial pulmonary arterioplasty for lung cancer with calcified lymph node Guang-Suo Wang, Jian Wang, Zhan-Peng
More informationMastering Thoracoscopic Upper Lobectomy
Mastering Thoracoscopic Upper Lobectomy Duke Thoracoscopic Lobectomy Workshop March 21, 2018 Thomas A. D Amico MD Gary Hock Professor of Surgery Section Chief, Thoracic Surgery, Duke University Medical
More informationROBOT SURGEY AND MINIMALLY INVASIVE TREATMENT FOR LUNG CANCER
ROBOT SURGEY AND MINIMALLY INVASIVE TREATMENT FOR LUNG CANCER Giulia Veronesi European Institute of Oncology Milan Lucerne, Samo 24 th - 25 th January, 2014 DIAGNOSTIC REVOLUTION FOR LUNG CANCER - Imaging
More informationSURGICAL TECHNIQUE. Radical treatment for left upper-lobe cancer via complete VATS. Jun Liu, Fei Cui, Shu-Ben Li. Introduction
SURGICAL TECHNIQUE Radical treatment for left upper-lobe cancer via complete VATS Jun Liu, Fei Cui, Shu-Ben Li The First Affiliated Hospital of Guangzhou Medical College, Guangzhou, China ABSTRACT KEYWORDS
More informationSingle-Incision Thoracoscopic Lobectomy and Segmentectomy With Radical Lymph Node Dissection
Single-Incision Thoracoscopic Lobectomy and Segmentectomy With Radical Lymph Node Dissection Bing-Yen Wang, MD,* Cheng-Che Tu, MD,* Chao-Yu Liu, MD, Chih-Shiun Shih, MD, and Chia-Chuan Liu, MD Division
More informationRobotic-assisted thoracoscopic sleeve lobectomy for locally advanced lung cancer
Original Article Robotic-assisted thoracoscopic sleeve lobectomy for locally advanced lung cancer Mong-Wei Lin, Shuenn-Wen Kuo, Shun-Mao Yang, Jang-Ming Lee Department of Surgery, National Taiwan University
More informationProlonged air leak after video-assisted thoracic surgery lung cancer resection: risk factors and its effect on postoperative clinical recovery
Original Article rolonged air leak after video-assisted thoracic surgery lung cancer resection: risk factors and its effect on postoperative clinical recovery Kejia Zhao 1,2, Jiandong Mei 1,2, Chao Xia
More informationLung Cancer. Current Therapy JEREMIAH MARTIN MBBCh FRCSI MSCRD
Lung Cancer Current Therapy JEREMIAH MARTIN MBBCh FRCSI MSCRD Objectives Describe risk factors, early detection & work-up of lung cancer. Define the role of modern treatment options, minimally invasive
More informationThe Shanghai Pulmonary Hospital uniportal subxiphoid approach for lung segmentectomies
Original Article on Subxiphoid Surgery The Shanghai Pulmonary Hospital uniportal subxiphoid approach for lung segmentectomies Giuseppe Aresu,2,3, Helen Weaver, Liang Wu 2, Lei Lin 2, Gening Jiang 2, Lei
More informationComplete Thoracoscopic Lobectomy: A new era at the G. Papanikolaou Hospital
Original Study Complete Thoracoscopic Lobectomy: A new era at the G. Papanikolaou Hospital Theodoros Karaiskos 1, Olga Ananiadou 1, Konstantinos Diplaris 1, Nikolaos Michael 1, Georgios Sarigiannis 2,
More informationVideo-assisted thoracic surgery right upper lobe bronchial sleeve resection
Original Article on Thoracic Surgery Video-assisted thoracic surgery right upper lobe bronchial sleeve resection Qianli Ma, Deruo Liu Department of Thoracic Surgery, China-Japan Friendship Hospital, Beijing
More informationAdam J. Hansen, MD UHC Thoracic Surgery
Adam J. Hansen, MD UHC Thoracic Surgery Sometimes seen on Chest X-ray (CXR) Common incidental findings on computed tomography (CT) chest and abdomen done for other reasons Most lung cancers discovered
More informationVideo-assisted thoracic surgery tunnel technique: an alternative fissureless approach for anatomical lung resections
Surgical Technique Page 1 of 8 Video-assisted thoracic surgery tunnel technique: an alternative fissureless approach for anatomical lung resections Herbert Decaluwé Department of Thoracic Surgery, Leuven
More informationAris Koryllos, Erich Stoelben. Background
Surgical Technique on Thoracic Surgery Uniportal video-assisted thoracoscopic surgery (VATS) sleeve resections for non-small cell lung cancer patients: an observational prospective study and technique
More informationRight sleeve pneumonectomy via uniportal video-assisted thoracoscopic approach
Case Report Right sleeve pneumonectomy via uniportal video-assisted thoracoscopic approach Chenlu Yang, Firas Abu Akar, Jian Chen, Lei Jiang Department of Thoracic Surgery, Tongji University Affiliated
More informationPosterior uniportal video-assisted thoracoscopic surgery for anatomical lung resections
Original Article Posterior uniportal video-assisted thoracoscopic surgery for anatomical lung resections Davor Stamenovic 1, Korkut Bostanci 2, Antje Messerschmidt 1 1 Department of Thoracic Surgery, St.
More informationInnovations in Lung Cancer Diagnosis and Surgical Treatment
Transcript Details This is a transcript of a continuing medical education (CME) activity accessible on the ReachMD network. Additional media formats for the activity and full activity details (including
More informationRobotic lobectomy has the greatest benefit in patients with marginal pulmonary function
Kneuertz et al. Journal of Cardiothoracic Surgery (2018) 13:56 https://doi.org/10.1186/s13019-018-0748-z RESEARCH ARTICLE Open Access Robotic lobectomy has the greatest benefit in patients with marginal
More informationA Comparative Study of Video-Assisted Thoracic Surgery with Thoracotomy for Middle Lobe Syndrome
World J Surg (2017) 41:780 784 DOI 10.1007/s00268-016-3777-6 ORIGINAL SCIENTIFIC REPORT A Comparative Study of Video-Assisted Thoracic Surgery with Thoracotomy for Middle Lobe Syndrome Jian Li 1,2 Chengwu
More informationHistory of Surgery for Lung Cancer
Welcome to Master Class for Oncologists Session 1: 7:30 AM - 8:15 AM San Francisco, CA October 23, 2009 Innovations in The Surgical Treatment of Lung Cancer Speaker: Scott J. Swanson, MD 2 Presenter Disclosure
More informationRobot-assisted surgery in complex treatment of the pulmonary tuberculosis
Review Article on Robotic Surgery Robot-assisted surgery in complex treatment of the pulmonary tuberculosis Piotr Yablonskii 1,2, Grigorii Kudriashov 1, Igor Vasilev 1, Armen Avetisyan 1, Olga Sokolova
More informationVideo-Mediastinoscopy Thoracoscopy (VATS)
Surgical techniques Video-Mediastinoscopy Thoracoscopy (VATS) Gunda Leschber Department of Thoracic Surgery ELK Berlin Chest Hospital, Berlin, Germany Teaching Hospital of Charité Universitätsmedizin Berlin
More informationVideo-assisted thoracoscopic lobectomy using a standardized three-port anterior approach - The Copenhagen experience
Art of Operative Techniques Video-assisted thoracoscopic lobectomy using a standardized three-port anterior approach - The Copenhagen experience Henrik J. Hansen, René H. Petersen Department of Cardiothoracic
More informationTranscervical uniportal pulmonary lobectomy
Original Article on Thoracic Surgery Page 1 of 6 Transcervical uniportal pulmonary lobectomy Marcin Zieliński 1, Tomasz Nabialek 2, Juliusz 3 1 Department of Thoracic Surgery, 2 Department of Anaesthesiology
More informationCheng-Yang Song, Takehiro Sakai, Daisuke Kimura, Takao Tsushima, Ikuo Fukuda
Original Article Comparison of perioperative and oncological outcomes between video-assisted segmentectomy and lobectomy for patients with clinical stage IA non-small cell lung cancer: a propensity score
More informationLungebevarende resektioner ved lungecancer metode og resultater
Dept. of Cardiothoracic Surgery Lungebevarende resektioner ved lungecancer metode og resultater Henrik Jessen Hansen Dept. of Cardiothoracic Surgery RT 2152, The National University Hospital. Copenhagen,
More informationRobotic-assisted right upper lobectomy
Robotic Thoracic Surgery Column Robotic-assisted right upper lobectomy Shiguang Xu, Tong Wang, Wei Xu, Xingchi Liu, Bo Li, Shumin Wang Department of Thoracic Surgery, Northern Hospital, Shenyang 110015,
More informationORIGINAL ARTICLE. Abstract INTRODUCTION
European Journal of Cardio-Thoracic Surgery 49 (2016) 1054 1058 doi:10.1093/ejcts/ezv378 Advance Access publication 24 November 2015 ORIGINAL ARTICLE Cite this article as: Begum SSS, Papagiannopoulos K,
More informationRobotic thoracic surgery: S 1+2 segmentectomy of left upper lobe
Case Report Page 1 of 5 Robotic thoracic surgery: S 1+2 segmentectomy of left upper lobe Hailei Du, Su Yang, Wei Guo, Runsen Jin, Yajie Zhang, Xingshi Chen, Han Wu, Dingpei Han, Kai Chen, Jie Xiang, Hecheng
More informationClinical effect of two-ports thoracoscopic pulmonary lobectomy and systemic lymphadenectomy for bronchogenic carcinoma.
Biomedical Research 2017; 28 (18): 8027-8031 ISSN 0970-938X www.biomedres.info Clinical effect of two-ports thoracoscopic pulmonary lobectomy and systemic lymphadenectomy for bronchogenic. Shimeng Wang
More informationEarly and locally advanced non-small-cell lung cancer (NSCLC)
Early and locally advanced non-small-cell lung cancer (NSCLC) ESMO Clinical Practice Guidelines for diagnosis, treatment and follow-up P. E. Postmus, K. M. Kerr, M. Oudkerk, S. Senan, D. A. Waller, J.
More informationAnalysis of clinical application of thoracoscopic lobectomy for lung cancer
Luo et al. World Journal of Surgical Oncology 2014, 12:157 WORLD JOURNAL OF SURGICAL ONCOLOGY RESEARCH Open Access Analysis of clinical application of thoracoscopic lobectomy for lung cancer Qing-Quan
More informationSelection of Appropriate Surgery for Early Lung Cancer
SIOG 11 th Annual Meeting November 4, 2011 Selection of Appropriate Surgery for Early Lung Cancer Michael Jaklitsch, MD Division of Thoracic Surgery Francine Jacobson, MD Division of Thoracic Radiology
More informationRESEARCH ARTICLE. Video-assisted Thoracoscopic Surgery for Treatment of Earlystage Non-small Cell Lung Cancer
DOI:http://dx.doi.org/10.7314/APJCP.2013.14.5.2871 RESEARCH ARTICLE Video-assisted Thoracoscopic Surgery for Treatment of Earlystage Non-small Cell Lung Cancer Xing-Long Fan 1,2, Yu-Xia Liu 2, Hui Tian
More informationThoracoscopic Lobectomy Is Associated With Superior Compliance With Adjuvant Chemotherapy in Lung Cancer
Thoracoscopic Lobectomy Is Associated With Superior Compliance With Adjuvant Chemotherapy in Lung Cancer Jin Gu Lee, MD, Byoung Chul Cho, MD, Mi Kyung Bae, MD, Chang Young Lee, MD, In Kyu Park, MD, Dae
More informationReducing lung volume in emphysema Surgical Aspects
Reducing lung volume in emphysema Surgical Aspects Simon Jordan Consultant Thoracic Surgeon Royal Brompton Hospital Thirteenth Cambridge Chest Meeting April 2015 Surgical aspects of LVR Why we should NOT
More informationMinimally Invasive Mitral Valve Repair: Indications and Approach
Minimally Invasive Mitral Valve Repair: Indications and Approach Juan P. Umaña, M.D. Chief Medical Officer Director, Cardiovascular Medicine FCI - Institute of Cardiology Bogota Colombia 1 Mitral Valve
More informationPain following thoracoscopic surgery: retrospective analysis between single-incision and three-port video-assisted thoracoscopic surgery
Tamura et al. Journal of Cardiothoracic Surgery 2013, 8:153 RESEARCH ARTICLE Open Access Pain following thoracoscopic surgery: retrospective analysis between single-incision and three-port video-assisted
More informationPrapaporn Pornsuriyasak, M.D. Pulmonary and Critical Care Medicine Ramathibodi Hospital
Prapaporn Pornsuriyasak, M.D. Pulmonary and Critical Care Medicine Ramathibodi Hospital Only 20-30% of patients with lung cancer are potential candidates for lung resection Poor lung function alone ruled
More informationstate of the art standard of care for resectable NSCLC surgical approach for resectable NSCLC
state of the art standard of care for resectable NSCLC surgical approach for resectable NSCLC Dominique H. Grunenwald, MD, PhD Professor Emeritus in Thoracic and Cardiovascular surgery Pierre & Marie Curie
More informationRobotic-assisted right inferior lobectomy
Robotic Thoracic Surgery Column Page 1 of 6 Robotic-assisted right inferior lobectomy Shiguang Xu, Tong Wang, Wei Xu, Xingchi Liu, Bo Li, Shumin Wang Department of Thoracic Surgery, Northern Hospital,
More informationSurgery for early stage NSCLC
1-3 March 2017, Manchester, UK Surgery for early stage NSCLC Dominique H. Grunenwald, MD, PhD Professor Emeritus in Thoracic and Cardiovascular surgery Pierre & Marie Curie University. Paris. France what
More informationVideo-assisted thoracic surgery for pulmonary sequestration: a safe alternative procedure
Original Article Video-assisted thoracic surgery for pulmonary sequestration: a safe alternative procedure Lu-Ming Wang, Jin-Lin Cao, Jian Hu Department of Thoracic Surgery, The First Affiliated Hospital,
More informationOBJECTIVES. Solitary Solid Spiculated Nodule. What would you do next? Case Based Discussion: State of the Art Management of Lung Nodules.
Organ Imaging : September 25 2015 OBJECTIVES Case Based Discussion: State of the Art Management of Lung Nodules Dr. Elsie T. Nguyen Dr. Kazuhiro Yasufuku 1. To review guidelines for follow up and management
More informationThoracic Surgery; An Overview
Thoracic Surgery What we see Thoracic Surgery; An Overview James P. Locher, Jr, MD Methodist Cardiovascular and Thoracic Surgery Lung cancer Mets Fungus and TB Lung abcess and empyema Pleural based disease
More informationsurgical approach for resectable NSCLC
surgical approach for resectable NSCLC Dominique H. Grunenwald, MD, PhD Professor Emeritus in Thoracic and Cardiovascular surgery Pierre & Marie Curie University. Paris. France 1933 Graham EA, Singer JJ.
More informationIndications for sublobar resection for localized NSCLC
Indications for sublobar resection for localized NSCLC David H Harpole Jr, MD Professor of Surgery Associate Professor in Pathology Vice Chief, Division of Surgical Services Duke University School of Medicine
More informationLung Cancer Clinical Guidelines: Surgery
Lung Cancer Clinical Guidelines: Surgery 1 Scope of guidelines All Trusts within Manchester Cancer are expected to follow this guideline. This guideline is relevant to: Adults (18 years and older) with
More information2018 OPTIONS FOR INDIVIDUAL MEASURES: REGISTRY ONLY. MEASURE TYPE: Process
Quality ID #358: Patient-Centered Surgical Risk Assessment and Communication National Quality Strategy Domain: Person and Caregiver-Centered Experience and Outcomes 2018 OPTIONS FOR INDIVIDUAL MEASURES:
More informationLung Cancer Resection
Lung Cancer Resection Introduction The occurrence of lung cancer has increased dramatically over the last 50 years. Your health care provider may have recommended an operation to remove your lung cancer.
More informationUniportal video-assisted thoracoscopic surgery segmentectomy
Case Report on Thoracic Surgery Page 1 of 5 Uniportal video-assisted thoracoscopic surgery segmentectomy John K. C. Tam 1,2 1 Division of Thoracic Surgery, National University Heart Centre, Singapore;
More informationStandardized definitions and policies of minimally invasive thymoma resection
Perspective Standardized definitions and policies of minimally invasive thymoma resection Alper Toker 1,2 1 Department of Thoracic Surgery, Istanbul Medical School, Istanbul University, Istanbul, Turkey;
More informationHybrid treatment of T3 chest wall lung cancer lobectomy
Surgical Technique on Thoracic Surgery Hybrid treatment of T3 chest wall lung cancer lobectomy Massimo Osvaldo Jaus 1, Annarita Forcione 1, Alessandro Gonfiotti 2, Francesco Carleo 1, Alessia Raffaella
More informationThree-arm robot-assisted thoracoscopic surgery for locally advanced N2 non-small cell lung cancer
Surgical Technique Three-arm robot-assisted thoracoscopic surgery for locally advanced N2 non-small cell lung cancer Xinghua Cheng, Chongwu Li, Jia Huang, Peiji Lu, Qingquan Luo Shanghai Chest Hospital,
More informationDoes ambroxol confer a protective effect on the lungs in patients undergoing cardiac surgery or having lung resection?
Interactive CardioVascular and Thoracic Surgery 18 (2014) 830 834 doi:10.1093/icvts/ivu061 Advance Access publication 12 March 2014 BEST EVIDENCE TOPIC THORACIC Does ambroxol confer a protective effect
More informationCharles Mulligan, MD, FACS, FCCP 26 March 2015
Charles Mulligan, MD, FACS, FCCP 26 March 2015 Review lung cancer statistics Review the risk factors Discuss presentation and staging Discuss treatment options and outcomes Discuss the status of screening
More informationThoracoscopic S 6 segmentectomy: tricks to know
Surgical Technique Page 1 of 6 Thoracoscopic S 6 segmentectomy: tricks to know Agathe Seguin-Givelet 1,2, Jon Lutz 1, Dominique Gossot 1 1 Thoracic Department, Institut Mutualiste Montsouris, Paris, France;
More informationNavigational bronchoscopy-guided dye marking to assist resection of a small lung nodule
Case Report on Aerodigestive Endoscopy Navigational bronchoscopy-guided dye marking to assist resection of a small lung nodule Jennifer L. Sullivan 1, Michael G. Martin 2, Benny Weksler 1 1 Division of
More informationNontuberculous Mycobacteria
Nontuberculous Mycobacteria When antibiotics are not enough a surgical approach John D. Mitchell, M.D. Davis Endowed Chair in Thoracic Surgery Professor and Chief Section of General Thoracic Surgery University
More informationVAMLA/TEMLA. Todd L. Demmy
VAMLA/TEMLA Todd L. Demmy Disclosures/ Questions Objectives - Staging Learn new lymphadenectomy (LA) results: Video-Assisted Mediastinal (VAMLA) Transcervical Extended Mediastinal (TEMLA) Compare with
More informationTotally thoracoscopic left upper lobe tri-segmentectomy
Masters of Cardiothoracic Surgery Totally thoracoscopic left upper lobe tri-segmentectomy Dominique Gossot Thoracic Department, Institut Mutualiste Montsouris, Paris, France Correspondence to: Dominique
More informationFour arms robotic-assisted pulmonary resection left lower lobectomy: how to do it
Surgical Technique Four arms robotic-assisted pulmonary resection left lower lobectomy: how to do it Alessandro Pardolesi 1, Luca Bertolaccini 2, Jury Brandolini 1, Piergiorgio Solli 1,2 1 Department of
More informationComplications During and One Month after Surgery in the Patients Who Underwent Thoracoscopic Surgery
Available online at www.ijmrhs.com ISSN No: 2319-5886 International Journal of Medical Research & Health Sciences, 2016, 5, 8:305-309 Complications During and One Month after Surgery in the Patients Who
More information