Video-assisted thoracoscopic resection of pulmonary lesions

To determine the role of video-assisted thoracoscopic resection in the diagnosis of benign or malignant peripheral pulmonary lesions. In 157 patients, between 1996 and 2001, video-assisted thoracoscopy was used to remove a pulmonary lesion. Conversion rate, complications and histology are presented....

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Bibliographic Details
Published in:European journal of surgical oncology 2004-12, Vol.30 (10), p.1118-1122
Main Authors: Ludwig, C., Zeitoun, M., Stoelben, E.
Format: Article
Language:English
Subjects:
Adult
Aged
Blood Loss, Surgical
Carcinoma, Bronchogenic - surgery
Chondroma - surgery
Female
Humans
Lung Neoplasms - secondary
Lung Neoplasms - surgery
Male
Middle Aged
Pneumonia - surgery
Pneumothorax - etiology
Postoperative Complications
Solitary and multiple pulmonary nodules
Solitary Pulmonary Nodule - surgery
Surgical Wound Infection - etiology
Thoracic Surgery, Video-Assisted - adverse effects
Thoracotomy
Video-assisted thoracoscopy
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Summary:To determine the role of video-assisted thoracoscopic resection in the diagnosis of benign or malignant peripheral pulmonary lesions. In 157 patients, between 1996 and 2001, video-assisted thoracoscopy was used to remove a pulmonary lesion. Conversion rate, complications and histology are presented. In 21 patients, conversion to a thoracotomy was necessary, four times because the pulmonary lesion was malignant and seventeen times due to technical difficulties. In patients without any previous history of malignant disease ( n=100), 80% of the lesions were benign. In patients with malignant pulmonary lesions ( n=21), curative resection was possible, 3 through VATS and 4 through thoracotomy. Pulmonary lesions in patients with a previous history of malignant disease were malignant in 42 patients. Curative VATS resection of a solitary lesion was performed in 9 patients, in 10 patients thoracotomy was necessary to remove multiple lesions. With a pre-operative selection of the patients the rate of secondary thoracotomies due to bronchial carcinoma is low (4%). In patients with a previous history of malignant disease, 22% of the pulmonary lesions are benign. VATS is a safe diagnostic method, with little discomfort for the patient.
ISSN:0748-7983
1532-2157
DOI:10.1016/j.ejso.2004.07.005