V-012THORACOSCOPIC MEDIASTINAL LYMPH NODE DISSECTION FOR LUNG CANCER BY AN ENERGY DEVICE

• Published in: Interactive cardiovascular and thoracic surgery Vol. 17; no. suppl_1; p. S4
• Main Authors: Nishioka, Kiyonori, Iwazawa, T.
• Format: Journal Article
• Language: English
• Published: Oxford University Press 01-07-2013
• ISSN: 1569-9293; 1569-9285
• DOI: 10.1093/icvts/ivt288.12

Objectives
We evaluate the feasibility of thoracoscopic mediastinal lymph node dissection for lung cancer by an energy device.
Methods
We performed VATS lobectomy and mediastinal lymph node dissection with 2 access windows both 3-cm lengths and one camera port completely under thoracoscopic view. We used an energy device called Ligasure blunt tip®(Covidien), which is very convenient and safe, especially to dissect the mediastinal lymph node. Now we present a video of thoracoscopic superior mediastinal lymph node dissection for lung cancer after right upper lobectomy by Ligasure blunt tip®. In addition, we examined the perioperative data of these operations.
Results
Up to now, we have performed the aforementioned operation for 23 lung cancer patients. Perioperative data were as follows: Median duration of the mediastinal lymph nodes dissection: 43 min (range 25-65). Median blood loss including lobectomy: 50 g (range 10-160). Median day of drain removed: 3rd (range 1-8) postoperative day. Median dissected lymph nodes: 10 (5-20). Complication: 1 minor chylothorax recovered by low fat diet. The drain was removed at 8th POD.
Conclusions
Thoracoscopic mediastinal lymph node dissection for lung cancer by Ligasure blunt tip® is feasible.
Disclosure
All authors have declared no conflicts of interest.