Thoracoscopic-assisted pulmonary resection in lung cancer

Thoracoscopic-assisted pulmonary resection for lung cancer is controversial. The appropriateness of this approach has to be compared with the golden standard of an open resection. This study consists of 66 patients with a clinical stage 1 disease. A thoracoscopic exploration was executed in 41 patie...

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Bibliographic Details
Published in:	International surgery Vol. 81; no. 3; p. 248
Main Authors:	Proot, L M, Dillemans, B R, De Letter, J A, Vandelanotte, M, Lanckneus, M J
Format:	Journal Article
Language:	English
Published:	Italy 01-07-1996
Subjects:	Adult Aged Aged, 80 and over Carcinoma, Non-Small-Cell Lung - pathology Carcinoma, Non-Small-Cell Lung - surgery Endoscopes Female Humans Length of Stay Lung - pathology Lung Neoplasms - pathology Lung Neoplasms - surgery Male Middle Aged Neoplasm Staging Pneumonectomy - instrumentation Postoperative Complications - etiology Thoracoscopes Treatment Outcome Video Recording - instrumentation
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Summary:	Thoracoscopic-assisted pulmonary resection for lung cancer is controversial. The appropriateness of this approach has to be compared with the golden standard of an open resection. This study consists of 66 patients with a clinical stage 1 disease. A thoracoscopic exploration was executed in 41 patients. Only in 16 cases was a thoracoscopic resection finally possible. The clinical and pathological TNM classification, the histological types and the surgical procedure are reported. The reasons for conversion are documented. To investigate the appropriateness of the thoracoscopic approach we evaluated only the pathologically proven stage 1 disease in both groups. Postoperative complications, hospital stay and survival are compared. Until now we can conclude that there is no adverse effect on survival because of the thoracoscopic approach.
ISSN:	0020-8868