Anterior or Posterior Approach with Video-assisted Thoracoscopic Surgery for Superior Sulcus Tumors
10.3779/j.issn.1009-3419.2015.11.07
- VernacularTitle:电视胸腔镜联合前/后径路在肺上沟瘤切除术中的临床应用
- Author:
JIAO JIA
1
;
HUANG HAO
;
TIAN LEI
;
WU QINGCHEN
;
GE MINGJIAN
Author Information
1. 重庆医科大学附属第一医院胸外科
- Keywords:
Superior sulcus tumors;
Video-assisted thoracic surgery;
Minimally invasive surgery
- From:
Chinese Journal of Lung Cancer
2015;(11):696-700
- CountryChina
- Language:Chinese
-
Abstract:
Background and objective hTe surgical resection for pancoast tumors remains challenging. hTere are only few reports explaining the use of VATS in the treatment of Pancoast tumors. hTe aim of this study is to assess whether the use of video-assisted thoracoscopic surgery (VATS) for the surgical treatment of Pancoast tumors was feasible and safe.Meth-ods Between Janunary 2010 and June 2013, ten patients who were diagnosed as Pancoast tumors were recruited. Six patients were accepted for surgical treatment either through an anterior (n=3) or a posterior approach (n=3) combined with VATS. hTe observation index of this study included: Operation safety and mortality; hTe integrity of the tumor resection; General data of operation and postoperative complications; Tumor recurrence and metastasis at twelve months atfer operation.Results hTere were no perioperative deaths. hTe average time of operation time was 242 min. hTe radical en bloc resection of the involved chest wall were done in each patients. hTe average amount of blood loss was 308 mL and the average time of hospital stay was 14 d. Only one patient had postoperative pneumonia and recovered atfer use of antibiotics. hTere was none of severe postop-erative complications. No patient developed a local recurrence or distant metastasis within twelve months.Conclusions hTe use of VATS has practical value in the management of Pancoast tumors. It is useful to make an accurate extent of the resection of chest-wall and provides a better exposure. Anterior or posterior approach with VATS surgery can facilitate the safety manage-ment of Pancoast tumors.
