Original articleGeneral thoracicIs Thoracoscopic Pneumonectomy Safe?
Section snippets
Material and Methods
After obtaining approval from our Institutional Review Board on September 6, 2007, we retrospectively reviewed records of patients undergoing pneumonectomy for lung cancer between January 1, 2002, and September 30, 2008. Indications for pneumonectomy were central lesions not amenable to sleeve resection or synchronous ipsilateral upper and lower lobe malignancies, too deep for segmentectomy or wedge resection. Patients requiring emergent pneumonectomies were excluded. All patients had pulmonary
Results
Between January 2002 and September 2008, 70 patients had pneumonectomies at our institution. Three patients requiring emergent pneumonectomies were excluded (1 for bleeding after a mediastinoscopy, 1 for pulmonary arterial bleeding during a thoracoscopic lobectomy, 1 presenting with massive hemoptysis).
Of the 67 patients included in the final analysis, 32 were initially attempted thoracoscopically. Eight patients (25%) were converted from TP to thoracotomy. The reasons for conversions were
Comment
Previous large series reports of thoracoscopy and lung cancer have been limited to lobectomies and early-stage disease (I or II) [1, 13, 14, 15, 16, 17, 18, 19, 20], while only case reports of TP for lung cancer exist in the literature [12, 21, 22, 23]. Our study is one of the few to provide results of a large series of TP and compare results of thoracoscopic versus conventional thoracotomy for pneumonectomy.
Technical feasibility has been a major concern in using thoracoscopy for locally
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Conversion from thoracoscopic to open pneumonectomy is not associated with short- or long-term mortality
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