Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2014 Sep;6(9):1225-9.
doi: 10.3978/j.issn.2072-1439.2014.08.19.

Is video-assisted thoracic surgery lobectomy in benign disease practical and effective?

Dohun Kim  1 , Hong Kwan Kim  1 , Yong Soo Choi  1 , Jhingook Kim  1 , Young Mog Shim  1 , Kwhanmien Kim  1
Affiliations

Is video-assisted thoracic surgery lobectomy in benign disease practical and effective?

Dohun Kim et al. J Thorac Dis. 2014 Sep.

Abstract

Background: The aim of this study was to analyze the surgical outcomes of video-assisted thoracic surgery (VATS) lobectomy for benign pulmonary disease and to propose surgical guidelines based on the retrospective cohort study.

Methods: From January 2004 to December 2009, all lobectomies performed in a university-based tertiary care hospital were analyzed. The inclusion criteria were as follows: (I) VATS lobectomy for benign disease; (II) thoracotomy conversion cases initially approached by VATS lobectomy. All malignant cases were excluded. Electronic medical records were retrospectively analyzed and patients were divided into two groups: with infection and without infection. The primary outcomes were the thoracotomy conversion rate, length of hospital stay, period of thoracic drainage and complications.

Results: VATS was performed in 163 (42%) of 385 patients who underwent lobectomy for benign disease. There were 68 in the infection group and 95 in the group without infection. VATS lobectomy was successful in 157 (96%) patients while 6 were converted into thoracotomy. The mean operation time and blood loss were 160 minutes and 326 mL. Comparing two groups, operation time and blood loss were not statistically different (P value =0.92, 0.63). Moreover conversion rate, length of hospital stay, period of thoracic drainage and complications (P value =0.67, 0.18, 0.25, and 0.50) were not different.

Conclusions: VATS lobectomy for benign disease is practical and effective in selected cases regardless of the presence of infection. However, because various technical obstacles may be encountered during the procedure, therefore, careful patient selection is needed.

Keywords: Minimally invasive surgery; lobectomy (lung); lung benign or congenital lesions.

PubMed Disclaimer

References

    1. Petersen RH, Hansen HJ, Dirksen A, et al. Lung cancer screening and video-assisted thoracic surgery. J Thorac Oncol 2012;7:1026-31 - PubMed
    1. Weber A, Stammberger U, Inci I, et al. Thoracoscopic lobectomy for benign disease--a single centre study on 64 cases. Eur J Cardiothorac Surg 2001;20:443-8 - PubMed
    1. Yim AP, Ko KM, Ma CC, et al. Thoracoscopic lobectomy for benign diseases. Chest 1996;109:554-6 - PubMed
    1. Sihoe AD, Shiraishi Y, Yew WW. The current role of thoracic surgery in tuberculosis management. Respirology 2009;14:954-68 - PubMed
    1. Gonzalez D, Garcia J, Fieira E, et al. Video-assisted thoracoscopic lobectomy in the treatment of intralobar pulmonary sequestration. Interact Cardiovasc Thorac Surg 2011;12:77-9 - PubMed