Thoracoscopic major pulmonary resections such as lobectomies or pneumonectomies are the most difficult operations that can be attempted thoracoscopically, and still have limited routine application in thoracic surgical practice. The precise indications for thoracoscopic pneumonectomy are very rare and have not yet been defined precisely; we limited the procedure only to double tumors, small tumors infiltrating the fissure, and small tumors at the secondary carina not amenable to a bronchoplasty procedure. Although the technique still has very limited applications, the advantages include reduced surgical trauma and consequent minimal postoperative pain, a shortened hospital stay, and a rapid resumption of normal activities which ultimately reduces costs. Wider acceptance, larger series, and a more extensive follow-up will assess the role of thoracoscopic anatomical lung resection in modern thoracic surgical practice.

Techniques of pneumonectomy. Video-assisted thoracic surgery pneumonectomy / G. Roviaro, F. Varoli, C. Vergani, M. Maciocco. - In: CHEST SURGERY CLINICS OF NORTH AMERICA. - ISSN 1052-3359. - 9:2(1999 May), pp. 419-436, xi-xii.

Techniques of pneumonectomy. Video-assisted thoracic surgery pneumonectomy

G. Roviaro
Primo
;
F. Varoli
Secondo
;
C. Vergani
Penultimo
;
M. Maciocco
Ultimo
1999-05

Abstract

Thoracoscopic major pulmonary resections such as lobectomies or pneumonectomies are the most difficult operations that can be attempted thoracoscopically, and still have limited routine application in thoracic surgical practice. The precise indications for thoracoscopic pneumonectomy are very rare and have not yet been defined precisely; we limited the procedure only to double tumors, small tumors infiltrating the fissure, and small tumors at the secondary carina not amenable to a bronchoplasty procedure. Although the technique still has very limited applications, the advantages include reduced surgical trauma and consequent minimal postoperative pain, a shortened hospital stay, and a rapid resumption of normal activities which ultimately reduces costs. Wider acceptance, larger series, and a more extensive follow-up will assess the role of thoracoscopic anatomical lung resection in modern thoracic surgical practice.
Videotape Recording; Pneumonectomy; Humans
Settore MED/18 - Chirurgia Generale
Settore MED/21 - Chirurgia Toracica
Settore MED/10 - Malattie dell'Apparato Respiratorio
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Utilizza questo identificativo per citare o creare un link a questo documento: http://hdl.handle.net/2434/196773
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