Microlobectomy: A Novel Form of Endoscopic Lobectomy
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Microlobectomy : A Novel Form of Endoscopic Lobectomy. / Dunning, Joel; Elsaegh, Mohamed; Nardini, Marco; Gillaspie, Erin A; Petersen, Rene Horsleben; Hansen, Henrik Jessen; Helsel, Bryan; Naase, Hatam; Kornaszewska, Malgorzata; Will, Malcolm B; Walker, William S; Wigle, Dennis; Blackmon, Shanda Haley.
In: Innovations (Philadelphia), Vol. 12, No. 4, 2017, p. 247-253.Research output: Contribution to journal › Journal article › Research › peer-review
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TY - JOUR
T1 - Microlobectomy
T2 - A Novel Form of Endoscopic Lobectomy
AU - Dunning, Joel
AU - Elsaegh, Mohamed
AU - Nardini, Marco
AU - Gillaspie, Erin A
AU - Petersen, Rene Horsleben
AU - Hansen, Henrik Jessen
AU - Helsel, Bryan
AU - Naase, Hatam
AU - Kornaszewska, Malgorzata
AU - Will, Malcolm B
AU - Walker, William S
AU - Wigle, Dennis
AU - Blackmon, Shanda Haley
PY - 2017
Y1 - 2017
N2 - OBJECTIVE: Microlobectomy is a novel form of videoscopic-assisted thoracic surgery lobectomy. Strict inclusion criteria consist of the following: no intercostal incisions greater than 5 mm, 12 mm subxiphoid port, subxiphoid removal of the specimen, total endoscopic technique with CO2 insufflation, vision through a 5-mm camera, stapling via the subxiphoid port, or with 5-mm stapling devices.METHODS: The combined early experiences of six hospitals from three countries were combined from September 2014 to May 2016. During that time, the study represents a consecutive cohort study of this technique.RESULTS: Seventy-two patients underwent microlobectomy. The median (range) age was 66 (27-82). Half of the patients were female. There were 48 right-sided resections and 24 on the left. There were four segmental resections and there was one right pneumonectomy. Four operations were performed robotically (with 8-mm intercostal incisions). The median (range) operative time was 180 (94-285) minutes and the blood loss was 118 (5-800) mL. There were three conversions to thoracotomy and two conversions to videoscopic-assisted thoracic surgery by means of an intercostal utility incision to complete the operation. The median (range) length of stay was 3 (1-44) days and 30 patients (42%) when home by day 2 and 16 patients (22%) were discharged on day 1. There were no deaths. Five patients (7%) had a prolonged airleak. There were no wound infections and there was one incisional hernia.CONCLUSIONS: We believe that microlobectomy is an interesting novel form of videoscopic-assisted thoracic surgery lobectomy and has several theoretical advantages. We have presented our early results and hope that this will stimulate others to investigate this type of videoscopic-assisted thoracic surgery lobectomy further.
AB - OBJECTIVE: Microlobectomy is a novel form of videoscopic-assisted thoracic surgery lobectomy. Strict inclusion criteria consist of the following: no intercostal incisions greater than 5 mm, 12 mm subxiphoid port, subxiphoid removal of the specimen, total endoscopic technique with CO2 insufflation, vision through a 5-mm camera, stapling via the subxiphoid port, or with 5-mm stapling devices.METHODS: The combined early experiences of six hospitals from three countries were combined from September 2014 to May 2016. During that time, the study represents a consecutive cohort study of this technique.RESULTS: Seventy-two patients underwent microlobectomy. The median (range) age was 66 (27-82). Half of the patients were female. There were 48 right-sided resections and 24 on the left. There were four segmental resections and there was one right pneumonectomy. Four operations were performed robotically (with 8-mm intercostal incisions). The median (range) operative time was 180 (94-285) minutes and the blood loss was 118 (5-800) mL. There were three conversions to thoracotomy and two conversions to videoscopic-assisted thoracic surgery by means of an intercostal utility incision to complete the operation. The median (range) length of stay was 3 (1-44) days and 30 patients (42%) when home by day 2 and 16 patients (22%) were discharged on day 1. There were no deaths. Five patients (7%) had a prolonged airleak. There were no wound infections and there was one incisional hernia.CONCLUSIONS: We believe that microlobectomy is an interesting novel form of videoscopic-assisted thoracic surgery lobectomy and has several theoretical advantages. We have presented our early results and hope that this will stimulate others to investigate this type of videoscopic-assisted thoracic surgery lobectomy further.
U2 - 10.1097/IMI.0000000000000394
DO - 10.1097/IMI.0000000000000394
M3 - Journal article
C2 - 28763351
VL - 12
SP - 247
EP - 253
JO - Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery
JF - Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery
SN - 1556-9845
IS - 4
ER -
ID: 195159447