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Vol. 18, Art. 23 (pp. 322-335)    |    2017       

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Single-port video-assisted thoracoscopic lobectomies in the management of lung cancer: retrospective analysis of 72 procedures

Arseniev A.I., Nefedov A.O., Tarkov S.A., Kostitsin K.A., Barchuk A.А., Gagua К.Е., Gelfond V.M., Zagryadskih A.S., Nefedova A.V.

St. Petersburg Clinical Research Centre of special types of medical care (Oncology)
Saint-Petersburg; 68A, Leningradskaya Str., Pesochny

Brief summary

This paper summarizes recent Russian and international literature, describing endoscopic surgical methods in lung cancer management, particularly, video-assisted lung anatomic resection with different approaches. Single institution experience of 72 video-assisted single-port lobectomies in stage I-II lung cancer patients is presented. Mean blood loss was 98,3 ml. Mean number of lymph nodes harvested was similar in video-assisted single port and open group (14,2 vs 14,8). The conversion rate was 2,8% (2 cases). Only 5 (6,9%) non-lethal complication were associated with thoracoscopic procedure. Postoperative pain was minimal, pain-killers were used not more than 2-3 days after surgery. The duration of chest drain use was 4,6 days. The duration of air leak was 2,3 days. Patients were ready to be discharges in 5,8 days.


Key words

lung cancer, thoracoscopy, single port thorascopic lobectomy.

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