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Gemeinsame Jahrestagung der Deutschen, Österreichischen und Schweizerischen Gesellschaft für Thoraxchirurgie

24.-26.10.2013, Basel, Schweiz

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Extended VATS resections – a single center experience

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  • T. Schmid - Univ.-Klinik f. Visceral-, Transplantations-u. Thoraxchirurgie, Medizinische Universität Innsbruck (MUI), Innsbruck
  • H. Maier - Univ.-Klinik f. Visceral-, Transplantations-u. Thoraxchirurgie, Medizinische Universität Innsbruck (MUI), Innsbruck
  • P. Lucciarini - Univ.-Klinik f. Visceral-, Transplantations-u. Thoraxchirurgie, Medizinische Universität Innsbruck (MUI), Innsbruck
  • J. Bodner - Klinik für Allgemein-, Viszeral-, Thorax-, Transplantations- und Kinderchirurgie, Universitätsklinikum Gießen und Marburg, Gießen; Univ.-Klinik f. Visceral-, Transplantations-u. Thoraxchirurgie, Medizinische Universität Innsbruck (MUI), Innsbruck
  • J. Pratschke - Univ.-Klinik f. Visceral-, Transplantations-u. Thoraxchirurgie, Medizinische Universität Innsbruck (MUI), Innsbruck
  • F. Augustin - Univ.-Klinik f. Visceral-, Transplantations-u. Thoraxchirurgie, Medizinische Universität Innsbruck (MUI), Innsbruck

Deutsche Gesellschaft für Thoraxchirurgie. Österreichische Gesellschaft für Thoraxchirurgie. Schweizerische Gesellschaft für Thoraxchirurgie. Gemeinsame Jahrestagung der Deutschen, Österreichischen und Schweizerischen Gesellschaft für Thoraxchirurgie. Basel, Schweiz, 24.-26.10.2013. Düsseldorf: German Medical Science GMS Publishing House; 2013. DocS6.5

doi: 10.3205/13dgt053, urn:nbn:de:0183-13dgt0537

Published: October 14, 2013

© 2013 Schmid et al.
This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by-nc-nd/3.0/deed.en). You are free: to Share – to copy, distribute and transmit the work, provided the original author and source are credited.

Outline

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Objective: To analyze feasibility, morbidity and mortality of extended VATS resections in a single center experience.

Methods: Retrospective analysis of a prospectively maintained database.

Results: Starting in 2009, 260 patients were scheduled for anatomical VATS resections. Extended resections were performed in 29 patients: bilobectomy in three, segmental resection in 9, bronchial sleeve resection in 11 (2 circular bronchoplasties, 9 wedge bronchoplasties), pneumonectomy in 5 and pericardial resection in one patient. 20 out of the 29 extended resections were performed within the last 1.5 years of our series. Median operative time was 217 minutes (range, 105–366 minutes). All patients were extubated in the operative room. Median chest tube duration was 4.5 days (range, 2–28 days). Median length of hospital stay was 8 days. There was no in-hospital mortality. Perioperative complications occurred in six patients (20.7%): prolonged air leak in two patients after segmental resections, urinary tract infection in one patient and middle lobe atelectasis after a right upper sleeve lobectomy with the need for bronchoscopy in one patient. On follow-up, one patient developed a second primary tumor on the contralateral lung. All other 26 patients with primary lung cancer are free of recurrent disease. During the study period, three patients planned for VATS lobectomy had to be converted due to oncologic reasons for open pneumonectomy.

Conclusion: With growing experience, extended VATS resections are feasible in selected cases with low perioperative morbidity and mortality and a short length of hospital stay.