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Technical difficulties and extending the indications for VATS lobectomy by Vadim G Pischik is a Medicine article available to read on EtoBox.
What is Technical difficulties and extending the indications for VATS lobectomy about?
## Background: Data on advantages of video-assisted thoracoscopic surgery (vats) lobectomies has been accumulated during the last 10 years then number of thoracoscopic anatomic pulmonary resections rapidly increased. but still there is no agreement about limitations of the method. the most popular "technical contraindications" for vats anatomic pulmonary resections are: dense pleural adhesions, incompleteness of interlobar fissure, previous chemo- or/and radiotherapy, perivascular or/and peribronchial fibrosis, tumor larger than 5 cm, chest wall involvement, centrally located tumor, severe comorbidity, advanced age, severe copd and emphysema. extending of indications for the vats anatomic pulmonary resection and its influence on the immediate outcomes was investigated. ## Methods: Ninety two consecutive cases of vats anatomic pulmonary resection performed by the single surgeon from january 2012 till december 2013 at the federal university hospital #122 in saint petersburg, russia were retrospectively analyzed. forty three males and 49 females at the age from 21 to 87 years old (mean age 59±7.2). the most of the cases were comprised by lung cancer of i-iii stage together with bronch
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- Author
- Vadim G Pischik
- Published
- 2014
- Language
- EN
- Field
- Medicine (Health Sciences)