HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Alert me when this article is cited Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Personal Folders Download to citation manager Permission Requests Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Miller, D. L. Articles by Pairolero, P. C. Search for Related Content PubMed PubMed Citation Articles by Miller, D. L. Articles by Pairolero, P. C.

The Annals of Thoracic Surgery, Vol 54, 410-413, Copyright © 1992 by The Society of Thoracic Surgeons

ARTICLES

Videothoracoscopic wedge excision of the lung

DL Miller, MS Allen, VF Trastek, C Deschamps and PC Pairolero
Section of General Thoracic Surgery, Mayo Clinic, Rochester, Minnesota 55905.

Recent advances in video technology and endoscopic instrumentation have expanded the use of thoracoscopy from diagnosis to treatment of pulmonary parenchymal disease. We recently performed 14 pulmonary wedge excisions using videothoracoscopic techniques in 10 patients (7 women and 3 men). Median age was 60 years (range, 21 to 82 years). Indications were small peripheral solitary pulmonary nodules in 4 patients, diffuse pulmonary infiltrates in 4, and recurrent pneumothoraces in 2. Thoracoscopic wedge excisions were accomplished using double-lumen endotracheal anesthesia and a percutaneous stapling device. Tissue diagnosis was obtained in all patients; 6 had benign disease, 3 had metastatic cancer, and 1 had diffuse bronchoalveolar cell carcinoma. Median operating time was 90 minutes (range, 40 to 140 minutes). There were no operative deaths. The single complication was a prolonged air leak. Median hospitalization was 5 days (range, 3 to 16 days). All patients returned to full activity within 10 days of discharge. Median follow-up was 6 months (range, 5 to 8 months). We conclude that videothoracoscopic wedge excision is a safe and effective procedure for selected small peripheral indeterminate pulmonary nodules, diffuse interstitial lung diseases, and recurrent spontaneous pneumothoraces. Further evaluation and prospective studies are indicated.

This article has been cited by other articles:

				M. K. Gould, G. D. Sanders, P. G. Barnett, C. E. Rydzak, C. C. Maclean, M. B. McClellan, and D. K. Owens Cost-Effectiveness of Alternative Management Strategies for Patients with Solitary Pulmonary Nodules Ann Intern Med, May 6, 2003; 138(9): 724 - 735. [Abstract] [Full Text] [PDF]

				G. Cardillo, M. Regal, F. Sera, M. Di Martino, L. Carbone, F. Facciolo, and M. Martelli Videothoracoscopic management of the solitary pulmonary nodule: a single-institution study on 429 cases Ann. Thorac. Surg., May 1, 2003; 75(5): 1607 - 1611. [Abstract] [Full Text] [PDF]

				S. Dendo, S. Kanazawa, A. Ando, T. Hyodo, Y. Kouno, K. Yasui, H. Mimura, S. Akaki, M. Kuroda, N. Shimizu, et al. Preoperative Localization of Small Pulmonary Lesions with a Short Hook Wire and Suture System: Experience with 168 Procedures Radiology, November 1, 2002; 225(2): 511 - 518. [Abstract] [Full Text] [PDF]

				G. Roviaro, F. Varoli, O. Nucca, C. Vergani, and M. Maciocco Videothoracoscopic Approach to Primary Mediastinal Pathology Chest, April 1, 2000; 117(4): 1179 - 1183. [Abstract] [Full Text] [PDF]

				P. E. Stensrud Anesthesia for Thoracoscopy Seminars in Cardiothoracic and Vascular Anesthesia, March 1, 2000; 4(1): 18 - 25. [Abstract] [PDF]

				S. Margaritora, A. Cesario, D. Galetta, K. Kawamukai, E. Meacci, and P. Granone Staged axillary thoracotomy for bilateral lung metastases: an effective and minimally invasive approach Eur. J. Cardiothorac. Surg., September 1, 1999; 16(suppl_1): S37 - S39. [Abstract] [Full Text] [PDF]

				K. Suzuki, K. Nagai, J. Yoshida, H. Ohmatsu, K. Takahashi, M. Nishimura, and Y. Nishiwaki Video-Assisted Thoracoscopic Surgery for Small Indeterminate Pulmonary Nodules: Indications for Preoperative Marking Chest, February 1, 1999; 115(2): 563 - 568. [Abstract] [Full Text] [PDF]

				G C Roviaro, M Maciocco, F Varoli, C Rebuffat, C Vergani, and A Scarduelli Videothoracoscopic treatment of oesophageal leiomyoma Thorax, March 1, 1998; 53(3): 190 - 192. [Abstract] [Full Text]

				R. Jancovici, L. Lang-Lazdunski, F. Pons, L. Cador, A. Dujon, M. Dahan, and J. Azorin Complications of Video-Assisted Thoracic Surgery: A Five-Year Experience Ann. Thorac. Surg., February 1, 1996; 61(2): 533 - 537. [Abstract] [Full Text]

				G. Roviaro, F. Varoli, C. Rebuffat, C. Vergani, M. Maciocco, S. M. Scalambra, D. Sonnino, and G. Gozi Videothoracoscopic Staging and Treatment of Lung Cancer Ann. Thorac. Surg., April 1, 1995; 59(4): 971 - 974. [Abstract] [Full Text]

				M. Kadokura, T. V. Colby, J. L. Myers, M. S. Allen, C. Deschamps, V. F. Trastek, and P. C. Pairolero Pathologic comparison of video-assisted thoracic surgical lung biopsy with traditional open lung biopsy J. Thorac. Cardiovasc. Surg., March 1, 1995; 109(3): 494 - 498. [Abstract] [Full Text]

				H.-P. Liu, C.-H. Chang, P. J. Lin, H.-C. Hsieh, J.-P. Chang, and M.-J. Hsieh Video-assisted thoracic surgeryThe Chang Gung experience J. Thorac. Cardiovasc. Surg., November 1, 1994; 108(5): 834 - 840. [Abstract] [Full Text]

				R. G. C. Inderbitzi, A. Leiser, M. Furrer, and U. Althaus Three years' experience in video-assisted thoracic surgery (VATS) for spontaneous pneumothorax J. Thorac. Cardiovasc. Surg., June 1, 1994; 107(6): 1410 - 1415. [Abstract] [Full Text]