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Titolo:
RESECTION OF PULMONARY NODULES USING VIDEO-ASSISTED THORACIC-SURGERY
Autore:
BERNARD A; AZORIN J; BELLENOT F; BONNETTE P; BRICHON PY; BRUTUS P; CHAPELIER A; CHARPENTIER R; DAHAN M; DUJON A; ESCANDE G; FAILLON MJ; GIUDICELLI R; GROSDIDIER G; GRUNENWALD D; JANCOVICI R; JOYEUX A; MERIOT S; MONTEAU M; MOREAU JL; MOREAU P; MOUROUX J; POULIQUEN E; RAUT Y; REGNARD JF; RIQUET M; VALVERDE JP; VELLY JF; WILHM JM;
Indirizzi:
HOP BOCAGE,CLIN CHIRURG UNIV,2 BD MARECHAL LATTRE DE TASSIGNY,BP 1542F-21034 DIJON FRANCE
Titolo Testata:
The Annals of thoracic surgery
fascicolo: 1, volume: 61, anno: 1996,
pagine: 202 - 204
SICI:
0003-4975(1996)61:1<202:ROPNUV>2.0.ZU;2-L
Fonte:
ISI
Lingua:
ENG
Soggetto:
THORACOSCOPIC RESECTION; LOCALIZATION; LUNG; METASTASES; DIAGNOSIS; EXCISION;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Science Citation Index Expanded
Citazioni:
15
Recensione:
Indirizzi per estratti:
Citazione:
A. Bernard et al., "RESECTION OF PULMONARY NODULES USING VIDEO-ASSISTED THORACIC-SURGERY", The Annals of thoracic surgery, 61(1), 1996, pp. 202-204

Abstract

Background. The aim of this study was to assess the experience with video-assisted thoracic surgery for the resection of pulmonary nodules. Methods. This voluntary registry (20 centers) included 388 patients with either benign (n = 171) or malignant (n = 217) pulmonary nodules. Pulmonary nodules were located using computed tomography scan-guided injection of methylene blue (59 patients) and hook wire technique (17 patients). Results. Video-assisted thoracic surgery was converted into thoracotomy in 67 patients (17%) because of technical emergency in 4, inability to complete resection in 33, and the need to perform lobectomy for cancer through thoracotomy in 30. In other patients, video-assisted thoracic surgery allowed wedge resection in 300 cases and lobectomy in 21 cases. No intraoperative and two postoperative deaths (0.56%)occurred. The complication rate was 8% (n = 31). Mean durations of chest tube placement and hospital stay were 3.3 days (range, 1 to 20 days) and 6 days (range, 1 to 25 days), respectively. Video-assisted thoracic surgery was judged by the surgeon to be a diagnostic procedure 226 times (58%) and a therapeutic procedure 162 times (42%). Conclusion. Video-assisted thoracic surgery appears to be safe and remains mainlya diagnostic procedure for malignant tumors.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 22/01/20 alle ore 09:20:13