2015•Journal of Cardiothoracic SurgeryOpen access

VATS Pneumonectomy: The Posterior Approach

D Miller, Malcolm Brodie Will, W. S. G. Walker

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Abstract

Pneumonectomy was performed by the previously described posterior Edinburgh VATS approach. This technique is optimised with the use of a 30 degree HD camera, and dividing hilar structures in the following order: SPV, main PA, IPV, and main bronchus after sampling of station 7 lymph nodes. Operation notes, discharge summaries and pathology reports of patients who have undergone VATS pneumonectomy from 1992 until the present were reviewed. The details of these patients were recorded in a worksheet and analysed using Microsoft Excel. Age (mean, range) 63 (14-82)Female 9 (45%)Right Pneumonectomy 5 (25%)Completion Pneumonectomy 3 (15%)Operation Time (Mean ± SEM, mins) 203 ± 47Blood Loss (Mean ± SEM, mls) 205 ± 174Length of Stay (Median, range, days) 6 (3-19)Major Complications 1 (5%)Minor Complications 5 (25%)30 day Mortality 0 (0%)Pathology (NSCLC) 18 (90%)TNM 7th Ed Stage IIIa or less 19 (95%)Complete Resection (R0) 19 (95%)

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Pneumonectomy was performed by the previously described posterior Edinburgh VATS approach. This technique is optimised with the use of a 30 degree HD camera, and dividing hilar structures in the following order: SPV, main PA, IPV, and main bronchus after sampling of station 7 lymph nodes. Operation notes, discharge summaries and pathology reports of patients who have undergone VATS pneumonectomy from 1992 until the present were reviewed. The details of these patients were recorded in a worksheet and analysed using Microsoft Excel. Age (mean, range) 63 (14-82)Female 9 (45%)Right Pneumonectomy 5 (25%)Completion Pneumonectomy 3 (15%)Operation Time (Mean ± SEM, mins) 203 ± 47Blood Loss (Mean ± SEM, mls) 205 ± 174Length of Stay (Median, range, days) 6 (3-19)Major Complications 1 (5%)Minor Complications 5 (25%)30 day Mortality 0 (0%)Pathology (NSCLC) 18 (90%)TNM 7th Ed Stage IIIa or less 19 (95%)Complete Resection (R0) 19 (95%)

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Available abstract

Pneumonectomy was performed by the previously described posterior Edinburgh VATS approach. This technique is optimised with the use of a 30 degree HD camera, and dividing hilar structures in the following order: SPV, main PA, IPV, and main bronchus after sampling of station 7 lymph nodes. Operation notes, discharge summaries and pathology reports of patients who have undergone VATS pneumonectomy from 1992 until the present were reviewed. The details of these patients were recorded in a worksheet and analysed using Microsoft Excel. Age (mean, range) 63 (14-82)Female 9 (45%)Right Pneumonectomy 5 (25%)Completion Pneumonectomy 3 (15%)Operation Time (Mean ± SEM, mins) 203 ± 47Blood Loss (Mean ± SEM, mls) 205 ± 174Length of Stay (Median, range, days) 6 (3-19)Major Complications 1 (5%)Minor Complications 5 (25%)30 day Mortality 0 (0%)Pathology (NSCLC) 18 (90%)TNM 7th Ed Stage IIIa or less 19 (95%)Complete Resection (R0) 19 (95%)

Key concepts: Pneumonectomy, Medicine, Cardiothoracic surgery, Thoracotomy, Cardiac surgery, Surgery, Vascular surgery, General surgery

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