Two-incision Approach for Video-assisted Thoracoscopic Sleeve Lobectomy for Lung Cancer_Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Authors：

WANGXiao-fei , ZHAOYan-dong , ZHANGLiang-dong , JIANGChan-yu ,  JIAOWen-jie

Department of Thoracic Surgery, Affiliated Hospital of Qingdao University, Qingdao 266000, Shandong, P. R. China;

Corresponding author：

JIAOWen-jie, Email: xwkejwj@126.com

Keywords：

Lung cancer; Video-assisted thoracoscopic surgery; Sleeve lobectomy

DOI：

10.7507/1007-4848.20150192

Video：

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Abstract Full text Figures/Tables Video References Cited by

Objective To discuss the experiences of video-assisted thoracoscopic surgery (VATS) sleeve lobectomy with bronchoplasty for lung cancer, using only two incisions. Method We retrospectively analyzed the clinical data of 16 patients of VATS sleeve lobectomy with bronchoplasty in our hospital between January 2013 and January 2014. There were 14 males and 2 females at age of 55 (39-70) years. The clinical effect was analyzed. Results The patients underwent sleeve lobectomy with bronchoplasty were no severe postoperative complications. Median operative time was 183 min. Median bronchial anastomosis time was 39 min. Median blood loss was 170 ml. The result of pathological examination showed 11 patients with squamous cell carcinomas and 5 patients with adenocarcinoma. Median postoperative chest tube drainage duration was 4.5 days. Median hospital stay was 6.9 days. Conclusion VATS sleeve lobectomy with bronchoplasty is a feasible and safe surgical approach, using only two incisions.

Citation： WANGXiao-fei, ZHAOYan-dong, ZHANGLiang-dong, JIANGChan-yu, JIAOWen-jie. Two-incision Approach for Video-assisted Thoracoscopic Sleeve Lobectomy for Lung Cancer. Chinese Journal of Clinical Thoracic and Cardiovascular Surgery, 2015, 22(8): 770-772. doi: 10.7507/1007-4848.20150192 Copy

1.	Jemal A, Murray T, Samuels A, et al. Cancer statistics, 2003. CA Cancer J Clin, 2003, 53(1):5-26.
2.	Ikeda N, Usuda J, Kato H, et al. New aspects of photodynamic therapy for central type early stage lung cancer. Lasers Surg Med, 2011, 43(7):749-754.
3.	Grinberg-Rashi H, Ofek E, Perelman M, et al. The expression of three genes in primary non-small cell lung cancer is associated with metastatic spread to the brain. Clin Cancer Res, 2009, 15(5):1755-1761.
4.	Ma Z, Dong A, Fan J, et al. Does sleeve lobectomy concomitant with or without pulmonary artery reconstruction (double sleeve) have favorable results for non-small cell lung cancer compared with pneumonectomy? A meta-analysis. Eur J Cardiothorac Surg, 2007, 32(1):20-28.
5.	Mahtabifard A, Fuller CB, McKenna RJ Jr. Video-assisted thoracic surgery sleeve lobectomy:a case series. Ann Thorac Surg, 2008, 85(2):S729-S732.
6.	Li Y, Wang J. Video-assisted thoracoscopic surgery sleeve lobectomy with bronchoplasty. World J Surg, 2013, 37(7):1661-1665.
7.	Han Y, Yu DP, Zhou SJ, et al. Video-assisted thoracoscopic surgery bronchial sleeve lobectomy for lung cancer. Zhonghua Yi Xue Za Zhi, 2013, 93(23):1836-1867.
8.	Pena E, Blanco M, Ovalle JP. Two-incision approach for videoassisted thoracoscopic sleeve lobectomy. Asian Cardiovasc Thorac Ann, 2014, 22(3):371-373.
9.	Cerfolio RJ, Bryant AS, Quality of life after pulmonary resections. Thorac Surg Clin, 2013, 23(3):437-442.
10.	Lackey A, Donington JS. Surgical management of lung cancer. Semin Intervent Radiol, 2013, 30(2):133-140.
11.	Shao F, Yang R, Xu D, et al. Bronchial sleeve lobectomy and carinal resection in the treatment of central lung cancer:a report of 92 cases. Zhongguo Fei Ai Za Zhi, 2010, 13(11):1056-1058.
12.	Nakanishi K. Video-assisted thoracic surgery lobectomy with bronchoplasty for lung cancer:initial experience and techniques. Ann Thorac Surg, 2007, 84(1):191-195.
13.	McKenna RJ Jr, Houck W, Fuller CB. Video-assisted thoracic surgery lobectomy:experience with 1,100 cases. Ann Thorac Surg, 2006, 81(2):421-426.
14.	Schmid T, Augustin F, Kainz G, et al. Hybrid video-assisted thoracic surgery-robotic minimally invasive right upper lobe sleeve lobectomy. Ann Thorac Surg, 2011, 91(6):1961-1965.
15.	Tse DG, Vadehra N, Iancu L. Left tracheal sleeve pneumonectomy:a combined approach. J Thorac Cardiovasc Surg, 2005, 129(2):454-455.
16.	Kamiyoshihara M, Ibe T, Takeyoshi I. Video-assisted thoracoscopic lobectomy with bronchoplasty for lung cancer:tip regarding bronchial anastomosis. Gen Thorac Cardiovasc Surg, 2008, 56(9):476-468.
17.	Pena E, Blanco M, Ovalle JP. Two-incision approach for videoassisted thoracoscopic sleeve lobectomy. Asian Cardiovasc Thorac Ann, 2013, 22(3):371-373.
18.	Xu G, Zheng W, Guo Z, et al. Complete video-assisted thoracoscopic surgery upper left bronchial sleeve lobectomy. J Thorac Dis, 2013, 5(Suppl 3):S298-300.
19.	He J, Shao W, Cao C, et al. Long-term outcome of hybrid surgical approach of video-assisted minithoracotomy sleeve lobectomy for non-small-cell lung cancer. Surg Endosc, 2011, 25(8):2509-2515.
20.	Eichhorn F, Storz K, Hoffmann H, et al. Sleeve pneumonectomy for central non-small cell lung cancer:indications, complications, and survival. Anna Thorac Surg, 2013, 96(1):253-258.

1. Jemal A, Murray T, Samuels A, et al. Cancer statistics, 2003. CA Cancer J Clin, 2003, 53(1):5-26.
2. Ikeda N, Usuda J, Kato H, et al. New aspects of photodynamic therapy for central type early stage lung cancer. Lasers Surg Med, 2011, 43(7):749-754.
3. Grinberg-Rashi H, Ofek E, Perelman M, et al. The expression of three genes in primary non-small cell lung cancer is associated with metastatic spread to the brain. Clin Cancer Res, 2009, 15(5):1755-1761.
4. Ma Z, Dong A, Fan J, et al. Does sleeve lobectomy concomitant with or without pulmonary artery reconstruction (double sleeve) have favorable results for non-small cell lung cancer compared with pneumonectomy? A meta-analysis. Eur J Cardiothorac Surg, 2007, 32(1):20-28.
5. Mahtabifard A, Fuller CB, McKenna RJ Jr. Video-assisted thoracic surgery sleeve lobectomy:a case series. Ann Thorac Surg, 2008, 85(2):S729-S732.
6. Li Y, Wang J. Video-assisted thoracoscopic surgery sleeve lobectomy with bronchoplasty. World J Surg, 2013, 37(7):1661-1665.
7. Han Y, Yu DP, Zhou SJ, et al. Video-assisted thoracoscopic surgery bronchial sleeve lobectomy for lung cancer. Zhonghua Yi Xue Za Zhi, 2013, 93(23):1836-1867.
8. Pena E, Blanco M, Ovalle JP. Two-incision approach for videoassisted thoracoscopic sleeve lobectomy. Asian Cardiovasc Thorac Ann, 2014, 22(3):371-373.
9. Cerfolio RJ, Bryant AS, Quality of life after pulmonary resections. Thorac Surg Clin, 2013, 23(3):437-442.
10. Lackey A, Donington JS. Surgical management of lung cancer. Semin Intervent Radiol, 2013, 30(2):133-140.
11. Shao F, Yang R, Xu D, et al. Bronchial sleeve lobectomy and carinal resection in the treatment of central lung cancer:a report of 92 cases. Zhongguo Fei Ai Za Zhi, 2010, 13(11):1056-1058.
12. Nakanishi K. Video-assisted thoracic surgery lobectomy with bronchoplasty for lung cancer:initial experience and techniques. Ann Thorac Surg, 2007, 84(1):191-195.
13. McKenna RJ Jr, Houck W, Fuller CB. Video-assisted thoracic surgery lobectomy:experience with 1,100 cases. Ann Thorac Surg, 2006, 81(2):421-426.
14. Schmid T, Augustin F, Kainz G, et al. Hybrid video-assisted thoracic surgery-robotic minimally invasive right upper lobe sleeve lobectomy. Ann Thorac Surg, 2011, 91(6):1961-1965.
15. Tse DG, Vadehra N, Iancu L. Left tracheal sleeve pneumonectomy:a combined approach. J Thorac Cardiovasc Surg, 2005, 129(2):454-455.
16. Kamiyoshihara M, Ibe T, Takeyoshi I. Video-assisted thoracoscopic lobectomy with bronchoplasty for lung cancer:tip regarding bronchial anastomosis. Gen Thorac Cardiovasc Surg, 2008, 56(9):476-468.
17. Pena E, Blanco M, Ovalle JP. Two-incision approach for videoassisted thoracoscopic sleeve lobectomy. Asian Cardiovasc Thorac Ann, 2013, 22(3):371-373.
18. Xu G, Zheng W, Guo Z, et al. Complete video-assisted thoracoscopic surgery upper left bronchial sleeve lobectomy. J Thorac Dis, 2013, 5(Suppl 3):S298-300.
19. He J, Shao W, Cao C, et al. Long-term outcome of hybrid surgical approach of video-assisted minithoracotomy sleeve lobectomy for non-small-cell lung cancer. Surg Endosc, 2011, 25(8):2509-2515.
20. Eichhorn F, Storz K, Hoffmann H, et al. Sleeve pneumonectomy for central non-small cell lung cancer:indications, complications, and survival. Anna Thorac Surg, 2013, 96(1):253-258.

Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Two-incision Approach for Video-assisted Thoracoscopic Sleeve Lobectomy for Lung Cancer

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