New approach to complete video-assisted thoracoscopic lobectomy in T2 and T3 non-small cell lung cancer

Masato Kato, Hideya Ohnishi, Kouichi Furugaki, Seiji Yunotani, Kotaro Matsumoto, Nobuko Tsuruta, Katsuya Nakamura, Mitsuo Katano

研究成果: ジャーナルへの寄稿記事

2 引用 (Scopus)

抄録

Complete video-assisted thoracoscopic surgery (c-VATS) for lung cancer is minimally invasive because of the small incision required. c-VATS has recently become a standard procedure for treatment of stage IA/IB lung cancer. However, a long thoracic incision or extensive costal rib resection is required in patients with large lung tumors. We herein introduce an improved VATS lobectomy procedure for patients with T2 and T3 lung cancer. In this technique, resected tissue is removed through a small upper abdominal midline incision below the xiphoid through the retrosternal-extraperitoneal pathway. Five patients who underwent this new procedure were compared against 10 control patients who underwent hybrid VATS lobectomy. Significantly fewer patients who underwent c-VATS lobectomy complained of severe postoperative pain; however, there was no significant difference in the postoperative hospital stay between the two groups. The present study demonstrates that c-VATS lobectomy can be performed with minimal operative pain and without need for a long thoracic incision or extensive rib resection, even in patients with large lung tumors (T2 and T3). These results suggest that the indications for c-VATS lobectomy in patients with T2 and T3 non-small cell lung cancer can be expanded by implementation of our approach, which involves removal of the freed lobe through an abdominal incision.

元の言語英語
ページ(範囲)3585-3589
ページ数5
ジャーナルAnticancer research
35
発行部数6
出版物ステータス出版済み - 1 1 2015

Fingerprint

Video-Assisted Thoracic Surgery
Non-Small Cell Lung Carcinoma
Lung Neoplasms
Ribs
Thorax
Lung
Postoperative Pain
Length of Stay
Neoplasms
Pain

All Science Journal Classification (ASJC) codes

  • Oncology
  • Cancer Research

これを引用

Kato, M., Ohnishi, H., Furugaki, K., Yunotani, S., Matsumoto, K., Tsuruta, N., ... Katano, M. (2015). New approach to complete video-assisted thoracoscopic lobectomy in T2 and T3 non-small cell lung cancer. Anticancer research, 35(6), 3585-3589.

New approach to complete video-assisted thoracoscopic lobectomy in T2 and T3 non-small cell lung cancer. / Kato, Masato; Ohnishi, Hideya; Furugaki, Kouichi; Yunotani, Seiji; Matsumoto, Kotaro; Tsuruta, Nobuko; Nakamura, Katsuya; Katano, Mitsuo.

:: Anticancer research, 巻 35, 番号 6, 01.01.2015, p. 3585-3589.

研究成果: ジャーナルへの寄稿記事

Kato, M, Ohnishi, H, Furugaki, K, Yunotani, S, Matsumoto, K, Tsuruta, N, Nakamura, K & Katano, M 2015, 'New approach to complete video-assisted thoracoscopic lobectomy in T2 and T3 non-small cell lung cancer', Anticancer research, 巻. 35, 番号 6, pp. 3585-3589.
Kato M, Ohnishi H, Furugaki K, Yunotani S, Matsumoto K, Tsuruta N その他. New approach to complete video-assisted thoracoscopic lobectomy in T2 and T3 non-small cell lung cancer. Anticancer research. 2015 1 1;35(6):3585-3589.
Kato, Masato ; Ohnishi, Hideya ; Furugaki, Kouichi ; Yunotani, Seiji ; Matsumoto, Kotaro ; Tsuruta, Nobuko ; Nakamura, Katsuya ; Katano, Mitsuo. / New approach to complete video-assisted thoracoscopic lobectomy in T2 and T3 non-small cell lung cancer. :: Anticancer research. 2015 ; 巻 35, 番号 6. pp. 3585-3589.
@article{89e93bef51284eeda7b2c1fb6747ecb9,
title = "New approach to complete video-assisted thoracoscopic lobectomy in T2 and T3 non-small cell lung cancer",
abstract = "Complete video-assisted thoracoscopic surgery (c-VATS) for lung cancer is minimally invasive because of the small incision required. c-VATS has recently become a standard procedure for treatment of stage IA/IB lung cancer. However, a long thoracic incision or extensive costal rib resection is required in patients with large lung tumors. We herein introduce an improved VATS lobectomy procedure for patients with T2 and T3 lung cancer. In this technique, resected tissue is removed through a small upper abdominal midline incision below the xiphoid through the retrosternal-extraperitoneal pathway. Five patients who underwent this new procedure were compared against 10 control patients who underwent hybrid VATS lobectomy. Significantly fewer patients who underwent c-VATS lobectomy complained of severe postoperative pain; however, there was no significant difference in the postoperative hospital stay between the two groups. The present study demonstrates that c-VATS lobectomy can be performed with minimal operative pain and without need for a long thoracic incision or extensive rib resection, even in patients with large lung tumors (T2 and T3). These results suggest that the indications for c-VATS lobectomy in patients with T2 and T3 non-small cell lung cancer can be expanded by implementation of our approach, which involves removal of the freed lobe through an abdominal incision.",
author = "Masato Kato and Hideya Ohnishi and Kouichi Furugaki and Seiji Yunotani and Kotaro Matsumoto and Nobuko Tsuruta and Katsuya Nakamura and Mitsuo Katano",
year = "2015",
month = "1",
day = "1",
language = "English",
volume = "35",
pages = "3585--3589",
journal = "Anticancer Research",
issn = "0250-7005",
publisher = "International Institute of Anticancer Research",
number = "6",

}

TY - JOUR

T1 - New approach to complete video-assisted thoracoscopic lobectomy in T2 and T3 non-small cell lung cancer

AU - Kato, Masato

AU - Ohnishi, Hideya

AU - Furugaki, Kouichi

AU - Yunotani, Seiji

AU - Matsumoto, Kotaro

AU - Tsuruta, Nobuko

AU - Nakamura, Katsuya

AU - Katano, Mitsuo

PY - 2015/1/1

Y1 - 2015/1/1

N2 - Complete video-assisted thoracoscopic surgery (c-VATS) for lung cancer is minimally invasive because of the small incision required. c-VATS has recently become a standard procedure for treatment of stage IA/IB lung cancer. However, a long thoracic incision or extensive costal rib resection is required in patients with large lung tumors. We herein introduce an improved VATS lobectomy procedure for patients with T2 and T3 lung cancer. In this technique, resected tissue is removed through a small upper abdominal midline incision below the xiphoid through the retrosternal-extraperitoneal pathway. Five patients who underwent this new procedure were compared against 10 control patients who underwent hybrid VATS lobectomy. Significantly fewer patients who underwent c-VATS lobectomy complained of severe postoperative pain; however, there was no significant difference in the postoperative hospital stay between the two groups. The present study demonstrates that c-VATS lobectomy can be performed with minimal operative pain and without need for a long thoracic incision or extensive rib resection, even in patients with large lung tumors (T2 and T3). These results suggest that the indications for c-VATS lobectomy in patients with T2 and T3 non-small cell lung cancer can be expanded by implementation of our approach, which involves removal of the freed lobe through an abdominal incision.

AB - Complete video-assisted thoracoscopic surgery (c-VATS) for lung cancer is minimally invasive because of the small incision required. c-VATS has recently become a standard procedure for treatment of stage IA/IB lung cancer. However, a long thoracic incision or extensive costal rib resection is required in patients with large lung tumors. We herein introduce an improved VATS lobectomy procedure for patients with T2 and T3 lung cancer. In this technique, resected tissue is removed through a small upper abdominal midline incision below the xiphoid through the retrosternal-extraperitoneal pathway. Five patients who underwent this new procedure were compared against 10 control patients who underwent hybrid VATS lobectomy. Significantly fewer patients who underwent c-VATS lobectomy complained of severe postoperative pain; however, there was no significant difference in the postoperative hospital stay between the two groups. The present study demonstrates that c-VATS lobectomy can be performed with minimal operative pain and without need for a long thoracic incision or extensive rib resection, even in patients with large lung tumors (T2 and T3). These results suggest that the indications for c-VATS lobectomy in patients with T2 and T3 non-small cell lung cancer can be expanded by implementation of our approach, which involves removal of the freed lobe through an abdominal incision.

UR - http://www.scopus.com/inward/record.url?scp=84931379170&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84931379170&partnerID=8YFLogxK

M3 - Article

VL - 35

SP - 3585

EP - 3589

JO - Anticancer Research

JF - Anticancer Research

SN - 0250-7005

IS - 6

ER -