What question did this study set out to answer?

To assess the feasibility, outcomes, and safety of thoracoscopic resection for small peripheral pulmonary lesions.

September 1, 1992The Annals of Thoracic SurgeryOpen Access

Thoracoscopic resection of 85 pulmonary lesions

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Authors

RLRodney J. LandreneauTampa General Hospital SHStephen R. HazelriggSouthern Illinois University Carbondale PFPeter F. FersonUniversity of Pittsburgh Medical Center

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Implication

Case series reveals low complication rates following thoracoscopic lung resection in patients with peripheral lesions, suggesting a viable minimally invasive approach.

Key Points

To assess the feasibility, outcomes, and safety of thoracoscopic resection for small peripheral pulmonary lesions.
Analyzed 85 thoracoscopic pulmonary resections performed on 61 consecutive patients presenting with peripheral lung lesions smaller than 3 cm.
Performed resections using a neodymium:yttrium-aluminum garnet laser (n=31), an endoscopic stapler (n=29), or a combination of both instruments (n=25).
Lesions had a mean diameter of 1.3 cm (range, 0.4 to 2.7 cm), resulting in a mean chest tube drainage time of 3.3 ± 3.0 days and a mean hospital stay of 5.7 ± 4.9 days.
Postoperative morbidity included prolonged bronchopleural fistula (n=3), atelectasis (n=2), pneumonia (n=2), and bleeding requiring transfusion (n=1), alongside one late unrelated death.
Histopathology confirmed benign disease in 28 patients, metastatic malignancy in 20, and bronchogenic carcinoma in 13 (with 5 undergoing subsequent lobectomy or segmentectomy).

Cite This Study

Landreneau et al. (1992) studied this question.

synapsesocial.com/papers/6a96914ba45595e5080e2c7e https://doi.org/10.1016/0003-4975(92)90430-c

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Implication

Case series reveals low complication rates following thoracoscopic lung resection in patients with peripheral lesions, suggesting a viable minimally invasive approach.

Thoracoscopic resection of 85 pulmonary lesions

Discussion

Member takes

Implication

Key Points

Cite This Study

Thoracoscopic resection of 85 pulmonary lesions

Discussion

Member takes

Implication

Key Points

Cite This Study

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