caa a22 4500 46795321X CHVBK 20180405193744.0 cr unu---uuuuu 170328e20041101xx s 000 0 eng 10.1007/BF02637119 doi (NATIONALLICENCE)springer-10.1007/BF02637119 (NATIONALLICENCE)springer-10.1007/s00464-004-6006-6 Video-assisted thoracoscopic major pulmonary resections [Elektronische Daten] Technical aspects, personal series of 259 patients, and review of the literature [G. Roviaro, F. Varoli, C. Vergani, M. Maciocco, O. Nucca, C. Pagano] Background: Although more than 10 years have passed since the first video-assisted thoracoscopic lobectomies, these procedures have not gained widespread acceptance. We discuss the technical aspects and major problems associated with these operations, focusing on their present status and future perspectives. The results of our clinical series are presented and the relevant literature is reviewed. Methods: From October 1991 to June 2003, 344 patients were submitted to surgery for an intended video major pulmonary resection. Results: Of the 344 patients, seven (2.0%) were deemed inoperable at video exploration; 78 (23.1%) required conversion, either for technical reasons (n=3), anatomical problems (n=49), oncological conditions (n=20), or intraoperative complications (n=6). We carried out 253 video-assisted lobectomies and six pneumonectomies (209 for primary lung tumor, 43 for benign disease, and seven for metastases). There were no intraoperative deaths. Two patients died postoperatively. Complications occurred in 20 patients (7.7%). Global survival at 3 and 5 years was 83.24% (±6.9) and 68.87% (±9.7) respectively. Patients with T1 N0 cancer had a better survival rate at 3 and 5 years (87.13±8.3% and 75.12±12.2%) than those with T2 N0 cancer (78.49±11.2% and 61.2±15%). Conclusions: Based on our experience and a review of the literature, we conclude that video-assisted thoracoscopic lobectomies offer less postoperative pain, a more rapid recovery, and better cosmetic results than their conventional counterpart. The results at 3- and 5-year follow-up for cancer are attractive. However, because no randomized study has yet proved these benefits definitively, further studies are still needed. Springer Science+Business Media, Inc, 2004 Video-assisted thoracoscopic surgery (VATS) nationallicence Lobectomy nationallicence Minimally invasive surgery nationallicence Lung cancer nationallicence Thoracoscopy nationallicence Roviaro G. Department of Surgical Sciences, University of Milan, Department of Surgery, Ospedale Maggiore Policlinico, Via Francesco Sforza, 35, 20122, Milano, Italy aut Varoli F. Department of Surgery, San Giuseppe Hospital-A.Fa.R., Via San Vittore 12, 20123, Milan, Italy aut Vergani C. Department of Surgical Sciences, University of Milan, Department of Surgery, Ospedale Maggiore Policlinico, Via Francesco Sforza, 35, 20122, Milano, Italy aut Maciocco M. Department of Surgical Sciences, University of Milan, Department of Surgery, Ospedale Maggiore Policlinico, Via Francesco Sforza, 35, 20122, Milano, Italy aut Nucca O. Department of Surgery, San Giuseppe Hospital-A.Fa.R., Via San Vittore 12, 20123, Milan, Italy aut Pagano C. Department of Surgery, San Giuseppe Hospital-A.Fa.R., Via San Vittore 12, 20123, Milan, Italy aut Surgical Endoscopy And Other Interventional Techniques Springer-Verlag 18/11(2004-11-01), 1551-1558 0930-2794 18:11<1551 2004 18 464 https://doi.org/10.1007/BF02637119 text/html Onlinezugriff via DOI 1 review-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/BF02637119 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Roviaro G. Department of Surgical Sciences, University of Milan, Department of Surgery, Ospedale Maggiore Policlinico, Via Francesco Sforza, 35, 20122, Milano, Italy aut NATIONALLICENCE 700 1- Varoli F. Department of Surgery, San Giuseppe Hospital-A.Fa.R., Via San Vittore 12, 20123, Milan, Italy aut NATIONALLICENCE 700 1- Vergani C. Department of Surgical Sciences, University of Milan, Department of Surgery, Ospedale Maggiore Policlinico, Via Francesco Sforza, 35, 20122, Milano, Italy aut NATIONALLICENCE 700 1- Maciocco M. Department of Surgical Sciences, University of Milan, Department of Surgery, Ospedale Maggiore Policlinico, Via Francesco Sforza, 35, 20122, Milano, Italy aut NATIONALLICENCE 700 1- Nucca O. Department of Surgery, San Giuseppe Hospital-A.Fa.R., Via San Vittore 12, 20123, Milan, Italy aut NATIONALLICENCE 700 1- Pagano C. Department of Surgery, San Giuseppe Hospital-A.Fa.R., Via San Vittore 12, 20123, Milan, Italy aut NATIONALLICENCE 773 0- Surgical Endoscopy And Other Interventional Techniques Springer-Verlag 18/11(2004-11-01), 1551-1558 0930-2794 18:11<1551 2004 18 464 NATIONALLICENCE 856 40 https://doi.org/10.1007/s00464-004-6006-6 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Roviaro G. Department of Surgical Sciences, University of Milan, Department of Surgery, Ospedale Maggiore Policlinico, Via Francesco Sforza, 35 20122, Milano, Italy aut NATIONALLICENCE 700 1- Varoli F. Department of Surgery, San Giuseppe Hospital — A.Fa.R., 20123, Via San Vittore 12, Milan, Italy aut NATIONALLICENCE 700 1- Vergani C. Department of Surgical Sciences, University of Milan, Department of Surgery, Ospedale Maggiore Policlinico, Via Francesco Sforza, 35 20122, Milano, Italy aut NATIONALLICENCE 700 1- Maciocco M. Department of Surgical Sciences, University of Milan, Department of Surgery, Ospedale Maggiore Policlinico, Via Francesco Sforza, 35 20122, Milano, Italy aut NATIONALLICENCE 700 1- Nucca O. Department of Surgery, San Giuseppe Hospital — A.Fa.R., 20123, Via San Vittore 12, Milan, Italy aut NATIONALLICENCE 700 1- Pagano C. Department of Surgery, San Giuseppe Hospital — A.Fa.R., 20123, Via San Vittore 12, Milan, Italy aut NATIONALLICENCE 773 0- Surgical Endoscopy And Other Interventional Techniques Springer-Verlag; www.springer-ny.com 18/11(2004-11-01), 1551-1558 0930-2794 18:11<1551 2004 18 464 Metadata rights reserved Springer special CC-BY-NC licence nationallicence SWISSBIB 466480253 BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE NATIONALLICENCE NL-springer