caa a22 4500 467953228 CHVBK 20180405193744.0 cr unu---uuuuu 170328e20041101xx s 000 0 eng 10.1007/BF02637139 doi (NATIONALLICENCE)springer-10.1007/BF02637139 (NATIONALLICENCE)springer-10.1007/s00464-003-9269-4 Video-assisted thoracoscopic surgery (VATS) segmentectomy for small peripheral lung cancer tumors [Elektronische Daten] Intermediate results [T. Shiraishi, T. Shirakusa, A. Iwasaki, M. Hiratsuka, S. Yamamoto, K. Kawahara] Background: We investigated the feasibility and suitability of video-assisted thoracoscopic surgery (VATS) segmentectomy for curing selected non-small cell lung cancer (NSCLC) with this less invasive technique Methods: We performed VATS segmentectomy for small (<20 nm) peripherally located tumors and pathologically confirmed lobar lymph node-negative disease by frozen-section examination during surgery. Of the 34 patients who underwent this limited resection, 22 were treated with complete hilar and mediastinal lymph node dissection (intentional group), whereas 12 patients who were deemed to be high risk in their toleration for lobectomy underwent VATS segmentectomy with incomplete hilar and mediastinal lymph node dissection (compromised group). The surgical and clinical parameters were evaluated and compared with those of segmentectomy under standard thoracotomy to evaluate the technical feasibility of VATS segmentectomy. Results: We found that VATS segmentectomy could be performed safely with a nil mortality rate and acceptably low morbidity. The mean period of observation was relatively short at 656.7±572.1 and 783.4±535.8 days in the intentional and compromised groups, respectively. At the time of writing, all intentional patients remain alive and free of recurrence. There were two cases of non-cancer-related death in the compromised group. Clinical data indicated that VATS segmentectomy caused the same number or fewer surgical insults compared with segmen-tectomy under standard thoractomy Conclusions: The present results are intermediate only; the rate of long-term survival and the advantages of the less invasive procedure still need further investigation. Nevertheless, we believe that VATS segmentectomy with complete lymph node dissection is a reasonable treatment option for selected patients with small peripheral NSCLC. Springer Science+ Business Media, Inc, 2004 Video-assisted nationallicence thoracoscopic nationallicence surgery (VATS) nationallicence Minimally invasive, surgery nationallicence Primary lung cancer nationallicence Segmentectomy nationallicence Limited resection nationallicence Cancer nationallicence Minimally invasive surgery nationallicence Video-assisted thoracoscopic surgery (VATS) nationallicence Shiraishi T. Second Department of Surgery, Fukuoka Univeristy School of Medicine, 7-45-1 Nanakuma, Jonan-ku, 814-0180, Fukuoka City, Fukuoka, Japan aut Shirakusa T. Second Department of Surgery, Fukuoka Univeristy School of Medicine, 7-45-1 Nanakuma, Jonan-ku, 814-0180, Fukuoka City, Fukuoka, Japan aut Iwasaki A. Second Department of Surgery, Fukuoka Univeristy School of Medicine, 7-45-1 Nanakuma, Jonan-ku, 814-0180, Fukuoka City, Fukuoka, Japan aut Hiratsuka M. Second Department of Surgery, Fukuoka Univeristy School of Medicine, 7-45-1 Nanakuma, Jonan-ku, 814-0180, Fukuoka City, Fukuoka, Japan aut Yamamoto S. Second Department of Surgery, Fukuoka Univeristy School of Medicine, 7-45-1 Nanakuma, Jonan-ku, 814-0180, Fukuoka City, Fukuoka, Japan aut Kawahara K. Second Department of Surgery, Fukuoka Univeristy School of Medicine, 7-45-1 Nanakuma, Jonan-ku, 814-0180, Fukuoka City, Fukuoka, Japan aut Surgical Endoscopy And Other Interventional Techniques Springer-Verlag 18/11(2004-11-01), 1657-1662 0930-2794 18:11<1657 2004 18 464 https://doi.org/10.1007/BF02637139 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/BF02637139 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Shiraishi T. Second Department of Surgery, Fukuoka Univeristy School of Medicine, 7-45-1 Nanakuma, Jonan-ku, 814-0180, Fukuoka City, Fukuoka, Japan aut NATIONALLICENCE 700 1- Shirakusa T. Second Department of Surgery, Fukuoka Univeristy School of Medicine, 7-45-1 Nanakuma, Jonan-ku, 814-0180, Fukuoka City, Fukuoka, Japan aut NATIONALLICENCE 700 1- Iwasaki A. Second Department of Surgery, Fukuoka Univeristy School of Medicine, 7-45-1 Nanakuma, Jonan-ku, 814-0180, Fukuoka City, Fukuoka, Japan aut NATIONALLICENCE 700 1- Hiratsuka M. Second Department of Surgery, Fukuoka Univeristy School of Medicine, 7-45-1 Nanakuma, Jonan-ku, 814-0180, Fukuoka City, Fukuoka, Japan aut NATIONALLICENCE 700 1- Yamamoto S. Second Department of Surgery, Fukuoka Univeristy School of Medicine, 7-45-1 Nanakuma, Jonan-ku, 814-0180, Fukuoka City, Fukuoka, Japan aut NATIONALLICENCE 700 1- Kawahara K. Second Department of Surgery, Fukuoka Univeristy School of Medicine, 7-45-1 Nanakuma, Jonan-ku, 814-0180, Fukuoka City, Fukuoka, Japan aut NATIONALLICENCE 773 0- Surgical Endoscopy And Other Interventional Techniques Springer-Verlag 18/11(2004-11-01), 1657-1662 0930-2794 18:11<1657 2004 18 464 NATIONALLICENCE 856 40 https://doi.org/10.1007/s00464-003-9269-4 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Shiraishi T. Second Department of Surgery, Fukuoka University School of Medicine, 7-45-1 Nanakuma, 814-0180, Jonan-ku, Fukuoka City, Fukuoka, Japan aut NATIONALLICENCE 700 1- Shirakusa T. Second Department of Surgery, Fukuoka University School of Medicine, 7-45-1 Nanakuma, 814-0180, Jonan-ku, Fukuoka City, Fukuoka, Japan aut NATIONALLICENCE 700 1- Iwasaki A. Second Department of Surgery, Fukuoka University School of Medicine, 7-45-1 Nanakuma, 814-0180, Jonan-ku, Fukuoka City, Fukuoka, Japan aut NATIONALLICENCE 700 1- Hiratsuka M. Second Department of Surgery, Fukuoka University School of Medicine, 7-45-1 Nanakuma, 814-0180, Jonan-ku, Fukuoka City, Fukuoka, Japan aut NATIONALLICENCE 700 1- Yamamoto S. Second Department of Surgery, Fukuoka University School of Medicine, 7-45-1 Nanakuma, 814-0180, Jonan-ku, Fukuoka City, Fukuoka, Japan aut NATIONALLICENCE 700 1- Kawahara K. Second Department of Surgery, Fukuoka University School of Medicine, 7-45-1 Nanakuma, 814-0180, Jonan-ku, Fukuoka City, Fukuoka, Japan aut NATIONALLICENCE 773 0- Surgical Endoscopy And Other Interventional Techniques Springer-Verlag; www.springer-ny.com 18/11(2004-11-01), 1657-1662 0930-2794 18:11<1657 2004 18 464 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE NATIONALLICENCE NL-springer