caa a22 4500 47709905X CHVBK 20180405111535.0 cr unu---uuuuu 170330e19960801xx s 000 0 eng 10.1007/BF02626015 doi (NATIONALLICENCE)springer-10.1007/BF02626015 Video assisted thoracic surgery of indeterminate solitary pulmonary nodules—Wedge resection and requirement of thoracotomy [Elektronische Daten] [C. Schwarz, F. Lenglinger, J. Eckmayr, P. Hartl, K. Mayer] Videoassistierte Thoraxchirurgie beim unklaren Lungenrundherd—Klemmenresektion und Notwendigkeit einer Thorakotomie Summary: Background: Wedge resection for undefined pulmonary nodules can not always be performed with only minimally invasive technique. Preoperative knowledge about the exclusive videoendoscopic resectability would save operating time. Methods: We evaluated 57 Patients with indeterminate pulmonary nodules to determine whether our previously reported theses about the preoperative features indicating videoendoscopic resectability is still tenable. From March 1992 to January 1995, 57 patients underwent videoassisted thoracic surgery (VATS) for undefined pulmonary lesions. This group consisted of 32 men and 25 women their age ranging from 25 to 77 years. We stratified this group of patients according to the location of the nodules peripheral or central in either lobes. Differences in the conversion rate (technical impracticability to remote the lesion with an atypical resection by VATS, subsequent thoracotomy) were tested by Fisher's exact test looking for statistic significance. Results: This analysis revealed highly significant differences in the conversion rate between the group of central nodules in the upper lobes and all the other groups together. Conclusions: These findings strongly support our recently published theses with statistical significant data and confirm our operative strategy i.e. excluding centrally located nodules in the upper lobes from the videoendoscopic approach. Blackwell Science Ltd, 1996 Video assisted thoracic surgery nationallicence indeterminate solitary pulmonary nodule nationallicence video endoscopic resectability nationallicence Video assisted thoracic surgery nationallicence unklarer Lungenrundherd nationallicence videoendoskopische Operabilität nationallicence Schwarz C. Department of Thoracic and Cardiovascular Surgery, General Hospital, Grieskirchnerstraße 42, A-4600, Wels aut Lenglinger F. Department of Radiology II, General Hospital Wels, Austria aut Eckmayr J. Department of Pulmonology, General Hospital Wels, Austria aut Hartl P. Department of Pulmonology, General Hospital Wels, Austria aut Mayer K. Department of Pulmonology, General Hospital Wels, Austria aut Acta Chirurgica Austriaca Springer-Verlag 28/4(1996-08-01), 238-240 0001-544X 28:4<238 1996 28 10353 https://doi.org/10.1007/BF02626015 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/BF02626015 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Schwarz C. Department of Thoracic and Cardiovascular Surgery, General Hospital, Grieskirchnerstraße 42, A-4600, Wels aut NATIONALLICENCE 700 1- Lenglinger F. Department of Radiology II, General Hospital Wels, Austria aut NATIONALLICENCE 700 1- Eckmayr J. Department of Pulmonology, General Hospital Wels, Austria aut NATIONALLICENCE 700 1- Hartl P. Department of Pulmonology, General Hospital Wels, Austria aut NATIONALLICENCE 700 1- Mayer K. Department of Pulmonology, General Hospital Wels, Austria aut NATIONALLICENCE 773 0- Acta Chirurgica Austriaca Springer-Verlag 28/4(1996-08-01), 238-240 0001-544X 28:4<238 1996 28 10353 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer