title: [Video-assisted pneumonectomies: lessons learned from an experimental study on an animal model].
abstract: In order to test the feasibility of video-assisted pneumonectomy, we conducted an experimental study in an animal model. We performed 12 attempts of video-assisted pneumonectomy (7 on the right side and 5 on the left side) in pigs with an average weight of 43.5 kg. We used a combined technique of conventional and endoscopic dissection. A complication-free pneumonectomy was possible in 7 animals. Among the remaining 5 animals, 6 vascular injuries occurred, one of which was lethal. Two other animals died during the procedure for unknown reasons. We conclude that: 1) the vascular risk of video-assisted pneumonectomy appears to be prohibitive; 2) the value of animal models for vats feasibility studies is questionable because of the major differences in anatomical conditions.
authors.affiliation: Service de Chirurgie, Hôpital Saint-Louis, Paris.
authors.forename: P
authors.initials: P
authors.lastname: Fourquier
authors.forename: D
authors.initials: D
authors.lastname: Gossot
authors.forename: S
authors.initials: S
authors.lastname: Colomer
authors.forename: M D
authors.initials: MD
authors.lastname: Ghnassia
authors.forename: J P
authors.initials: JP
authors.lastname: Bouvier-Desnos
authors.forename: M
authors.initials: M
authors.lastname: Celerier
authors.forename: Y
authors.initials: Y
authors.lastname: Revillon
mesh_terms: D000818:Animals; D004195:Disease Models, Animal; D011013:Pneumonectomy / Q000379:methods*; D013552:Swine; D014741:Video Recording