[Thoracoscopic lobectomy in the animal model].
To evaluate the possibility of a pure thoracoscopic lobectomy by preparation and selective division of hilar structures we performed left cranial lobectomies in 5 Göttingen mini-pigs. The vessels and the main bronchus were isolated and divided by an Endo-GIA stapler. As an alternative technique we used clips or endoscopic ligation. Inside the thoracic cavity the resected lobes were divided into 2 or 3 parts by the Endo-GIA. They could be extracted without destroying the tissue therefore making macroscopic examination possible. The intraoperative blood loss was minimal and all the pigs survived the operation. Two pigs were sacrificed initially, the remaining three one month later. These three showed no evidence of pleural fistula or atelectasis in remaining lung tissue either macroscopically or histologically. It appears that thoracoscopic selective lobectomy is technically possible at least in pig studies. Further studies will show whether thoracoscopic lobectomy in patient with malignancy is as effective as open radical thoracotomy techniques and if endoscopic mediastinal division is possible.
Inderbitzi
R
R
Universitätsklinik für Thorax-, Herz- und Gefässchirurgie, Inselspital Bern.
Furrer
M
M
Striffeler
H
H
Altermatt
H J
HJ
Althaus
U
U
D000818:Animals; D016063:Blood Loss, Surgical; D001980:Bronchi / Q000473:pathology; D008168:Lung / Q000473:pathology; D011013:Pneumonectomy / Q000295:instrumentation*; D011183:Postoperative Complications / Q000473:pathology; D013525:Surgical Instruments; D013528:Surgical Staplers; D013536:Suture Techniques / Q000295:instrumentation; D013552:Swine; D013556:Swine, Miniature; D020708:Thoracoscopes
Die thoracoskopische Lobektomie im Tiermodell.