title: Dissemination of malignant tumors after video-assisted thoracic surgery: a report of twenty-one cases. The Video-Assisted Thoracic Surgery Study Group.
abstract: Video-assisted thoracic surgical techniques are widely used for biopsy and resection of thoracic tumors, but studies of long-term outcomes have not been reported. Dissemination of tumor by these techniques is a potential hazard. Therefore we surveyed the surgical members of the Video-Assisted Thoracic Surgery Study Group to determine whether tumor implants thought to be directly related to video-assisted techniques had occurred. Surgeons reported 21 cases. The sites of recurrence were the incision (n = 14), pulmonary staple line (n = 2), pleura (n = 2), both staple line and incision (n = 1), both pleura and incision (n = 1), and both pleura and staple line (n = 1). Review of these cases illustrates the pitfalls of present video-assisted techniques for malignant tumors of the thorax.
authors.affiliation: Division of Thoracic Surgery, Memorial Sloan-Kettering Cancer Center, New York, 10021, USA.
authors.forename: R J
authors.initials: RJ
authors.lastname: Downey
authors.forename: P
authors.initials: P
authors.lastname: McCormack
authors.forename: J
authors.initials: J
authors.lastname: LoCicero
mesh_terms: D000328:Adult; D000368:Aged; D005260:Female; D006801:Humans; D008175:Lung Neoplasms / Q000473:pathology / Q000601:surgery; D008297:Male; D008875:Middle Aged; D009364:Neoplasm Recurrence, Local; D009366:Neoplasm Seeding; D011183:Postoperative Complications; D013899:Thoracic Neoplasms / Q000473:pathology* / Q000601:surgery*; D013903:Thoracic Surgery; D014741:Video Recording