Video-assisted thoracoscopic surgery lowers the incidence of adhesion to the chest wall but not to the mediastinal and interlobar pleurae.
To determine whether video-assisted thoracoscopic surgery (VATS) is associated with a lower incidence of intrathoracic adhesion after pulmonary resection, we assessed the incidence of adhesion for patients who underwent a second pulmonary resection. The site and extent of adhesion were evaluated by reviewing videotapes recorded during surgery. A significantly (P<0.05) lower rate of mediastinal or interlobar adhesion was observed in patients with pneumothorax (10%) in comparison with lobectomy (57%) or partial resection for tumors (63%), although there were no statistically significant differences in adhesion to the chest wall. There were no significant differences between VATS and thoracotomy for mediastinal or interlobar adhesion. However, a significantly (P<0.05) lower rate of adhesion to the chest wall was observed for VATS (54%) in comparison with thoracotomy (100%). Although VATS resulted in less adhesion to the chest wall than thoracotomy, there was no difference in mediastinal or interlobar adhesion.
Tanaka
Kimitaka
K
Department of Surgical Oncology, Hokkaido University Graduate School of Medicine, Kita-ku, Sapporo, Hokkaido, Japan.
Hida
Yasuhiro
Y
Kaga
Kichizo
K
Kato
Hiroaki
H
Iizuka
Mikiya
M
Cho
Yasushi
Y
Kondo
Satoshi
S
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006801:Humans; D015994:Incidence; D008168:Lung / Q000601:surgery*; D008297:Male; D008482:Mediastinum / Q000293:injuries* / Q000601:surgery; D008875:Middle Aged; D010994:Pleura / Q000293:injuries* / Q000601:surgery; D011030:Pneumothorax; D011183:Postoperative Complications; D012307:Risk Factors; D055502:Secondary Prevention; D020775:Thoracic Surgery, Video-Assisted / Q000009:adverse effects* / Q000379:methods; D035441:Thoracic Wall / Q000293:injuries*; D013908:Thoracotomy / Q000009:adverse effects* / Q000379:methods; D000267:Tissue Adhesions / Q000517:prevention & control*; D055815:Young Adult