title: Video-assisted thoracoscopic surgery lowers the incidence of adhesion to the chest wall but not to the mediastinal and interlobar pleurae.
abstract: 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.
authors.affiliation: Department of Surgical Oncology, Hokkaido University Graduate School of Medicine, Kita-ku, Sapporo, Hokkaido, Japan.
authors.forename: Kimitaka
authors.initials: K
authors.lastname: Tanaka
authors.forename: Yasuhiro
authors.initials: Y
authors.lastname: Hida
authors.forename: Kichizo
authors.initials: K
authors.lastname: Kaga
authors.forename: Hiroaki
authors.initials: H
authors.lastname: Kato
authors.forename: Mikiya
authors.initials: M
authors.lastname: Iizuka
authors.forename: Yasushi
authors.initials: Y
authors.lastname: Cho
authors.forename: Satoshi
authors.initials: S
authors.lastname: Kondo
mesh_terms: 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