Challenging cases: thoracoscopic lobectomy with chest wall resection and sleeve lobectomy-Duke experience.
Video-assisted thoracoscopic surgery (VATS) had recent advances in both equipment and technique so has been applied to more complex conditions in some thoracic surgery centers. We have adopted our VATS lobectomy experience for patients with chest wall invasion and endobronchial localized tumor requiring bronchial sleeve resection. We are describing our decision-making and surgical methods for these patients which we believe will be decreasing the number of contraindications for VATS and offering this surgical method for more patients.
Division of Thoracic Surgery, Department of Surgery, Duke University Medical Center, Durham, NC, USA.
H Volkan
HV
Kara
Division of Thoracic Surgery, Department of Surgery, Duke University Medical Center, Durham, NC, USA.
Stafford S
SS
Balderson
Division of Thoracic Surgery, Department of Surgery, Duke University Medical Center, Durham, NC, USA.
Thomas A
TA
D'Amico
Thoracoscopic lobectomy; chest wall resection; sleeve lobectomy; video-assisted thoracoscopic surgery (VATS)