title: Video-assisted thoracic surgery for cancer after thoracic aortic aneurysm repair.
abstract: Video-assisted thoracoscopic surgery is increasingly accepted as an alternative to open thoracotomy and has established efficacy in the management of non-small-cell lung cancer, but the presence of extensive intrapleural adhesions has been considered a deterrent to a minimally invasive approach. We report the successful use of video-assisted thoracoscopic surgery in 3 patients with history of open thoracic aortic aneurysm repair who presented with left lower lobe stage I non-small-cell lung cancer. While this approach is feasible, it is technically demanding and thus, at the present time, we recommend that its use be limited to high-volume video-assisted thoracoscopic surgery centers.
authors.affiliation: Division of Cardiothoracic Surgery, Department of Surgery, University of Wisconsin Hospital and Clinics, Madison, Wisconsin, USA Ltaylor2@uwhealth.org.
authors.forename: Lauren J
authors.initials: LJ
authors.lastname: Taylor
authors.affiliation: Division of Cardiothoracic Surgery, Department of Surgery, University of Wisconsin Hospital and Clinics, Madison, Wisconsin, USA.
authors.forename: Taiwo
authors.initials: T
authors.lastname: Adesoye
authors.affiliation: Division of Cardiothoracic Surgery, Department of Surgery, University of Wisconsin Hospital and Clinics, Madison, Wisconsin, USA.
authors.forename: James D
authors.initials: JD
authors.lastname: Maloney
mesh_terms: D000368:Aged; D017545:Aortic Aneurysm, Thoracic / Q000175:diagnosis / Q000601:surgery*; D019917:Blood Vessel Prosthesis Implantation / Q000009:adverse effects; D002289:Carcinoma, Non-Small-Cell Lung / Q000473:pathology / Q000601:surgery*; D057510:Endovascular Procedures / Q000009:adverse effects; D005260:Female; D006801:Humans; D008175:Lung Neoplasms / Q000473:pathology / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D009367:Neoplasm Staging; D056888:Patient Positioning; D011013:Pneumonectomy / Q000379:methods*; D020775:Thoracic Surgery, Video-Assisted; D000267:Tissue Adhesions; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome
keywords: Aortic aneurysm; Carcinoma; Lung neoplasms; Pneumonectomy; Thoracic surgery; non-small-cell lung; thoracic; video-assisted