Video-assisted thoracic surgery for left upper lobectomy for complex lesions: how to extend the indication with optimal safety?
The feasibility of extending the VATS approach to locally advanced NSCLC has been described with good clinical outcome. These complex resections are still technically challenging and patient safety must remain the highest priority. In this article, we describe our routine VATS approach for left upper lobectomy in proximal, locally advanced lesions. Both surgical and anaesthesiology teams are trained during simulation sessions to respond rapidly in case of urgent thoracotomy. Encircling arterial and venous vessels allow control of inadvertent bleeding during difficult dissection. Also, whenever needed the double vessel control technique is a time saver waiting for conversion to thoracotomy.
a Thoracic & General Surgery Department , Rouen University Hospital , Rouen , France.|b Cardiac Surgery Department , Rouen University Hospital , Rouen , France.
Nathanaël Frank
NF
Bayard
c Unit of Thoracic Surgery , Austin Hospital , Heidelberg, Melbourne , Australia.
Stephen Arthur
SA
Barnett
a Thoracic & General Surgery Department , Rouen University Hospital , Rouen , France.
Philippe
P
Rinieri
a Thoracic & General Surgery Department , Rouen University Hospital , Rouen , France.
Jean
J
Melki
a Thoracic & General Surgery Department , Rouen University Hospital , Rouen , France.
Christophe
C
Peillon
a Thoracic & General Surgery Department , Rouen University Hospital , Rouen , France.
Jean Marc
JM
Baste
D002289:Carcinoma, Non-Small-Cell Lung / Q000473:pathology / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D021621:Imaging, Three-Dimensional; D008875:Middle Aged; D009361:Neoplasm Invasiveness / Q000473:pathology; D009367:Neoplasm Staging; D061214:Patient Safety; D011013:Pneumonectomy / Q000379:methods*; D020775:Thoracic Surgery, Video-Assisted / Q000379:methods*; D016896:Treatment Outcome
Thoracic surgery; complications; lung cancer; oncology; video-assisted