Video-assisted thoracic surgery lobectomy in patients with reduced pulmonary function: a single-center series.
Video-assisted thoracic surgery (VATS) is currently considered a 'gold standard' approach for pulmonary lobectomy in patients with early-stage lung cancer, displaying equal or superior results compared with an open traditional approach. In patients with limited pulmonary function, VATS lobectomy may reduce the impact of surgery and allow outcomes similar to patients with normal pulmonary function. The preliminary analysis of our initial, single center series of VATS lobectomy showed less complications and shorter postoperative length of stay compared with a historical series of open lobectomy patients. Patients with reduced predicted preoperative FEV1% (ppoFEV1%) who underwent VATS lobectomy had similar outcomes compared with patients with normal ppoFEV1, but longer postoperative length of stay.
Division of Thoracic Surgery & Lung Transplantation, Department for the Cure & Study of Cardiothoracic Disease & Cardiothoracic Transplantation, IRCCS ISMETT - UPMC, Palermo, Italy.
Alessandro
A
Bertani
Division of Thoracic Surgery & Lung Transplantation, Department for the Cure & Study of Cardiothoracic Disease & Cardiothoracic Transplantation, IRCCS ISMETT - UPMC, Palermo, Italy.
Paolo Albino
PA
Ferrari
Division of Thoracic Surgery & Lung Transplantation, Department for the Cure & Study of Cardiothoracic Disease & Cardiothoracic Transplantation, IRCCS ISMETT - UPMC, Palermo, Italy.
Lavinia
L
De Monte
Division of Thoracic Surgery & Lung Transplantation, Department for the Cure & Study of Cardiothoracic Disease & Cardiothoracic Transplantation, IRCCS ISMETT - UPMC, Palermo, Italy.
Emanuele
E
Russo
Division of Thoracic Surgery & Lung Transplantation, Department for the Cure & Study of Cardiothoracic Disease & Cardiothoracic Transplantation, IRCCS ISMETT - UPMC, Palermo, Italy.
Gioacchino
G
Di Paola
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D015897:Comorbidity; D005260:Female; D006801:Humans; D007902:Length of Stay; D008175:Lung Neoplasms / Q000401:mortality / Q000473:pathology / Q000503:physiopathology* / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D009367:Neoplasm Staging; D011013:Pneumonectomy / Q000009:adverse effects / Q000379:methods*; D011183:Postoperative Complications; D012129:Respiratory Function Tests; D020775:Thoracic Surgery, Video-Assisted / Q000009:adverse effects / Q000379:methods*; D016896:Treatment Outcome
VATS lobectomy; lung cancer; pulmonary function