Rib resection using a pneumatic high-speed power drill system for lung cancer with chest wall invasion: our clinical experience.
Rib resection for chest wall tumors, including lung cancer with chest wall invasion, is usually performed through open thoracotomy. Resection of part of the external rib cage requires an elongated or additional incision depending on the location and extension of the tumor, eventually becoming more invasive to patients. We recently introduced a technique of rib resection using a pneumatic high-speed power drill system known as "air tome". This novel technique is easy to perform through a small incision or even via video-assisted thoracoscopic surgery (VATS) in selected patients. We present our clinical experience and discuss the usefulness of this technique for rib resection in patients with lung cancer and chest wall invasion.
Department of Thoracic Surgery, Tenri Hospital, 200, Mishima, Tenri, Nara, 632-8552, Japan. y-ueda@tenriyorozu.jp.
Yuichiro
Y
Ueda
Department of Thoracic Surgery, Tenri Hospital, 200, Mishima, Tenri, Nara, 632-8552, Japan.
Tatsuo
T
Nakagawa
Department of Thoracic Surgery, Tenri Hospital, 200, Mishima, Tenri, Nara, 632-8552, Japan.
Toshiya
T
Toyazaki
Department of Thoracic Surgery, Tenri Hospital, 200, Mishima, Tenri, Nara, 632-8552, Japan.
Naohisa
N
Chiba
Department of Thoracic Surgery, Tenri Hospital, 200, Mishima, Tenri, Nara, 632-8552, Japan.
Masashi
M
Gotoh
D000230:Adenocarcinoma / Q000473:pathology* / Q000601:surgery*; D000368:Aged; D000818:Animals; D059186:Chemoradiotherapy, Adjuvant; D006801:Humans; D008175:Lung Neoplasms / Q000473:pathology* / Q000601:surgery*; D008297:Male; D009361:Neoplasm Invasiveness; D011013:Pneumonectomy / Q000295:instrumentation* / Q000379:methods*; D012272:Ribs / Q000601:surgery*; D013525:Surgical Instruments; D020775:Thoracic Surgery, Video-Assisted / Q000295:instrumentation* / Q000379:methods*; D035441:Thoracic Wall / Q000473:pathology* / Q000601:surgery*; D013905:Thoracoplasty / Q000379:methods; D016896:Treatment Outcome
Chest wall resection; Lung cancer; Pneumatic high-speed power drill