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Video-assisted thoracoscopic surgery is a safe option for benign lung diseases requiring lobectomy

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Abstract

Background

Lobectomy for benign lung disease is renowned to be technically complex and to be subjected to an increased complication rate. The objective of this study was to evaluate whether the results obtained with video-assisted surgery (VATS) in benign disease are comparable to those obtained in oncologic surgery, where VATS has been validated.

Methods

We have reviewed the files of 246 consecutive patients who underwent VATS lobectomy from January 2012 to August 2015. The cohort was divided into two groups according to pathology (benign or malignant). Outcome parameters on scrutiny were demographics, pathology, duration of air leak, drainage and hospital stay, conversion, and perioperative complication rate. Comparisons were made with the χ 2 test and Student’s t test; any p value ≤0.05 was considered as significant.

Results

Group 1 (36 patients) included patients who underwent lobectomy for benign disease and group 2 (210 patients) patients affected by lung cancer or pulmonary metastases. The two groups differed with reference to age (p < 0.001), history of cancer (p < 0.001), history of stroke (p = 0.05), and the presence of pleural adhesions (p = 0.03). There was no difference for duration of air leaks, chest tube drainage and hospital stay, conversion rate, and perioperative complication rate.

Conclusions

We conclude that pathology did not impact on outcomes after VATS lobectomy. This study suggests that VATS is as a safe option in selected patients with benign disease requiring lobectomy, despite a more complex technical context.

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Authors and Affiliations

  1. Department of thoracic surgery, Hôpitaux universitaires de Strasbourg, Nouvel Hôpital Civil, 1 Place de l’Hôpital, BP 426, 67091, Strasbourg Cedex, France

    Antonio Mazzella, Anne Olland, Elena Garelli, Stephane Renaud, Jeremie Reeb, Nicola Santelmo, Pierre Emmanuel Falcoz & Gilbert Massard

  2. E.A. 7213 stress vasculaire et tissulaire en transplantation, Strasbourg, France

    Anne Olland & Gilbert Massard

  3. EA 3430: Progression tumorale et micro-environnement. Approches translationnelles et épidémiologie, Strasbourg, France

    Stephane Renaud

Authors
  1. Antonio Mazzella
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  2. Anne Olland
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  3. Elena Garelli
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  4. Stephane Renaud
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  5. Jeremie Reeb
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  6. Nicola Santelmo
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  7. Pierre Emmanuel Falcoz
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  8. Gilbert Massard
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Corresponding author

Correspondence to Gilbert Massard.

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Disclosures

Antonio Mazzella, Anne Olland, Elena Garelli, Stephane Renaud, Jeremie Reeb, Nicola Santelmo, Pierre Emmanuel Falcoz and Gilbert Massard declare that they have no conflict of interest.

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Mazzella, A., Olland, A., Garelli, E. et al. Video-assisted thoracoscopic surgery is a safe option for benign lung diseases requiring lobectomy. Surg Endosc 31, 1250–1256 (2017). https://doi.org/10.1007/s00464-016-5099-z

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  • DOI: https://doi.org/10.1007/s00464-016-5099-z

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