Journal of Chest Surgery

The Korean Society for Thoracic and Cardiovascular Surgery (대한심장혈관흉부외과학회)
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Management of Complications During Video-Assisted Thoracic Surgery Lung Resection and Lymph Node Dissection

  • Choi, Yong Soo (Department of Thoracic and Cardiovascular Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine)
  • Received : 2021.05.31
  • Accepted : 2021.07.27
  • Published : 2021.08.05
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Abstract

Intraoperative events can occur during video-assisted thoracoscopic surgery (VATS) lobectomy due to unfavorable surgical anatomy, such as dense adhesions or calcifications around the pulmonary arteries. Troubleshooting intraoperative complications is essential for performing safe and successful VATS pulmonary resection and lymph node dissection. If continuous bleeding occurs or VATS does not proceed despite all measures, conversion to open thoracotomy should not be delayed.

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References

  1. Ettinger DS, Akerley W, Borghaei H, et al. Non-small cell lung cancer, version 2.2013. J Natl Compr Canc Netw 2013;11:645-53.
  2. Gopaldas RR, Bakaeen FG, Dao TK, Walsh GL, Swisher SG, Chu D. Video-assisted thoracoscopic versus open thoracotomy lobectomy in a cohort of 13,619 patients. Ann Thorac Surg 2010;89:1563-70. https://doi.org/10.1016/j.athoracsur.2010.02.026
  3. Flores RM, Ihekweazu U, Dycoco J, et al. Video-assisted thoracoscopic surgery (VATS) lobectomy: catastrophic intraoperative complications. J Thorac Cardiovasc Surg 2011;142:1412-7. https://doi.org/10.1016/j.jtcvs.2011.09.028
  4. Louie BE. Catastrophes and complicated intraoperative events during robotic lung resection. J Vis Surg 2017;3:52. https://doi.org/10.21037/jovs.2017.02.05
  5. Brown SL, Woo EK. Surgical stapler-associated fatalities and adverse events reported to the Food and Drug Administration. J Am Coll Surg 2004;199:374-81. https://doi.org/10.1016/j.jamcollsurg.2004.05.264
  6. Decaluwe H, Petersen RH, Hansen H, et al. Major intraoperative complications during video-assisted thoracoscopic anatomical lung resections: an intention-to-treat analysis. Eur J Cardiothorac Surg 2015;48:588-99. https://doi.org/10.1093/ejcts/ezv287
  7. Augustin F, Maier HT, Weissenbacher A, et al. Causes, predictors and consequences of conversion from VATS to open lung lobectomy. Surg Endosc 2016;30:2415-21. https://doi.org/10.1007/s00464-015-4492-3
  8. Safdie FM, Sanchez MV, Sarkaria IS. Prevention and management of intraoperative crisis in VATS and open chest surgery: how to avoid emergency conversion. J Vis Surg 2017;3:87. https://doi.org/10.21037/jovs.2017.05.02
  9. Dong S, Yang XN, Zhong WZ, et al. Comparison of three-dimensional and two-dimensional visualization in video-assisted thoracoscopic lobectomy. Thorac Cancer 2016;7:530-4. https://doi.org/10.1111/1759-7714.12361
  10. Kim TH, Hong TH, Choi YS. Comparison of surgical outcomes between 3D and 2D VATS lobectomy for clinical stage I lung cancer. Precis Future Med 2020;4:69-74. https://doi.org/10.23838/pfm.2020.00044
  11. Mei J, Pu Q, Liao H, Ma L, Zhu Y, Liu L. A novel method for troubleshooting vascular injury during anatomic thoracoscopic pulmonary resection without conversion to thoracotomy. Surg Endosc 2013;27:530-7. https://doi.org/10.1007/s00464-012-2475-1
  12. Igai H, Kamiyoshihara M, Yoshikawa R, et al. The efficacy of thoracoscopic fissureless lobectomy in patients with dense fissures. J Thorac Dis 2016;8:3691-6. https://doi.org/10.21037/jtd.2016.12.58
  13. Balsara KR, Balderson SS, D'Amico TA. Surgical techniques to avoid parenchymal injury during lung resection (fissureless lobectomy). Thorac Surg Clin 2010;20:365-9. https://doi.org/10.1016/j.thorsurg.2010.04.002
  14. Decaluwe H, Sokolow Y, Deryck F, et al. Thoracoscopic tunnel technique for anatomical lung resections: a 'fissure first, hilum last' approach with staplers in the fissureless patient. Interact Cardiovasc Thorac Surg 2015;21:2-7. https://doi.org/10.1093/icvts/ivv048
  15. Rivera C, Bernard A, Falcoz PE, et al. Characterization and prediction of prolonged air leak after pulmonary resection: a nationwide study setting up the index of prolonged air leak. Ann Thorac Surg 2011;92:1062-8. https://doi.org/10.1016/j.athoracsur.2011.04.033
  16. Zhao K, Mei J, Xia C, et al. Prolonged air leak after video-assisted thoracic surgery lung cancer resection: risk factors and its effect on postoperative clinical recovery. J Thorac Dis 2017;9:1219-25. https://doi.org/10.21037/jtd.2017.04.31