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Clinical Application for Video-Thoracoscopy in Lung Cancer Surgery Patients  

김광호 (인하대학교 의과대학 흉부외과학교실)
한재열 (인하대학교 의과대학 흉부외과학교실)
윤용한 (인하대학교 의과대학 흉부외과학교실)
백완기 (인하대학교 의과대학 흉부외과학교실)
이응석 (인하대학교 의과대학 흉부외과학교실)
김형진 (인하대학교 의과대학 방사선과학교실)
Publication Information
Journal of Chest Surgery / v.35, no.5, 2002 , pp. 392-396 More about this Journal
Abstract
Background: Video-thoracoscopy is known to be an useful method to provide accurate pre-resectional staging in patients with lung cancer in addition to the conventional radiologic studies and mediastinoscopy, for the pleural cavity is inspected directly and biopsy specimens call be obtained. This study is undertaken to evaluate how video-thoracoscopy can be used in deciding pre-resectional stage Material and Method: Video-thoracoscopy was performed in patients with lung cancer who were scheduled for surgical resection based on the radiologic staging and mediastinoscopic biopsy. 37 patients were included in this study. Pre-thoracoscopically 18 cases were in TNM stage 1, 7 in stage 2, and 12 in stage 3. Result: In 15 of 37 cases, video-thoracoscopy could not be performed effectively due to heavy adhesions in the pleural cavity, diaphragmatic and chest wall invasion of tumor and bulky tumor mass es. Mediastinal lymph nodes were positive postresectionally in 6 of these 15 cases. In 22 cases, video-thoracoscopy was performed as usual. Positive mediastinal lymph nodes were identified in 2 cases and exploratory thoracotomy was prevented. Surgical resection were carried out in remaining 20 cases and 5 cases among them had positive mediastinal lymph nodes. Conclusion: We believe that it is difficult to perform pre-thoracotorny video-thoracoscopy for all lung cancer patients for there were many cases that thoracoscory could not be undertaken doe to heavy adhesions in the pleural cavity, tumor involvement of the chest wall and/or diaphragm and bulky tumor mass. However we think it is helpful in preventing unnecessary exploratory thoracotomy for some patients with lung cancer whom pre-thoracotomy video-thoracoscopy was carried out.
Keywords
Lung neoplasm; Thoracoscopy;
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  • Reference
1 Prospective comparison of radiologic,thoracoscopic and pathologic staging in patients with early non-small cell lung cancer /
[ Roberts JR;Blum MG;Arildsen R(et al.) ] / Ann Thorac Surg   DOI   ScienceOn
2 Comparative merits of thoracoscopy,mediastinoscopy and mediastinotomy for mediastinal biopsy /
[ Rendina EA;Venuta F;De Giacomp T(et al.) ] / Ann Thorac Surg   DOI   ScienceOn
3 Mediastinoscopy: A method for inspection and tissue biopsy in the superior mediastinum /
[ Carlens E ] / Dis Chest   DOI
4 Extended cervical mediastinoscopy /
[ Ginsberg RJ;Rice TW;Goldberg M(et al.) ] / J Thorac Cardiovasc Surg
5 Diagnostic anterior mediastinomy /
[ McNeill TM;Chamberlain JM ] / Ann Thorac Surg   DOI   ScienceOn
6 The current status of video-assisted thoracic surgery lobectomy /
[ McKenna RJ ] / Chest Surg Clin North Am
7 Is there a role for video-assisted thoracoscopy in the staging of non-small cell lung cancer /
[ Waller D;Clarke S;Tsang G;Rajesh P ] / Eur J Cardiothorac Surg   DOI   ScienceOn
8 Video-assisted thoracoscopy and the staging of lung cancer /
[ Wain JC ] / Ann Thorac Surg   DOI   ScienceOn
9 Combined thoracoscopy and mediastinoscopy for mediastinal lymph node staging of lung cancer /
[ Nakanishi R;Yasumoto K ] / Int Surg
10 Video-thoracoscopic operative staging for lung cancer /
[ Roviaro GC;Varoli C;Rebuffat D(et al.) ] / Int Surg