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Single-port Video Assisted Thoracoscopic Surgery on Reoperated Surgery
Jun Hee Lee, Hyun Koo Kim, Young Ho Choi, Kook Nam Han, Kang Hoon Lee
Department of Thoracic and Cardiovascular Surgery, Korea University Anam Hospital, Korea University College of Medicine, Seoul, Republic of Korea
Purpose : Single-port video-assisted surgery (VATS) is often avoided if any thoracic surgery has previously been performed in ipsilateral thoracic cavity. We report our experiences with 20 patients who underwent redo single port VATS.
Methods : We retrospectively analyzed the data of patients who underwent single port VATS procedures as reoperative surgery in our hospital from February 2009 to August 2017
Results : A total of 908 single port VATS preocedures were performed at our center. Among them, 20 patients have had first operation on ipsilateral side of chest in the past. Eleven patients underwent single port VATS, 9 multi-port VATS, and 1 open thoracic surgery (Tab. 1.). The indications for second operation were lung cancer in 16 patients (first episode of primary lung cancer in 6, recurrent lung cancer in 5, and pulmonary metastasis from the other organs in 5), and benign diseases in 4 (pneumothorax in 2, CCAM in 1, and pleuroparenchymal fistula in 1). The second surgical procedures included lobectomy in 8 patients, segmentectomy in 2, wedge resection in 9, primary repair of fistula tract in 1. There was no mortality or major complications. Mean duration of thoracic drainage was 5±3.0 days and mean operation time was 128.5±78.1 minutes.
Conclusion : Redo single port VATS might be applied on the reoperative minor for major thoracic surgery with the accepted operation time or complications, although the technical experience is more demanding.
Methods : We retrospectively analyzed the data of patients who underwent single port VATS procedures as reoperative surgery in our hospital from February 2009 to August 2017
Results : A total of 908 single port VATS preocedures were performed at our center. Among them, 20 patients have had first operation on ipsilateral side of chest in the past. Eleven patients underwent single port VATS, 9 multi-port VATS, and 1 open thoracic surgery (Tab. 1.). The indications for second operation were lung cancer in 16 patients (first episode of primary lung cancer in 6, recurrent lung cancer in 5, and pulmonary metastasis from the other organs in 5), and benign diseases in 4 (pneumothorax in 2, CCAM in 1, and pleuroparenchymal fistula in 1). The second surgical procedures included lobectomy in 8 patients, segmentectomy in 2, wedge resection in 9, primary repair of fistula tract in 1. There was no mortality or major complications. Mean duration of thoracic drainage was 5±3.0 days and mean operation time was 128.5±78.1 minutes.
Conclusion : Redo single port VATS might be applied on the reoperative minor for major thoracic surgery with the accepted operation time or complications, although the technical experience is more demanding.
첨부파일 : table 1.docx
책임저자: Hyun Koo Kim
Department of Thoracic and Cardiovascular Surgery, Korea University Anam Hospital, Korea University College of Medicine, Seoul, Republic of Korea
발표자: Jun Hee Lee, E-mail : lee2632@naver.com