Authors: Tadashi Akiba Hideki Marushima Noriteru Kamiya Makoto Odaka Satoki Kinoshita Hiroshi Takeyama Toshiaki Morikawa
Publish Date: 2011/06/15
Volume: 59, Issue: 6, Pages: 413-417
Abstract
Details with regard to the standard criteria for a therapeutic metastasectomy and the use of videoassisted thoracic surgery VATS remain elusive To evaluate the feasibility of VATS using a tailormade virtual lung for patients with pulmonary metastases after chemotherapy we reviewed the following casesClinical data from October 2006 to April 2010 were obtained from patients who received chemotherapy before a pulmonary metastasectomy lobectomy or segmentectomy VATS was the primarily selected surgical approach except for treating hilar lesions A lobectomy was performed when the metastasis was greater than 30 cm in diameter or located deeply in the lobe Tailormade virtual lungs were created using threedimensional multidetector computed tomography before lobectomy on a routine basis The virtual lung consisted of threedimensional pulmonary vessels a tracheobronchial tree pulmonary parenchyma and tumorsTwelve operations consisting of 1 segmentectomy 10 lobectomies and 1 wedge bronchoplasty upper lobectomy were performed on 11 patients during the study period VATS was completed in 10 of these 12 operations The mean operative time for the lobectomies was 257 min and the mean operative bleeding volume was 215 ml Two cases experienced postoperative transient atrial fibrillation and no mortalities associated with these operations were reported
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