A dense fissure is not a contra-indication for uniportal thoracoscopic lobectomy.

ABSTRACT:

Background

A dense fissure is a main cause of a postoperative prolonged air leak (PAL). Such a fissure, if exposed, sometimes incidentally injures the pulmonary artery. We investigated whether uniportal thoracoscopic lobectomy which is considered technically more difficult than the conventional multiportal approach was appropriate for patients with dense fissures.

Methods

From February 2019 to January 2022, 140 patients with primary lung cancer underwent uniportal thoracoscopic lobectomy with ≥ ND2a-1 lymphadenectomy. Patients were divided into those with dense (n=22) and separated (n=118) fissures. All dense fissures were treated using a fissureless technique without exposure of the pulmonary artery. We compared the characteristics and perioperative results of the two group

SUBMITTER: Igai H 

PROVIDER: S-EPMC9840050 | biostudies-literature | 2022 Dec

REPOSITORIES: biostudies-literature