Resezioni polmonari segmentarie "atipiche" in videotoracoscopia.

Translated title of the contribution: Videothoracoscopic wedge resections of the lung

L. Spaggiari, M. Rusca, P. Carbognani, L. Cattelani, C. Endrizzi, P. Bobbio

Research output: Contribution to journalArticle

Abstract

The recent development in thoracoscopic instrumentation has widely improved their surgical applications so to allow lung resection whether for diagnostic of therapeutic purpose. From June to December 1992, we performed 14 segmental atypical lung resections in 12 patients. The indications were: recurrent spontaneous pneumothorax due to bullae or blebs in 7 cases, solitary peripheric lung nodule in 6 cases, for diagnostic purposes in suspicious interstitial lung disease in one case. Lung resection were carried out using stapling device (EndoGIA). In the cases of solitary lung nodule, the frozen section confirmed the presence of metastases in 4 subjects and thus it was proceeded towards an exploratory mini-thoracotomy (3 cm long) so to allow a further palpatory video-assisted evaluation of the lung surface. The remaining 2 patients were diagnosed to have hamartomas. The wedge resection in the patient with interstitial lung disease allowed diagnosis of sarcoidosis. There were no postoperative complications, nor deaths. Video-thoracoscopic lung wedge resections are indicated for treating bullae and blebs while performing pleurectomy for spontaneous pneumothorax, for removing benign and metastatic peripheral lung nodules. The procedure is substantially diagnostic in case of interstitial lung diseases. It's important to underline that the therapeutic value of thoracoscopic approach for metastatic lung nodules has not proved to be less or more efficient than the thoracotomy one and for this reason further investigations are required.

Translated title of the contributionVideothoracoscopic wedge resections of the lung
Original languageItalian
Pages (from-to)263-273
Number of pages11
JournalActa Biomedica
Volume63
Issue number3-4
Publication statusPublished - 1992

ASJC Scopus subject areas

  • Medicine(all)

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    Spaggiari, L., Rusca, M., Carbognani, P., Cattelani, L., Endrizzi, C., & Bobbio, P. (1992). Resezioni polmonari segmentarie "atipiche" in videotoracoscopia. Acta Biomedica, 63(3-4), 263-273.