Abstract:
BACKGROUND:Concerns remain unresolved regarding the safety of unplanned conversion to open thoracotomy during video-assisted thoracic surgery (VATS) lobectomy. We analyzed both early and late outcomes after thoracotomy conversion from VATS. METHODS:From December 2003 to December 2008, a total of 738 VATS lobectomies were attempted. Among them were 34 unplanned conversions to open thoracotomy. Patient characteristics, operative data, and early and late postoperative outcomes were analyzed retrospectively. RESULTS:Among the 34 conversion cases, 26 patients had lung cancer and 8 had benign lung disease. The conversion rate was 4.61%. Left and right upper lobectomies were most often associated with unplanned conversions. Conversion was classified into five groups: (1) problems related to anthracofibrosis of hilar lymph nodes in 14 patients; (2) intraoperative vessel or bronchus injury in 11 patients; (3) fused interlobar fissure in 4 patients; (4) oncologic problems, including mediastinal or hilar lymph node metastasis in 2 patients; and (5) vascular anomalies in 3 patients. There was one death due to postoperative pneumonia in a patient with multiple co-morbidities. Two patients had an episode of pneumonia. The mean hospital stay was 10 days, and the median follow-up period was 30.0 ± 11.47 months. Three patients with lung cancer developed recurrent disease, all of whom were found to have stage III disease. No cancer-related death occurred. There was no significant difference in survival or recurrence between patients with conversion and those with successful VATS. However, the operating time and hospital stay were significantly longer in conversion patients. CONCLUSIONS:Our data support the claim that VATS lobectomy can be safely performed with an acceptable conversion rate. Unplanned conversion to open thoracotomy does not appear to compromise the prognosis.
journal_name
World J Surgjournal_title
World journal of surgeryauthors
Park JS,Kim HK,Choi YS,Kim J,Shim YM,Kim Kdoi
10.1007/s00268-010-0913-6subject
Has Abstractpub_date
2011-03-01 00:00:00pages
590-5issue
3eissn
0364-2313issn
1432-2323journal_volume
35pub_type
杂志文章abstract:BACKGROUND:Total mesorectal excision (TME) and preoperative chemoradiation therapy (PCRT) for rectal cancer are used sequentially in our center. The aim of this study was to evaluate survival of patients with stage II/III rectal cancer chronologically and to determine whether therapeutic advances associated with TME an...
journal_title:World journal of surgery
pub_type: 杂志文章
doi:10.1007/s00268-013-2168-5
更新日期:2013-11-01 00:00:00
abstract:BACKGROUND:Mutations in BRCA1 and BRCA2 confer an increased risk to breast and other cancers, but to date there have only been limited numbers of studies of BRCA1- and BRCA2-associated cancers among Asians. Malaysia is a multiracial country with three main races: Malays, Chinese, Indians. We determined whether tumor pa...
journal_title:World journal of surgery
pub_type: 杂志文章
doi:10.1007/s00268-009-0146-8
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abstract:BACKGROUND:Concurrent vitamin D(3) deficiency is common in primary hyperparathyroidism (pHPT). We aimed to examine the clinicopathologic features and short-term outcomes of vitamin D(3)-deficient patients after minimally invasive parathyroidectomy (MIP). METHODS:Over 2-year period, 80 consecutive MIP patients had preo...
journal_title:World journal of surgery
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doi:10.1007/s00268-009-0377-8
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abstract::Burn patients develop a number of physiologic alterations among which is a markedly increased metabolic rate. Other metabolic changes include an increased rate of glucose production and utilization, a decreased rate of lipid metabolism, and an increased rate of both protein catabolism and anabolism. These alterations ...
journal_title:World journal of surgery
pub_type: 杂志文章,评审
doi:10.1007/BF02067118
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abstract::One hundred years ago, Edoardo Bassini said: "L'ernia é una malattia meccanica." Before that, Ambroise Paré (1598) and Joseph-Pierre Desault (1798) asserted the mechanical nature of strangulation. Beside strangulation, the most serious of all complications even today, I have studied huge hernias, which are natural com...
journal_title:World journal of surgery
pub_type: 杂志文章,评审
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journal_title:World journal of surgery
pub_type: 杂志文章
doi:10.1007/s00268-006-0693-1
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journal_title:World journal of surgery
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journal_title:World journal of surgery
pub_type: 杂志文章
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journal_title:World journal of surgery
pub_type: 杂志文章,评审
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pub_type: 杂志文章,评审
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journal_title:World journal of surgery
pub_type: 杂志文章,评审
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journal_title:World journal of surgery
pub_type: 杂志文章
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更新日期:2013-03-01 00:00:00
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journal_title:World journal of surgery
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journal_title:World journal of surgery
pub_type: 杂志文章
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更新日期:2014-05-01 00:00:00
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journal_title:World journal of surgery
pub_type: 杂志文章
doi:10.1007/s00268-009-0021-7
更新日期:2009-07-01 00:00:00
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journal_title:World journal of surgery
pub_type: 杂志文章
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更新日期:1999-11-01 00:00:00
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journal_title:World journal of surgery
pub_type: 杂志文章,评审
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journal_title:World journal of surgery
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journal_title:World journal of surgery
pub_type: 临床试验,杂志文章,多中心研究,随机对照试验
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journal_title:World journal of surgery
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更新日期:2016-06-01 00:00:00
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journal_title:World journal of surgery
pub_type: 临床试验,杂志文章,随机对照试验
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journal_title:World journal of surgery
pub_type: 杂志文章
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更新日期:2014-04-01 00:00:00
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journal_title:World journal of surgery
pub_type: 杂志文章
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更新日期:2010-12-01 00:00:00
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journal_title:World journal of surgery
pub_type: 杂志文章,评审
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更新日期:2000-03-01 00:00:00
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journal_title:World journal of surgery
pub_type: 杂志文章
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更新日期:2011-07-01 00:00:00
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journal_title:World journal of surgery
pub_type: 杂志文章
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更新日期:2020-08-01 00:00:00
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journal_title:World journal of surgery
pub_type: 杂志文章,评审
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