Microlobectomy: A Novel Form of Endoscopic Lobectomy

Joel Dunning, Mohamed Elsaegh, Marco Nardini, Erin A. Gillaspie, Rene Horsleben Petersen, Henrik Jessen Hansen, Bryan Helsel, Hatam Naase, Malgorzata Kornaszewska, Malcolm B. Will, William S. Walker, Dennis A Wigle, Shanda Haley Blackmon

Research output: Contribution to journalArticle

5 Scopus citations

Abstract

Objective Microlobectomy is a novel form of videoscopic-assisted thoracic surgery lobectomy. Strict inclusion criteria consist of the following: no intercostal incisions greater than 5 mm, 12 mm subxiphoid port, subxiphoid removal of the specimen, total endoscopic technique with CO 2 insufflation, vision through a 5-mm camera, stapling via the subxiphoid port, or with 5-mm stapling devices. Methods The combined early experiences of six hospitals from three countries were combined from September 2014 to May 2016. During that time, the study represents a consecutive cohort study of this technique. Results Seventy-two patients underwent microlobectomy. The median (range) age was 66 (27-82). Half of the patients were female. There were 48 right-sided resections and 24 on the left. There were four segmental resections and there was one right pneumonectomy. Four operations were performed robotically (with 8-mm intercostal incisions). The median (range) operative time was 180 (94-285) minutes and the blood loss was 118 (5-800) mL. There were three conversions to thoracotomy and two conversions to videoscopic-assisted thoracic surgery by means of an intercostal utility incision to complete the operation. The median (range) length of stay was 3 (1-44) days and 30 patients (42%) when home by day 2 and 16 patients (22%) were discharged on day 1. There were no deaths. Five patients (7%) had a prolonged airleak. There were no wound infections and there was one incisional hernia. Conclusions We believe that microlobectomy is an interesting novel form of videoscopic-assisted thoracic surgery lobectomy and has several theoretical advantages. We have presented our early results and hope that this will stimulate others to investigate this type of videoscopic-assisted thoracic surgery lobectomy further.

Original languageEnglish (US)
Pages (from-to)247-253
Number of pages7
JournalInnovations: Technology and Techniques in Cardiothoracic and Vascular Surgery
Volume12
Issue number4
DOIs
StatePublished - Jul 1 2017

    Fingerprint

Keywords

  • Lung cancer
  • Microlobectomy
  • Minimally invasive surgery
  • Pneumonectomy
  • Surgical techniques
  • VATS lobectomy

ASJC Scopus subject areas

  • Surgery
  • Cardiology and Cardiovascular Medicine

Cite this

Dunning, J., Elsaegh, M., Nardini, M., Gillaspie, E. A., Petersen, R. H., Hansen, H. J., Helsel, B., Naase, H., Kornaszewska, M., Will, M. B., Walker, W. S., Wigle, D. A., & Blackmon, S. H. (2017). Microlobectomy: A Novel Form of Endoscopic Lobectomy. Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery, 12(4), 247-253. https://doi.org/10.1097/IMI.0000000000000394