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Please use this identifier to cite or link to this item: http://hdl.handle.net/20.500.12001/3379

Title :[原著]Usefulness of video-assisted thoracic surgery in the management of advanced lung cancer in relation to exploratory thoracotomy
Authors :Kuda, Tomoharu
Genka, Keiichirou
Ishikawa, Kiyoshi
Koja, Kageharu
Kusaba, Akira
Authors affiliation :Second Department of Surgery, Faculty of Medicine, University of Ryukyus
Research Center of Comprehensive Medicine, Faculty of Medicine, University of Ryukyus
National Okinawa Hospital, Okinawa, Japan
Issue Date :1997
Publisher :琉球医学会
Type Local :雑誌掲載論文
Type (NII) :Journal Article
ISSN :1346888X
Abstract :We analyzed 47 patients who underwent exploratory thoracotomy (thoracotomy without resection) for advanced primary lung cancer. After the introduction of video-assisted thoracic surgery (VATS), we studied its usefulness and compared it with exploratory thoracotomy in marginal cases. Between 1978 and 1991, exploratory thoracotomy was performed on 7% of primary lung cancer patients with bulky N2 disease, intrapulmonary metastasis (pm) and/or pleural dissemination. After the introduction of VATS, this decreased to 5.8% (4 of 69 cases). Although there was no significant difference in the incidence after the introduction of VATS, exploratory thoracotomy was avoided in 5 cases by using VATS. Bulky N2 disease in the subaortic nodules was also diagnosed via VATS. We conelude that VATS is useful in the diagnosis of pm and/or pleural dissemination and in avoiding unnecessary exploratory thoracotomy.
Rights :琉球医学会
URI :http://hdl.handle.net/20.500.12001/3379
Citation :琉球医学会誌 = Ryukyu Medical Journal Vol.17 no.1 p.25 -30
Appears in Collections:Ryukyu Medical Journal

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