ISSN : 1301-5680
e-ISSN : 2149-8156
Turkish Journal of Thoracic and Cardiovascular Surgery     
Learning and improvement process of video-assisted thoracoscopic lobectomy: experiences of Süreyyapaşa
Tuğba Coşgun1, Volkan Baysungur2, Çağatay Tezel2, Erdal Okur3, Levent Alpay2, Cemal Asım Kutlu4, İrfan Yalçınkaya2
Süreyyapaşa Göğüs Hastalıkları Eğitim ve Araştırma Hastanesi, Göğüs Cerrahisi Kliniği, İstanbul, Türkiye
1Ağrı Devlet Hastanesi, Göğüs Cerrahisi Kliniği, Ağrı, Türkiye
2Süreyyapaşa Göğüs Hastalıkları Eğitim ve Araştırma Hastanesi, Göğüs Cerrahisi Kliniği, İstanbul, Türkiye
3Acıbadem Üniversitesi Tıp Fakültesi, Göğüs Cerrahisi Kliniği, İstanbul, Türkiye
4Kartal Koşuyolu Eğitim ve Araştırma Hastanesi, Göğüs Cerrahisi Kliniği, İstanbul, Türkiye
DOI : 10.5606/tgkdc.dergisi.2014.9205
Background: This study aims to evaluate the results of videoassisted thoracoscopic lobectomy (VATS lobectomy).

Methods: A total of 86 patients (59 males, 27 females; mean age 55.2±15.9; range 15 to 80 years) who underwent VATS lobectomy due to several reasons and were switched to thoracotomy at Süreyyapaşa Thoracic and Cardiovascular Diseases Education and Research Hospital between January 2006 and September 2012 were retrospectively analyzed.

Results: Based on the preoperative assessment, the success rate of surgery significantly lower in male patients and those with previous history of tuberculosis who underwent VATS lobectomy and were switched to thoracotomy (p=0.006, p=0.033, respectively). Surgery was often able to be performed via three ports. The most frequently reported reasons for switching thoracotomy were adhesions and incomplete fissure. According to the localization of tumors, the success rate for VATS lobectomy was lower for the upper lobes. The drainage quantity and duration for surgery were more advantages in the middle and lower lobes.

Conclusion: We believe that our study results would offer some clues on the patient selection to incipient surgeons for this procedure.

Keywords : Lobectomy; minimal invasive; video-assited thoracic surgery
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