@article{JTD10618,
author = {Joji Samejima and Mingyon Mun and Yosuke Matsuura and Masayuki Nakao and Hirofumi Uehara and Ken Nakagawa and Munetaka Masuda and Sakae Okumura},
title = {Thoracoscopic anterior ‘fissure first’ technique for left lung cancer with an incomplete fissure},
journal = {Journal of Thoracic Disease},
volume = {8},
number = {11},
year = {2016},
keywords = {},
abstract = {Background: Dealing with incomplete lung fissures during thoracoscopic surgery is difficult. Our objective was to evaluate the efficacy and safety of a thoracoscopic anterior ‘fissure first’ technique for dealing with incomplete left lung fissures.
Methods: One hundred and seventy patients underwent left upper lobectomy or left lower lobectomy between April 2008 and July 2014. Of these, 34 patients underwent surgery using a thoracoscopic anterior ‘fissure first’ technique for incomplete fissures (group A) and 136 underwent surgery using a conventional thoracoscopic method for unfused fissures (group B). A four-port complete thoracoscopic approach was used in all patients. After completion of the fissure, hilar lymphadenectomy was performed in the conventional manner.
Results: There were no significant differences between the two groups in operating time, blood loss, or duration of chest tube drainage. Patients in group A required more staple cartridges than those in group B (mean number of cartridges, 2.4 vs. 1.1; P},
issn = {2077-6624}, url = {https://jtd.amegroups.org/article/view/10618}
}