Stručni rad

VATS lobectomy at theWard of Zadar Genereal Hospital

Ivan Bačić ; Opća bolnica Zadar, Odsjek za torakalnu kirurgiju
Domagoj Morović ; Opća bolnica Zadaar, Odjel za kirurgiju, Odsjek za torakalnu kirurgiju
Nina Sulen ; Opća bolnica Zadara, Odjel za anesteziologiju, reanimatologiju i intenzivno liječenje
Barbara Petani ; Opća bolnica Zadara, Odjle za anesteziologiju, reanimatologiju i intenzivno liječenje
Željko Čulina ; Opća bolnica Zadara, Odjel za interne bolesti, Odsjek za suzbijanje i liječenje plućnih bolesti i tuberkuloze
Ivan Kovačić ; Opća bolnica Zadara, Odjel za kirurgiju

Sažetak

VATS (video assisted thoracoscopic surgery) lobectomy is basically an operation identical to the one performed through thoracotomy. It includes individual ligature of the blood vessels and a dissection of the
lymph nodes of the mediastinum. Indications and counter indications for VATS lobectomy are the same as the ones for open lobectomy.
There are no differences in the five-year survival between VATS lobectomy and open lobectomy for patients in the first and second stage of the disease.
The first VATS lobectomy in the Thoracic Surgery Ward was performed in October, 2012. 18 VATS lobectomies and 48 lobectomies through “muscle sparing” thoracotomy were performed from then to December 31, 2013. We compared the oncologic (radicality of the operation, number of removed lymph nodes of the mediastinum) and perioperative parameters (consumption of analgetics and antibiotics, drainage duration, recovery speed, hospitalization duration, number of complications) of these two approaches.There was no mortality with patients that underwent minimum invasive surgery. Drainage lasted on average 3 (2-5) days and hospitalization on average 5 (4-7) days. The average number of removed lymph nodes of the mediastinum using the VATS technique did not differ from the number of lymph nodes removed with open technique.
VATS lobectomy is a reliable method of surgery in treating lung cancer. There is no difference in parameters of oncologic importance between VATS lobectomy and the open approach while the advantages of a surgical approach is in VATS lobectomy: less post-operative pain, lower consumption of analgetics
particularly opiates, less chronic post-thoracotomic pain incidence, less disrupted immunology system, lower incidence of post-operative pneumonia , shorter hospitalization duration, higher percentage of patients who underwent adjuvant chemotherapy.

Ključne riječi

VATS; lung care; lung lobectomy; mediastinum dissection

Hrčak ID:

133151

URI

https://hrcak.srce.hr/133151

Datum izdavanja:

14.1.2015.

Podaci na drugim jezicima: hrvatski

Posjeta: 4.639 *