Author of

• 11595

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  P2.07 - Poster Session 2 - Surgery (ID 190)

  • Event: WCLC 2013
  • Type: Poster Session
  • Track: Surgery
  • Presentations: 1
  • Moderators:
  • Coordinates: 10/29/2013, 09:30 - 16:30, Exhibit Hall, Ground Level

  • 11632

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    P2.07-037 - Minimally invasive anatomic segmentectomy as primary treatment for lung lesions (ID 3069)

    09:30 - 09:30  |  Author(s): E.R. Júnior
    • Abstract

    Background
    Lobectomy is considered the gold standard curative treatment for early lung cancer. Its indication does not only rely only on the extent of the disease but also on postoperative lung capacity. With the new adenocarcinoma classification for lung cancer peripheric lesions smaller than 2cm might be treated with anatomic segmentectomy.

    Methods
    We performed a retrospective analysis of 29 patients submitted to anatomic segmentectomy by VATS technique in the period of 05/07/2009 to 31/05/2013 in Salvador, Bahia, Brazil due to peripheral lung lesion suspected of malignancy. A total of 30 procedures were performed by two surgeons (Ugalde PA, Pereira ST). The purpose of this study is to analyze the indications, length of stay, surgical complications and final pathology.

    Results
    Of the 29 patients 17 (58,62%) were female, the age ranged from 13 to 89 years with an average of 53 years (± 20.49). 53,3% of cases final pathology revealed neoplastic disease, 10 adenocarcinomas in situ, 4 metastatic diseases, 1 carcinoid tumor, and 1 spindle cell tumor proliferation. The postoperative hospitalization ranged from 1 to 6 days with an average of 2.73 days (± 1.44), the timing of chest drain varied 1 to 6 days with an average of 2.80 days (± 1.52). Two patients had to be submitted to bronchoscopy due to postoperative atelectasis.

    Conclusion
    Anatomic segmentectomy although controversial in the treatment of primary early stage lung cancer, in our series when performed through VATS was safe and effective with minimum rate complication. The advantages of a minimally invasive procedure resulted in a shorter hospital stay and recovery time, enabling patient early return to their activities.