Author of

• 12495

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  P3.07 - Poster Session 3 - Surgery (ID 193)

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

  • 12512

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    P3.07-017 - Examination of the Surgical Procedures for Metastatic Pulmonary Tumors (Confirmation of the tumor local existence by the palpation) (ID 1625)

    09:30 - 09:30  |  Author(s): T. Okumura
    • Abstract

    Background
    The small pulmonary lesions, the localization of which cannot be confirmed by the sight, are often removed surgically with help of markers. But it is the most certain to confirm local existence of tumors with help of palpation and remove them surgically. I examine the metastatic pulmonary tumor operation cases in our hospital and identify the usefulness of hand assisted thoracoscopic surgery (HATS).

    Methods
    Thirty nine patients underwent surgery from July 2007 to November 2012 (colorectal cancer 24 cases, soft tissue tumor 5 cases, gynecology territory malignancy 3 cases, others 7 cases). Tumors which existed in the hilum of lung, multiple tumors in the same lobe or segment of lung and tumors which were diagnosed as primary lung cancers before surgery were removed by lobectomy or segmentectomy. The localization of small tumors which cannot be seen by sight were tried to confirm by palpation in all cases. Ten lobectomies, 2 segmentectomies and 27 partial resections were performed. Standard thoracotomy was done in 5 cases, video-assisted thoracic surgeries were done in 30 cases and HATS was done in 4 cases. In HATS cases, a hand of surgeon was inserted into the thoracic cavities of patient through a subxiphoid skin incision.

    Results
    Localized confirmation was possible in all cases using an ocular inspection and palpation without markers. Fifty seven tumors were excised in 39 cases (an average of 1.46) and 9 other lesions (including intrapulmonary lymph nodes and granuloma) were excised simultaneously. The maximum tumor diameters are 3-75mm (an average of 15.7mm).

    Conclusion
    New lesions which cannot be discovered by preoperative CT were confirmed by HATS. Local existence confirmation by the palpation with a finger from a small open chest wound and palpation by HATS is very important to remove pulmonary lesions without fail.