Author of

• 10912

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  P1.17 - Poster Session 1 - Bronchoscopy, Endoscopy (ID 182)

  • Event: WCLC 2013
  • Type: Poster Session
  • Track: Pulmonology + Endoscopy/Pulmonary
  • Presentations: 1
  • Moderators:
  • Coordinates: 10/28/2013, 09:30 - 16:30, Exhibit Hall, Ground Level

  • 10913

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    P1.17-001 - Transumbilical versus conventional thoracoscopic lung wedge resection: safety and efficacy in a canine survival model (ID 246)

    09:30 - 09:30  |  Author(s): M. Hsieh
    • Abstract

    Background
    Transumbilical single-port surgery has been shown to be associated with less postoperative pain and offers better cosmetic outcomes than conventional 3-port laparoscopic surgery. This study compares the safety and efficacy of transumbilical and conventional thoracoscopy for lung wedge resection.

    Methods
    The animals (n = 16) were randomly assigned to the transumbilical approach group (n = 8) or conventional thoracoscopic approach group (n = 8). Transumbilical lung resection was performed via an umbilical incision combined with a diaphragmatic incision. In conventional thoracoscopic group, lung resection was completed through a thoracic incision. Surgical outcomes (operating time, operative complications), physiologic parameters, (respiratory rate, body temperature), inflammatory parameters [white blood cell (WBC), and pulmonary parameters (arterial blood gases) were compared for both procedures. The animals were killed at two weeks after surgery for gross and histologic evaluations

    Results
    The lung wedge resection was successfully performed in all animals. There was no significant difference between the mean operating times and complication for transumbilical or thoracoscopic approach group. Regarding the physiologic impact of the surgeries, transumbilical approach was associated with significant elevations in body temperature on postoperative days 1, when compared with the standard thoracoscopic approach.

    Conclusion
    This study suggests that both approach were comparable with respect to efficacy and post-operative complication in performing lung wedge resection.