Author of

• 16935

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  P1.08 - Poster Session with Presenters Present (ID 460)

  • Event: WCLC 2016
  • Type: Poster Presenters Present
  • Track: Surgery
  • Presentations: 1
  • Moderators:
  • Coordinates: 12/05/2016, 14:30 - 15:45, Hall B (Poster Area)

  • 16990

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    P1.08-055 - Hand Assisted Thoracoscopic Surgery (HATS) for Metastatic Lung Tumors - Improved Technique for More Safety and Accuracy (ID 5319)

    14:30 - 14:30  |  Author(s): S. Fujino
    • Abstract

    Background:
    Small pulmonary lesions, the localization of which cannot be confirmed by the sight, are often removed surgically with help of several type markers. But they sometimes drop off or dislocate before surgery. It is the most certain to confirm local existence of tumors with help of palpation and remove them surgically. I reported the usefulness of hand assisted thoracoscopic surgery (HATS) for such cases. We removed about 15% more lesions than the number that we expected before surgery using this technique.
    
    Methods:
    A hand of surgeon was inserted into the bilateral thoracic cavities of patients through a subxiphoid skin incision in supine position in the method of original HATS.
    
    Results:
    HATS is relative safe and useful technique. But there is only one problem in this technique. Surgeon can palpate whole lungs from the pulmonary apex to a base of lung in right side without circulatory complication. But, in left side, blood pressure sometimes decreases by a surgeon’s arm pressing left ventricle. In such a case, we change patients' position from supine to left side up. Circulatory complications decreases in this improved technique.
    
    Conclusion:
    HATS in supine position for right side and in left side up position for left side is safer and more accurate method. Improved data got with improved technique will present on the poster of congress.