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)

  • 16996

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    P1.08-061 - Clinical Experience of Rib Resection for Lung Cancer with Chest Wall Invasion Using a Pneumatic High Speed Power Drill System (ID 3843)

    14:30 - 14:30  |  Author(s): Y. Tomioka
    • Abstract
    • Slides

    Background:
    Rib resection is sometimes required for chest wall tumors or lung cancer with localized chest wall invasion.There are some reports on thoracoscopic rib resection, which may be much less invasive and provide an excellent surgical view of the target. We have used a pneumatic high speed power drill system, commonly used as a dentist’s drill, in order to be accomplished less invasive thoracoscopic rib resection.
    
    Methods:
    A pneumatic high speed power drill (HiLAN® GA520R B Braun Aesculap, Tokyo, Japan) was inserted in the thoracic cavity and the head of the drill, which has a diamond burr, adequately attached to the rib surface. The rib was then sheared by whittling until dislocated. Cut pieces of bone tissue were removed by suction with saline dropping on the head of the drill. Soft tissue including the parietal pleura, intercostal muscle and vessels were dissected using power devices or an electrical scalpel after cutting the ribs.Figure 1
    
    
    
    Results:
    From February 2014 to date, we have experienced seven patients with chest wall resection using a drill. Hybrid-VATS was performed for four of the patients, while complete-VATS was performed for the remaining three patients.There were no intraoperative issues and the postoperative courses were all eventless. The mean follow-up period is about 13 months. Two of the 7 patients had recurrence of the disease with distant metastasis. However, there is no local recurrence.
    
    Conclusion:
    A pneumatic high speed power drill is easy to handle and useful for rib resection in lung cancer surgery and possibly better suited even when compared to the Gigli saw or endoscopic rib cutter for selective patients undergoing thoracoscopic surgery. Rib resection using a drill might be less invasive procedure.
    
    

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