• Ann Thorac Cardiovasc Surg · Aug 2010

    Video-assisted thoracic surgery for patients with lung cancer and interstitial pneumonia.

    • Tadashi Akiba, Hideki Marushima, Hidejiro Kawahara, Masamichi Takagi, Jun Hirano, Makoto Odaka, Kozo Nakanishi, Hiroshi Takeyama, Susumu Kobayashi, and Toshiaki Morikawa.
    • Departments of Surgery and Respiratory Medicine, Jikei University Kashiwa Hospital, Chiba, Japan.
    • Ann Thorac Cardiovasc Surg. 2010 Aug 1;16(4):236-41.

    PurposeA serious complication following primary lung cancer surgery on patients with interstitial pneumonia (IP) is the postoperative acute exacerbation of IP. Because few studies have examined the feasibility of using video-assisted thoracic surgery (VATS) on these patients, we reviewed our experience with this technique.MethodsWe examined 78 patients; 11 had IP (IP group) and 67 did not (non-IP group).ResultsPatients in the IP group were older than those in the non-IP group (p = 0.097), and they had a significantly higher incidence of squamous cell carcinoma than patients in the non-IP group (p = 0.002). Dominating the IP group, though not statistically significant, were males, the intention to undergo VATS, and limited surgery. VATS was performed on 10 lesions in the IP group and on 45 in the non-IP group. No surgery-related exacerbation of preoperative IP or development of postoperative IP was found in either group.ConclusionVATS is the preferred surgical choice for lung cancer patients with IP.

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