Pub Date : 2020-03-26DOI: 10.21037/vats.2020.02.01
L. Erhunmwunsee, Prasha Bhandari, Ernesto Sosa, M. Sur, P. Ituarte, N. Lui
Department of Surgery, City of Hope Comprehensive Cancer Center, Duarte, CA, USA; Department of Cardiothoracic Surgery, Stanford University Medical Center, Stanford, CA, USA; Department of Population Sciences, City of Hope Comprehensive Cancer Center, Duarte, CA, USA Contributions: (I) Conception and design: L Erhunmwunsee, P Bhandari, PH Ituarte, NS Lui; (II) Administrative support: E Sosa, M Sur; (III) Provision of study materials or patients: L Erhunmwunsee, P Bhandari, PH Ituarte, NS Lui; (IV) Collection and assembly of data: All authors; (V) Data analysis and interpretation: L Erhunmwunsee, P Bhandari, PH Ituarte, NS Lui; (VI) Manuscript writing: All authors; (VII) Final approval of manuscript: All authors. Correspondence to: Loretta Erhunmwunsee, MD. City of Hope Comprehensive Cancer Center, 1500 East Duarte Road, Duarte, CA 91010, USA. Email: lorettae@coh.org.
{"title":"Socioeconomic, rural, and insurance-based inequities in robotic lung cancer resections","authors":"L. Erhunmwunsee, Prasha Bhandari, Ernesto Sosa, M. Sur, P. Ituarte, N. Lui","doi":"10.21037/vats.2020.02.01","DOIUrl":"https://doi.org/10.21037/vats.2020.02.01","url":null,"abstract":"Department of Surgery, City of Hope Comprehensive Cancer Center, Duarte, CA, USA; Department of Cardiothoracic Surgery, Stanford University Medical Center, Stanford, CA, USA; Department of Population Sciences, City of Hope Comprehensive Cancer Center, Duarte, CA, USA Contributions: (I) Conception and design: L Erhunmwunsee, P Bhandari, PH Ituarte, NS Lui; (II) Administrative support: E Sosa, M Sur; (III) Provision of study materials or patients: L Erhunmwunsee, P Bhandari, PH Ituarte, NS Lui; (IV) Collection and assembly of data: All authors; (V) Data analysis and interpretation: L Erhunmwunsee, P Bhandari, PH Ituarte, NS Lui; (VI) Manuscript writing: All authors; (VII) Final approval of manuscript: All authors. Correspondence to: Loretta Erhunmwunsee, MD. City of Hope Comprehensive Cancer Center, 1500 East Duarte Road, Duarte, CA 91010, USA. Email: lorettae@coh.org.","PeriodicalId":42086,"journal":{"name":"Video-Assisted Thoracic Surgery","volume":"1 1","pages":""},"PeriodicalIF":0.2,"publicationDate":"2020-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43276114","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-03-01DOI: 10.21037/vats.2019.12.05
Souichirou Suzuki, S. Fujimori, T. Kohno, M. Nagano, Shinichiro Kikunaga
Department of Thoracic Surgery, Respiratory Center, Toranomon Hospital, Minato City, Tokyo, Japan; Department of Thoracic Surgery, New Tokyo Hospital, Matsudo, Chiba, Japan Contributions: (I) Conception and design: S Suzuki; (II) Administrative support: S Fujimori; (III) Provision of study materials or patients: S Suzuki, S Fujimori; (IV) Collection and assembly of data: S Suzuki; (V) Data analysis and interpretation: S Suzuki, S Fujimori, T Kohno; (VI) Manuscript writing: All authors; (VII) Final approval of manuscript: All authors. Correspondence to: Souichiro Suzuki, MD. Department of Thoracic Surgery, Respiratory Center, Toranomon Hospital, Minato City, Tokyo. Email: souichilow.s@gmail.com.
日本东京港口市鸟之门医院呼吸中心胸外科;日本千叶松户新东京医院胸外科贡献:(I)构思和设计:S Suzuki;行政支助:S藤森;(三)提供研究材料或患者:S Suzuki, S Fujimori;(四)数据的收集和汇编:S Suzuki;(五)数据分析和解释:S Suzuki、S Fujimori、T Kohno;(六)稿件撰写:全体作者;(七)稿件最终审定:全体作者。通讯对象:suichiro Suzuki，医学博士，东京港口市Toranomon医院呼吸中心胸外科。电子邮件:souichilow.s@gmail.com。
{"title":"Long-term outcomes of 3-port VATS lobectomy with selective mediastinal lymphadenectomy for clinical stage I non-small cell lung cancer","authors":"Souichirou Suzuki, S. Fujimori, T. Kohno, M. Nagano, Shinichiro Kikunaga","doi":"10.21037/vats.2019.12.05","DOIUrl":"https://doi.org/10.21037/vats.2019.12.05","url":null,"abstract":"Department of Thoracic Surgery, Respiratory Center, Toranomon Hospital, Minato City, Tokyo, Japan; Department of Thoracic Surgery, New Tokyo Hospital, Matsudo, Chiba, Japan Contributions: (I) Conception and design: S Suzuki; (II) Administrative support: S Fujimori; (III) Provision of study materials or patients: S Suzuki, S Fujimori; (IV) Collection and assembly of data: S Suzuki; (V) Data analysis and interpretation: S Suzuki, S Fujimori, T Kohno; (VI) Manuscript writing: All authors; (VII) Final approval of manuscript: All authors. Correspondence to: Souichiro Suzuki, MD. Department of Thoracic Surgery, Respiratory Center, Toranomon Hospital, Minato City, Tokyo. Email: souichilow.s@gmail.com.","PeriodicalId":42086,"journal":{"name":"Video-Assisted Thoracic Surgery","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2020-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45578189","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-02-29DOI: 10.21037/VATS.2020.01.09
L. Backhus
Advances in surgical techniques have heralded significant growth in the application of robotics to thoracic surgery with even more platforms on the horizon. These will introduce an element of competition and further enhance innovation. There are several reported advantages associated with use of the robotic approach to lobectomy including reduced length of stay and peri-operative complications. High initial capital investment, ongoing costs, and length of operative times are common perceived disincentives to adoption of robotic programs and may influence the decision to use these techniques. Once a surgeon has committed to adoption of robotic techniques, they must be aware of the time commitment and investment required for successful transition. The learning curve for an experienced surgeon in transitioning to robotic surgery is estimated at 18–22 cases by most reports although this may vary significantly based upon surgeon background (VATS vs. open approaches) and experience. Surgeons have several options for training in robotic surgery including formal academic fellowships, mini-fellowships, and tailored mentored skills courses. Ultimately, success rests heavily on team training, proper case and patient selection with gradual increase in extent of a single operation performed and operative complexity. This will guide the surgeon through the transition in a safe and efficient manner.
{"title":"Transitioning from VATS to robotic lobectomy","authors":"L. Backhus","doi":"10.21037/VATS.2020.01.09","DOIUrl":"https://doi.org/10.21037/VATS.2020.01.09","url":null,"abstract":"Advances in surgical techniques have heralded significant growth in the application of robotics to thoracic surgery with even more platforms on the horizon. These will introduce an element of competition and further enhance innovation. There are several reported advantages associated with use of the robotic approach to lobectomy including reduced length of stay and peri-operative complications. High initial capital investment, ongoing costs, and length of operative times are common perceived disincentives to adoption of robotic programs and may influence the decision to use these techniques. Once a surgeon has committed to adoption of robotic techniques, they must be aware of the time commitment and investment required for successful transition. The learning curve for an experienced surgeon in transitioning to robotic surgery is estimated at 18–22 cases by most reports although this may vary significantly based upon surgeon background (VATS vs. open approaches) and experience. Surgeons have several options for training in robotic surgery including formal academic fellowships, mini-fellowships, and tailored mentored skills courses. Ultimately, success rests heavily on team training, proper case and patient selection with gradual increase in extent of a single operation performed and operative complexity. This will guide the surgeon through the transition in a safe and efficient manner.","PeriodicalId":42086,"journal":{"name":"Video-Assisted Thoracic Surgery","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2020-02-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.21037/VATS.2020.01.09","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46766675","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Robotic and video-assisted thoracic surgery (VATS) approaches are the procedures of choice for the radical treatment of patients affected by clinical early-stage non-small cell lung cancer (NSCLC). Several studies demonstrated better perioperative outcomes of minimally invasive techniques compared to open surgery. However, there is still a certain skepticism about long-term results of the robotic approach. In recent years, some studies demonstrated similar 5-year survival in patients undergoing robotic lobectomy for cN0 NSCLC compared to VATS and open surgery, overcoming 75% overall. These results were confirmed by a few multi-center trials. Moreover, robotic surgery was associated to nodal upstaging at final pathologic examination in a considerable proportion of patients undergoing lobectomy for cN0 disease. The high number of lymph nodes harvested during robotic surgery and, consequently, the more accurate pathologic staging allow the correct delivery of adjuvant therapies to patients. While several studies demonstrated comparable nodal upstaging in robotic and thoracotomic lobectomies, results are still unclear regarding nodal upstaging in VATS vs. robotic surgery. Further multi-center prospective studies are required to assess the potential long-term oncological superiority of robotic lobectomy for the treatment of early-stage NSCLC.
{"title":"Oncological clearance of minimally invasive lobectomy for clinical N0 non-small cell lung cancer: the role of robotic surgery","authors":"P. Muriana, G. Veronesi","doi":"10.21037/VATS-20-42","DOIUrl":"https://doi.org/10.21037/VATS-20-42","url":null,"abstract":"Robotic and video-assisted thoracic surgery (VATS) approaches are the procedures of choice for the radical treatment of patients affected by clinical early-stage non-small cell lung cancer (NSCLC). Several studies demonstrated better perioperative outcomes of minimally invasive techniques compared to open surgery. However, there is still a certain skepticism about long-term results of the robotic approach. In recent years, some studies demonstrated similar 5-year survival in patients undergoing robotic lobectomy for cN0 NSCLC compared to VATS and open surgery, overcoming 75% overall. These results were confirmed by a few multi-center trials. Moreover, robotic surgery was associated to nodal upstaging at final pathologic examination in a considerable proportion of patients undergoing lobectomy for cN0 disease. The high number of lymph nodes harvested during robotic surgery and, consequently, the more accurate pathologic staging allow the correct delivery of adjuvant therapies to patients. While several studies demonstrated comparable nodal upstaging in robotic and thoracotomic lobectomies, results are still unclear regarding nodal upstaging in VATS vs. robotic surgery. Further multi-center prospective studies are required to assess the potential long-term oncological superiority of robotic lobectomy for the treatment of early-stage NSCLC.","PeriodicalId":42086,"journal":{"name":"Video-Assisted Thoracic Surgery","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2020-02-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44734963","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-01-09DOI: 10.21037/VATS-2019-MIE-03
T. Grenda, Jules Lin, A. Chang, R. Reddy
While traditionally performed through an open approach, the role of minimally invasive technologies has evolved in its application to esophageal resection. Esophagectomy is associated with significant morbidity, which has led to interest in developing minimally invasive esophagectomy (e.g., laparoscopic/thoracoscopic approaches) to address this issue. As a result, the role of minimally invasive approaches for esophageal resection has evolved, with a growing body of literature describing these techniques. Minimally invasive approaches have been applied to transhiatal esophagectomy, with application of both laparoscopic and robotic-assisted techniques. Although minimally invasive esophagectomy approaches are well-described in the literature for esophageal malignancies, the efficacy of robotic-assisted esophagectomy is not as well established. Since the initial reports of this application, the adoption of this technology for esophagectomy has continued to expand. As the role for robotic techniques has expanded across esophageal resection approaches, a more defined application to minimally invasive transhiatal esophagectomy (MI-THE) has developed. Our group has sought to adapt laparoscopic and robotic techniques to the transhiatal approach for both malignant and end-stage benign esophageal disease. With growing MI-THE experience, operative technique has been further refined. This report describes the operative technique and best practices for robotic-assisted transhiatal esophagectomy with cervical esophagogastric anastomosis, including preoperative preparation, operative technique, postoperative care, and perioperative outcomes.
{"title":"Minimally invasive transhiatal esophagectomy","authors":"T. Grenda, Jules Lin, A. Chang, R. Reddy","doi":"10.21037/VATS-2019-MIE-03","DOIUrl":"https://doi.org/10.21037/VATS-2019-MIE-03","url":null,"abstract":"While traditionally performed through an open approach, the role of minimally invasive technologies has evolved in its application to esophageal resection. Esophagectomy is associated with significant morbidity, which has led to interest in developing minimally invasive esophagectomy (e.g., laparoscopic/thoracoscopic approaches) to address this issue. As a result, the role of minimally invasive approaches for esophageal resection has evolved, with a growing body of literature describing these techniques. Minimally invasive approaches have been applied to transhiatal esophagectomy, with application of both laparoscopic and robotic-assisted techniques. Although minimally invasive esophagectomy approaches are well-described in the literature for esophageal malignancies, the efficacy of robotic-assisted esophagectomy is not as well established. Since the initial reports of this application, the adoption of this technology for esophagectomy has continued to expand. As the role for robotic techniques has expanded across esophageal resection approaches, a more defined application to minimally invasive transhiatal esophagectomy (MI-THE) has developed. Our group has sought to adapt laparoscopic and robotic techniques to the transhiatal approach for both malignant and end-stage benign esophageal disease. With growing MI-THE experience, operative technique has been further refined. This report describes the operative technique and best practices for robotic-assisted transhiatal esophagectomy with cervical esophagogastric anastomosis, including preoperative preparation, operative technique, postoperative care, and perioperative outcomes.","PeriodicalId":42086,"journal":{"name":"Video-Assisted Thoracic Surgery","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2020-01-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46460424","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-12-01DOI: 10.21037/vats.2019.10.01
{"title":"Application of the CARE guideline as reporting standard in the Video-Assisted Thoracic Surgery","authors":"","doi":"10.21037/vats.2019.10.01","DOIUrl":"https://doi.org/10.21037/vats.2019.10.01","url":null,"abstract":"","PeriodicalId":42086,"journal":{"name":"Video-Assisted Thoracic Surgery","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2019-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46819631","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-11-04DOI: 10.21037/VATS.2019.04.01
B. Bédat, Sandrine Dackam, Amaia Ojanguren, W. Karenovics
Lobectomy by video-assisted thoracic surgery (VATS) is now considered as a standard in the treatment of early-stage lung cancer with equivalent oncologic outcome as open lobectomy (1). Consequently, the widespread practice of thoracoscopic procedures pushed surgeons to perform more extended and complex resections. The feasibility of pulmonary segmentectomy, pneumonectomy, sleeve or carinal resections by VATS has been demonstrated in expert centers (2-4). However, the clinical and oncologic safety of such procedures has yet to be established.
{"title":"Near-infrared imaging for complex thoracoscopic resections","authors":"B. Bédat, Sandrine Dackam, Amaia Ojanguren, W. Karenovics","doi":"10.21037/VATS.2019.04.01","DOIUrl":"https://doi.org/10.21037/VATS.2019.04.01","url":null,"abstract":"Lobectomy by video-assisted thoracic surgery (VATS) is now considered as a standard in the treatment of early-stage lung cancer with equivalent oncologic outcome as open lobectomy (1). Consequently, the widespread practice of thoracoscopic procedures pushed surgeons to perform more extended and complex resections. The feasibility of pulmonary segmentectomy, pneumonectomy, sleeve or carinal resections by VATS has been demonstrated in expert centers (2-4). However, the clinical and oncologic safety of such procedures has yet to be established.","PeriodicalId":42086,"journal":{"name":"Video-Assisted Thoracic Surgery","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2019-11-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.21037/VATS.2019.04.01","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43307610","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-09-17DOI: 10.21037/vats.2019.09.01
M. Taylor, Vijay Josh
The use of near infra-red fluorescence mapping with indocyanine green (ICG) in thoracic surgery for identification of nodules and visualisation of anatomical segmental margins is a contemporary solution to the problem of determining anatomical boundaries in sub-lobar resection.
{"title":"The use of near infra-red fluorescence mapping with indocyanine green in thoracic surgery: an exciting real-world clinical application of an established scientific principle","authors":"M. Taylor, Vijay Josh","doi":"10.21037/vats.2019.09.01","DOIUrl":"https://doi.org/10.21037/vats.2019.09.01","url":null,"abstract":"The use of near infra-red fluorescence mapping with indocyanine green (ICG) in thoracic surgery for identification of nodules and visualisation of anatomical segmental margins is a contemporary solution to the problem of determining anatomical boundaries in sub-lobar resection.","PeriodicalId":42086,"journal":{"name":"Video-Assisted Thoracic Surgery","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2019-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.21037/vats.2019.09.01","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48842779","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-09-09DOI: 10.21037/vats.2019.08.03
Chao-Chun Chang, W. Lai, Y. Tseng, Y. Yen
Background: Division of inferior pulmonary ligament (IPL) after upper lobectomy was reported to prevent air leak. The research purpose is to investigate whether division of IPL for primary spontaneous pneumothorax (PSP) would decrease air leak and recurrence. Methods: Between 2013/10 and 2015/9, all the patients younger than 30 years old in our institution undergoing video-assisted thoracoscopic surgery (VATS) for PSP were included in this study. Patient with odd chart number underwent division of IPL in addition to VATS wedge resection and pleurodesis for PSP, whereas patients with even chart number underwent VATS wedge resection and pleurodesis without division of IPL. The patient’s age, gender, operative time, and recurrence were all recorded. Chest plain films were taken on the postoperative day 1 (POD1), postoperative day 7 (POD7), and two months after discharge to observe residual pleural space. Results: A total of 110 patients were included in this study. The IPL was divided in 51 patients (rIPL group), and preserved in the other 59 patients (control group). The operative time increased in rIPL group slightly without significant difference (rIPL 81.1 verse control 88.4 minutes, P=0.539). The residual pleural space on the follow-up chest X-ray did not differ between these two groups. They both had similar chest tube drainage days (rIPL 2.7 days versus control 3.1 days, P=0.393). During the follow-up period, one patient in rIPL group (2.0%) and three patients (5.1%) in control group had recurrent pneumothorax (P=0.622). Conclusions: Division of IPL for PSP did not provide clinical benefit of reduction air leak or recurrence rate.
{"title":"Division of inferior pulmonary ligament did not impact on the postoperative recovery or recurrence in patients undergoing video-assisted thoracoscopic surgery for primary spontaneous pneumothorax","authors":"Chao-Chun Chang, W. Lai, Y. Tseng, Y. Yen","doi":"10.21037/vats.2019.08.03","DOIUrl":"https://doi.org/10.21037/vats.2019.08.03","url":null,"abstract":"Background: Division of inferior pulmonary ligament (IPL) after upper lobectomy was reported to prevent air leak. The research purpose is to investigate whether division of IPL for primary spontaneous pneumothorax (PSP) would decrease air leak and recurrence. \u0000 Methods: Between 2013/10 and 2015/9, all the patients younger than 30 years old in our institution undergoing video-assisted thoracoscopic surgery (VATS) for PSP were included in this study. Patient with odd chart number underwent division of IPL in addition to VATS wedge resection and pleurodesis for PSP, whereas patients with even chart number underwent VATS wedge resection and pleurodesis without division of IPL. The patient’s age, gender, operative time, and recurrence were all recorded. Chest plain films were taken on the postoperative day 1 (POD1), postoperative day 7 (POD7), and two months after discharge to observe residual pleural space. \u0000 Results: A total of 110 patients were included in this study. The IPL was divided in 51 patients (rIPL group), and preserved in the other 59 patients (control group). The operative time increased in rIPL group slightly without significant difference (rIPL 81.1 verse control 88.4 minutes, P=0.539). The residual pleural space on the follow-up chest X-ray did not differ between these two groups. They both had similar chest tube drainage days (rIPL 2.7 days versus control 3.1 days, P=0.393). During the follow-up period, one patient in rIPL group (2.0%) and three patients (5.1%) in control group had recurrent pneumothorax (P=0.622). \u0000 Conclusions: Division of IPL for PSP did not provide clinical benefit of reduction air leak or recurrence rate.","PeriodicalId":42086,"journal":{"name":"Video-Assisted Thoracic Surgery","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2019-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.21037/vats.2019.08.03","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42763444","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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