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J Thorac Cardiovasc Surg 1996;111:954-960
© 1996 Mosby, Inc.
GENERAL THORACIC SURGERY |
From the Divisions of Thoracic Surgery, Memorial Sloan-Kettering Cancer Center, New York, N.Y., and New England Deaconess Hospital, Boston, Mass.
Received for publication March 24, 1995. Accepted for publication June 12, 1995. Address for reprints: Robert J. Downey, MD, Division of Thoracic Surgery, Memorial Sloan-Kettering Cancer Center, 1275 York Ave., New York, NY 10021.
Abstract
Video-assisted thoracic surgical techniques are widely used for biopsy and resection of thoracic tumors, but studies of long-term outcomes have not been reported. Dissemination of tumor by these techniques is a potential hazard. Therefore we surveyed the surgical members of the Video-Assisted Thoracic Surgery Study Group to determine whether tumor implants thought to be directly related to video-assisted techniques had occurred. Surgeons reported 21 cases. The sites of recurrence were the incision (n = 14), pulmonary staple line (n = 2), pleura (n = 2), both staple line and incision (n = 1), both pleura and incision (n = 1), and both pleura and staple line (n = 1). Review of these cases illustrates the pitfalls of present video-assisted techniques for malignant tumors of the thorax. (J THORACCARDIOVASCSURG1996;111:954-60)
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