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Lung Resection Using Transumbilical Incision: An Animal Survival Study
INTRODUCTION: Transumbilical single-port surgery is a potentially less invasive approach to many types of abdominal surgeries and offers better cosmetic outcomes than conventional 3-port laparoscopic surgery. It avoids the complication of intercostal neuralgia and may reduce the risk of pulmonary co...
Autores principales: | , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Society of Laparoendoscopic Surgeons
2015
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4370034/ https://www.ncbi.nlm.nih.gov/pubmed/25848173 http://dx.doi.org/10.4293/JSLS.2013.00285 |
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author | Yin, Shun-Ying Yen-Chu, Wu, Yi-Cheng Liu, Chien-Ying Hsieh, Ming-Ju Yuan, Hsu-Chia Ko, Po-Jen Liu, Yun-Hen |
author_facet | Yin, Shun-Ying Yen-Chu, Wu, Yi-Cheng Liu, Chien-Ying Hsieh, Ming-Ju Yuan, Hsu-Chia Ko, Po-Jen Liu, Yun-Hen |
author_sort | Yin, Shun-Ying |
collection | PubMed |
description | INTRODUCTION: Transumbilical single-port surgery is a potentially less invasive approach to many types of abdominal surgeries and offers better cosmetic outcomes than conventional 3-port laparoscopic surgery. It avoids the complication of intercostal neuralgia and may reduce the risk of pulmonary complications after video-assisted thoracic surgery. This study evaluated the feasibility of transumbilical lung wedge resection. METHODS: Lung resection was performed in 11 beagle dogs weighing 5.9 to 8.5 kg. A 3-cm umbilical incision and one diaphragmatic incision were made, and an endoscopic stapler was used. The diaphragmatic incisions were repaired under video guidance using a V-Loc knotless suturing device (Covidien, Mansfield, Massachusetts). Animals were monitored daily for signs of postoperative infection. White blood cell count, C-reactive protein level, and IL-6 level were measured in all animals. Animals were euthanized 14 days after surgery and underwent necropsy evaluation. RESULTS: Accurate lung resection was achieved in 10 of 11 animals during a median operative time of 98 minutes (range 60–165). In 1 animal, transumbilical lung resection was not possible and was converted to thoracotomy. All animals survived without major postoperative complications. At necropsy, evidence of uneventful healing of the stapled resection margin and diaphragmatic wound were found. There was no evidence of vital organ injury or intrathoracic infection. CONCLUSION: A transumbilical approach to thoracic cavity exploration and stapled lung resection is technically feasible. Primary suturing of the diaphragmatic incision is a simple and effective means of diaphragmatic wound closure. This may be an alternative to video-assisted thoracic surgery for the management of simple thoracic disease. |
format | Online Article Text |
id | pubmed-4370034 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2015 |
publisher | Society of Laparoendoscopic Surgeons |
record_format | MEDLINE/PubMed |
spelling | pubmed-43700342015-04-06 Lung Resection Using Transumbilical Incision: An Animal Survival Study Yin, Shun-Ying Yen-Chu, Wu, Yi-Cheng Liu, Chien-Ying Hsieh, Ming-Ju Yuan, Hsu-Chia Ko, Po-Jen Liu, Yun-Hen JSLS Scientific Papers INTRODUCTION: Transumbilical single-port surgery is a potentially less invasive approach to many types of abdominal surgeries and offers better cosmetic outcomes than conventional 3-port laparoscopic surgery. It avoids the complication of intercostal neuralgia and may reduce the risk of pulmonary complications after video-assisted thoracic surgery. This study evaluated the feasibility of transumbilical lung wedge resection. METHODS: Lung resection was performed in 11 beagle dogs weighing 5.9 to 8.5 kg. A 3-cm umbilical incision and one diaphragmatic incision were made, and an endoscopic stapler was used. The diaphragmatic incisions were repaired under video guidance using a V-Loc knotless suturing device (Covidien, Mansfield, Massachusetts). Animals were monitored daily for signs of postoperative infection. White blood cell count, C-reactive protein level, and IL-6 level were measured in all animals. Animals were euthanized 14 days after surgery and underwent necropsy evaluation. RESULTS: Accurate lung resection was achieved in 10 of 11 animals during a median operative time of 98 minutes (range 60–165). In 1 animal, transumbilical lung resection was not possible and was converted to thoracotomy. All animals survived without major postoperative complications. At necropsy, evidence of uneventful healing of the stapled resection margin and diaphragmatic wound were found. There was no evidence of vital organ injury or intrathoracic infection. CONCLUSION: A transumbilical approach to thoracic cavity exploration and stapled lung resection is technically feasible. Primary suturing of the diaphragmatic incision is a simple and effective means of diaphragmatic wound closure. This may be an alternative to video-assisted thoracic surgery for the management of simple thoracic disease. Society of Laparoendoscopic Surgeons 2015 /pmc/articles/PMC4370034/ /pubmed/25848173 http://dx.doi.org/10.4293/JSLS.2013.00285 Text en © 2015 by JSLS, Journal of the Society of Laparoendoscopic Surgeons. This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial No Derivatives License (http://creativecommons.org/licenses/by-nc-nd/3.0/us/), which permits for noncommercial use, distribution, and reproduction in any medium, provided the original work is properly cited and is not altered in any way. |
spellingShingle | Scientific Papers Yin, Shun-Ying Yen-Chu, Wu, Yi-Cheng Liu, Chien-Ying Hsieh, Ming-Ju Yuan, Hsu-Chia Ko, Po-Jen Liu, Yun-Hen Lung Resection Using Transumbilical Incision: An Animal Survival Study |
title | Lung Resection Using Transumbilical Incision: An Animal Survival Study |
title_full | Lung Resection Using Transumbilical Incision: An Animal Survival Study |
title_fullStr | Lung Resection Using Transumbilical Incision: An Animal Survival Study |
title_full_unstemmed | Lung Resection Using Transumbilical Incision: An Animal Survival Study |
title_short | Lung Resection Using Transumbilical Incision: An Animal Survival Study |
title_sort | lung resection using transumbilical incision: an animal survival study |
topic | Scientific Papers |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4370034/ https://www.ncbi.nlm.nih.gov/pubmed/25848173 http://dx.doi.org/10.4293/JSLS.2013.00285 |
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