176P - Feasiblity of endoscopic transumbilical anatomic lobectomy in a canine model

Date 17 April 2015
Event ELCC 2015
Session Poster lunch
Topics Basic Science
Lung and other Thoracic Tumours
Surgery and/or Radiotherapy of Cancer
Presenter Yun-Hen Liu
Citation Annals of Oncology (2015) 26 (suppl_1): 51-54. 10.1093/annonc/mdv053
Authors Y. Liu
  • Department Of Surgery, Chang Gung Memorial Hospital-Taipei, 333 - Taipei/TW

Abstract

Aim/Background

Transthoracic thoracoscopic anatomic lobectomy with lymph node dissection is the standard surgical treatment for early stage lung cancer. However, chronic wound discomfort still remains a distinct clinical problem. This study aims to evaluate the feasibility and outcome of transumbilical anatomic lobectomy.

Methods

Under general anesthesia, a 3 cm longitudinal incision was made over the umbilicus. Under video guidance, a bronchoscope was inserted through the incision for exploration. The diaphragmatic wound was created with an electrocautery knife, and used as the entrance into the thoracic cavity. Using the transumbilical technique, anatomic lobectomy was performed with electrosurgical devices and the endoscopic vascular staplers in 15 canines.

Results

Transumbilical endoscopic anatomic lobectomy was successfully completed hilum dissection, where one of them was sacrificed due to hemodynamic instability and the other two animals required thoracotomy to complete the operation. There were five delayed bleeding and surgical mortality caused by inadequate vessel sealing using an electrosurgical devices. Postmortem examination confirmed correct transumbilical lobectomy in the twelve animals that survived the operations.

Conclusions

Transumbilical anatomotic lobectomy is technically feasible in a canine model. However, the electrosurgical devices were not effective in sealing the pulmonary vessel in the current canine model.

Disclosure

The author has declared no conflicts of interest.