PMID- 23661910
OWN - NLM
STAT- PubMed-not-MEDLINE
DCOM- 20130513
LR  - 20211021
IS  - 0970-2113 (Print)
IS  - 0974-598X (Electronic)
IS  - 0970-2113 (Linking)
VI  - 30
IP  - 1
DP  - 2013 Jan
TI  - The role of VATS in the staging of non small cell lung cancer.
PG  - 12-5
LID - 10.4103/0970-2113.106120 [doi]
AB  - INTRODUCTION: Since determining of prognosis and treatment method is related to 
      accurate evaluation of TNM staging of non small cell lung cancer (NSCLC), we 
      aimed to evaluate the role of Video-assisted thoracic surgery (VATS) in staging 
      of NSCLC. MATERIALS AND METHODS: This study was performed on 40 patients with 
      NSCLC who had undergone preoperative staging and were candidate for curative 
      surgery between 2008-2010. They underwent VATS immediately before the surgery. 
      After performing VATS, the patients underwent thoracotomy by posterolateral 
      incision unless any criteria of inoperability were present. Diagnostic accuracy 
      of VATS for confirmation or modification of preoperative staging was evaluated. 
      RESULTS: M/F ratio was 21/19. Mean age of the patients was 57.2 +/- 16.64 yrs. The 
      most common symptom was coughing in 90% of patients. 72.5% of the patients had 
      endobronchial mass and only for 27.5% tissue sample was obtained by transthoracic 
      needle biopsy (TTNB) method. After performing VATS, 6 patients were excluded from 
      surgery (3 cases (7.5%) due to seeding plural metastasis, 2 cases (5%) due to N2 
      involvement and one case (2.5%) due to satellite lesion in other lobes). Other 34 
      patients underwent surgery. Surgical resection was performed successfully in 31 
      cases (77.5%), but in 3 cases (7.5%) due to adhesion to hillum of the lung tumor 
      was not resectable. According to the above results, VATS diagnosing accuracy was 
      92.5%. CONCLUSION: VATS can help to determine TNM staging and prevent unnecessary 
      thoracotomy in some patients and we recommend this method for accurate staging of 
      NSCLC.
FAU - Bagheri, Reza
AU  - Bagheri R
AD  - Department of Thoracic Surgery, Cardiothoracic Surgery and Transplant Research 
      Center, Imam Reza Hospital, Mashhad, Iran.
FAU - Tavassoli, Alireza
AU  - Tavassoli A
FAU - Haghi, Seyed Ziaollah
AU  - Haghi SZ
FAU - Sahebi, Mehdi Abasi
AU  - Sahebi MA
FAU - Bigdeli, Noora
AU  - Bigdeli N
LA  - eng
PT  - Journal Article
PL  - India
TA  - Lung India
JT  - Lung India : official organ of Indian Chest Society
JID - 8405380
PMC - PMC3644826
OTO - NOTNLM
OT  - Diagnostic accuracy
OT  - TNM staging
OT  - video-assisted thoracic surgery
COIS- Conflict of Interest: None declared
EDAT- 2013/05/11 06:00
MHDA- 2013/05/11 06:01
PMCR- 2013/01/01
CRDT- 2013/05/11 06:00
PHST- 2013/05/11 06:00 [entrez]
PHST- 2013/05/11 06:00 [pubmed]
PHST- 2013/05/11 06:01 [medline]
PHST- 2013/01/01 00:00 [pmc-release]
AID - LI-30-12 [pii]
AID - 10.4103/0970-2113.106120 [doi]
PST - ppublish
SO  - Lung India. 2013 Jan;30(1):12-5. doi: 10.4103/0970-2113.106120.