Feasibility of transumbilical anatomic “Lung” segmentectomy in a canine model
Summary: Background: Transumbilical approach has been shown to be feasible to perform lung wedge resection and anatomic lobectomy. This study uses a canine model to assess the feasibility of transumbilical segmentectomy. Methods: Transumbilical segmentectomy was performed in 10 beagle dogs using a...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2019-04-01
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| Series: | Asian Journal of Surgery |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S1015958418304913 |
| _version_ | 1828422938158694400 |
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| author | Ming-Ju Hsieh Yen Chu Yi-Cheng Wu Chien-Ying Liu Chi-Ju Yeh Yun-Hen Liu Che-Chia Chang |
| author_facet | Ming-Ju Hsieh Yen Chu Yi-Cheng Wu Chien-Ying Liu Chi-Ju Yeh Yun-Hen Liu Che-Chia Chang |
| author_sort | Ming-Ju Hsieh |
| collection | DOAJ |
| description | Summary: Background: Transumbilical approach has been shown to be feasible to perform lung wedge resection and anatomic lobectomy. This study uses a canine model to assess the feasibility of transumbilical segmentectomy. Methods: Transumbilical segmentectomy was performed in 10 beagle dogs using a 3-cm umbilical incision combined with a 2.5-cm diaphragmatic incision. We evaluated the surgical outcomes, operative complications, physiologic changes, hemodynamic changes, and inflammatory changes of the procedures. Results: Transumbilical segmentectomy was successfully completed in eight of ten animals. There was one mortality complication related to lung injury causing hemodynamic collapse. Another animal required conventional thoracotomy to complete the surgery due to limited working space. There were no notable events in the postoperative period for all eight dogs that completed the segmentectomy via the transumbilical approach. Conclusion: This animal study demonstrates that the pulmonary segmentectomy can be performed with current standard endoscopic instruments via a single transumbilical incision.We believe that advancing surgical innovation and good collaboration between multi-disciplinary research teams will further establish clearer roles for transumbilical segmentectomy in thoracic surgery. Keywords: Animal study, Transumbilical lung segmentectomy, Video assisted thoracic surgery |
| first_indexed | 2024-12-10T15:55:07Z |
| format | Article |
| id | doaj.art-127e34579d5f48e4ad281ac69106de2b |
| institution | Directory Open Access Journal |
| issn | 1015-9584 |
| language | English |
| last_indexed | 2024-12-10T15:55:07Z |
| publishDate | 2019-04-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Asian Journal of Surgery |
| spelling | doaj.art-127e34579d5f48e4ad281ac69106de2b2022-12-22T01:42:41ZengElsevierAsian Journal of Surgery1015-95842019-04-01424535542Feasibility of transumbilical anatomic “Lung” segmentectomy in a canine modelMing-Ju Hsieh0Yen Chu1Yi-Cheng Wu2Chien-Ying Liu3Chi-Ju Yeh4Yun-Hen Liu5Che-Chia Chang6Department of Thoracic Surgery, Chang Gung Memorial Hospital, Chang Gung University, Linko, TaiwanDepartment of Thoracic Surgery, Chang Gung Memorial Hospital, Chang Gung University, Linko, TaiwanDepartment of Thoracic Surgery, Chang Gung Memorial Hospital, Chang Gung University, Linko, TaiwanDepartment of Thoracic Medicine, Chang Gung Memorial Hospital, Chang Gung University, Linko, TaiwanDepartment of Pathology, Chang Gung Memorial Hospital, Chang Gung University, Linko, TaiwanDepartment of Thoracic Surgery, Chang Gung Memorial Hospital, Chang Gung University, Linko, Taiwan; Corresponding author. Department of Thoracic Surgery, Chang Gung Memorial Hospital,Chang Gung University, 5 Fushing Street, Gueishan Shiang, Taoyuan, 333, Taiwan, ROC. Fax: +886 3 3285818.Department of Thoracic Surgery, Chang Gung Memorial Hospital, Chang Gung University, Linko, TaiwanSummary: Background: Transumbilical approach has been shown to be feasible to perform lung wedge resection and anatomic lobectomy. This study uses a canine model to assess the feasibility of transumbilical segmentectomy. Methods: Transumbilical segmentectomy was performed in 10 beagle dogs using a 3-cm umbilical incision combined with a 2.5-cm diaphragmatic incision. We evaluated the surgical outcomes, operative complications, physiologic changes, hemodynamic changes, and inflammatory changes of the procedures. Results: Transumbilical segmentectomy was successfully completed in eight of ten animals. There was one mortality complication related to lung injury causing hemodynamic collapse. Another animal required conventional thoracotomy to complete the surgery due to limited working space. There were no notable events in the postoperative period for all eight dogs that completed the segmentectomy via the transumbilical approach. Conclusion: This animal study demonstrates that the pulmonary segmentectomy can be performed with current standard endoscopic instruments via a single transumbilical incision.We believe that advancing surgical innovation and good collaboration between multi-disciplinary research teams will further establish clearer roles for transumbilical segmentectomy in thoracic surgery. Keywords: Animal study, Transumbilical lung segmentectomy, Video assisted thoracic surgeryhttp://www.sciencedirect.com/science/article/pii/S1015958418304913 |
| spellingShingle | Ming-Ju Hsieh Yen Chu Yi-Cheng Wu Chien-Ying Liu Chi-Ju Yeh Yun-Hen Liu Che-Chia Chang Feasibility of transumbilical anatomic “Lung” segmentectomy in a canine model Asian Journal of Surgery |
| title | Feasibility of transumbilical anatomic “Lung” segmentectomy in a canine model |
| title_full | Feasibility of transumbilical anatomic “Lung” segmentectomy in a canine model |
| title_fullStr | Feasibility of transumbilical anatomic “Lung” segmentectomy in a canine model |
| title_full_unstemmed | Feasibility of transumbilical anatomic “Lung” segmentectomy in a canine model |
| title_short | Feasibility of transumbilical anatomic “Lung” segmentectomy in a canine model |
| title_sort | feasibility of transumbilical anatomic lung segmentectomy in a canine model |
| url | http://www.sciencedirect.com/science/article/pii/S1015958418304913 |
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