Open versus Thoracoscopic RFA-Assisted Lung Resection

The purpose of this study was to evaluate Radio Frequency Ablation (RFA)-assisted lung parenchymal transection through thoracotomy and thoracoscopy. Twelve domestic pigs underwent RFA-assisted lingulectomy: six through thoracotomy (group A), and six with thoracoscopy (group B). There was no mortalit...

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Main Authors: Anna Poupalou, Michael Kontos, Evangelos Felekouras, Apostolos Papalois, Nikolaos Kavantzas, George Agrogiannis, Fatima Yagoubi, Periklis Tomos
Format: Article
Language:English
Published: Taylor & Francis Group 2017-11-01
Series:Journal of Investigative Surgery
Subjects:
Online Access:http://dx.doi.org/10.1080/08941939.2016.1240272
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author Anna Poupalou
Michael Kontos
Evangelos Felekouras
Apostolos Papalois
Nikolaos Kavantzas
George Agrogiannis
Fatima Yagoubi
Periklis Tomos
author_facet Anna Poupalou
Michael Kontos
Evangelos Felekouras
Apostolos Papalois
Nikolaos Kavantzas
George Agrogiannis
Fatima Yagoubi
Periklis Tomos
author_sort Anna Poupalou
collection DOAJ
description The purpose of this study was to evaluate Radio Frequency Ablation (RFA)-assisted lung parenchymal transection through thoracotomy and thoracoscopy. Twelve domestic pigs underwent RFA-assisted lingulectomy: six through thoracotomy (group A), and six with thoracoscopy (group B). There was no mortality, no bleeding, or air leak intra- or postoperatively in either of the groups, and no conversion to open thoracotomy in group B. Group A had longer operating period and more pleural adhesions. A barotrauma, a skin burn, and a localized infection were observed in this group. Histopathology confirmed a sharply demarcated area of coagulation necrosis without damage to adjacent structures. RFA-assisted lung resection through thoracotomy bears the inherent problems of an open approach, and the use of RFA device does not add to morbidity. The thoracoscopic use of RFA probe by experienced surgeons is considered safe, maintaining the advantages of key-hole surgery.
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spelling doaj.art-a7c86d3043d04791be2a1b8bc9898f3e2023-09-15T10:12:26ZengTaylor & Francis GroupJournal of Investigative Surgery0894-19391521-05532017-11-0130640340910.1080/08941939.2016.12402721240272Open versus Thoracoscopic RFA-Assisted Lung ResectionAnna Poupalou0Michael Kontos1Evangelos Felekouras2Apostolos Papalois3Nikolaos Kavantzas4George Agrogiannis5Fatima Yagoubi6Periklis Tomos7Hopital Universitaire Des Enfants Reine Fabiola (IRIS Group), CHU St PierreUniversity of AthensUniversity of AthensELPEN PharmaUniversity of AthensUniversity of AthensUniversity Hospital for ChildrenUniversity of AthensThe purpose of this study was to evaluate Radio Frequency Ablation (RFA)-assisted lung parenchymal transection through thoracotomy and thoracoscopy. Twelve domestic pigs underwent RFA-assisted lingulectomy: six through thoracotomy (group A), and six with thoracoscopy (group B). There was no mortality, no bleeding, or air leak intra- or postoperatively in either of the groups, and no conversion to open thoracotomy in group B. Group A had longer operating period and more pleural adhesions. A barotrauma, a skin burn, and a localized infection were observed in this group. Histopathology confirmed a sharply demarcated area of coagulation necrosis without damage to adjacent structures. RFA-assisted lung resection through thoracotomy bears the inherent problems of an open approach, and the use of RFA device does not add to morbidity. The thoracoscopic use of RFA probe by experienced surgeons is considered safe, maintaining the advantages of key-hole surgery.http://dx.doi.org/10.1080/08941939.2016.1240272radio frequencythoracoscopylung resectionthoracotomyexperimentalpigsvatslobectomy
spellingShingle Anna Poupalou
Michael Kontos
Evangelos Felekouras
Apostolos Papalois
Nikolaos Kavantzas
George Agrogiannis
Fatima Yagoubi
Periklis Tomos
Open versus Thoracoscopic RFA-Assisted Lung Resection
Journal of Investigative Surgery
radio frequency
thoracoscopy
lung resection
thoracotomy
experimental
pigs
vats
lobectomy
title Open versus Thoracoscopic RFA-Assisted Lung Resection
title_full Open versus Thoracoscopic RFA-Assisted Lung Resection
title_fullStr Open versus Thoracoscopic RFA-Assisted Lung Resection
title_full_unstemmed Open versus Thoracoscopic RFA-Assisted Lung Resection
title_short Open versus Thoracoscopic RFA-Assisted Lung Resection
title_sort open versus thoracoscopic rfa assisted lung resection
topic radio frequency
thoracoscopy
lung resection
thoracotomy
experimental
pigs
vats
lobectomy
url http://dx.doi.org/10.1080/08941939.2016.1240272
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AT apostolospapalois openversusthoracoscopicrfaassistedlungresection
AT nikolaoskavantzas openversusthoracoscopicrfaassistedlungresection
AT georgeagrogiannis openversusthoracoscopicrfaassistedlungresection
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