The Journal of the Japanese Association for Chest Surgery
Online ISSN : 1881-4158
Print ISSN : 0919-0945
ISSN-L : 0919-0945
Factors affecting operative time of right upper lobectomy using video-assisted thoracic surgery
Hiromitsu TakizawaMitsuhiro TsuboiKoichiro KajiuraHiroaki TobaYasushi NakagawaYukikiyo KawakamiMitsuteru YoshidaShoji SakiyamaKazuya KondoAkira Tangoku
Author information
JOURNAL FREE ACCESS

2016 Volume 30 Issue 1 Pages 2-7

Details
Abstract
The objective of this study was to evaluate risk factors which extend the operative time of VATS right upper lobectomy. We retrospectively analyzed videos of 30 patients with lung cancer who received VATS right upper lobectomy and lymphadenectomy. We measured the time necessary for right upper lobectomy and lymphadenectomy of the upper mediastinum. The average time for right upper lobectomy was 91 minutes (37-87 minutes), and the average time for lymphadenectomy of the upper mediastinum was 26 minutes (13-65 minutes). On univariate analysis, risk factors leading to a longer operative time for right upper lobectomy were an incomplete fissure between upper and middle lobes (p=0.001), an incomplete fissure between upper and middle lobes (p=0.007), and less extensive experience of the surgeon (p=0.002). On multivariate analysis, a risk factor leading to a longer operative time for right upper lobectomy was an incomplete fissure between upper and middle lobes (p=0.02). On univariate analysis, risk factors leading to a longer operative time for lymphadenectomy of the upper mediastinum were a younger age (p=0.01), a greater vital capacity (p=0.007), and less extensive experience of the surgeon (p=0.05). On multivariate analysis, risk factors leading to a longer operative time for lymphadenectomy of the upper mediastinum were a younger age (p=0.04) and less extensive experience of the surgeon (p=0.02). It is considered that the improvement of approach techniques for patients with an incomplete fissure between upper and middle lobes and skills training for surgeons can reduce the operative time for VATS right upper lobectomy and lymphadenectomy.
Content from these authors
© 2016 The Japanese Association for Chest Surgery
Previous article Next article
feedback
Top