Anatomic (typic) full videothoracoscopic lung segmentectomy

Summary Objective: The aim of the study is to access our experience and results in full thoracoscopic anatomical (typic) segmentectomy for peripheral lung formation in oldier patients with concomitant deseases. Material and methods: We perform 12 full thoracoscopic anatomical segmentectomies with systematic lymphadenectomy in 2009-2010. All patients was 60-81 years old, nine from twelve were with heavy concomitant deseases. Results: Operation  median time 108 min. (65-150), blood loss 246 ml(0-500), drain exposition – 3,8 days (1-6), hospital stay 7,7 days (5-12). Removed speciments histological structure was lung adenocarcinoma-4 patients (3-T1N0M0, 1-T1N1M0), lung carcinoma planocellulare T1NOMO – 2, lung metastasis (breast cancer) -1 and 4 - benign lesions (tuberculoma – 2, granuloma, inflame pseudotumor). We had no complications. Conclusions : Full thoracoscopic anatomical segmenrectomy is safe and perspective treatment method in oldier patients with heavy concomitant patology. The blood loss, drain exposition and hospital stay was the same as after open surgery, but rehabilitation was faster and earlier, pain and inflame reactions was less after thoracoscopic procedure. Full thoracoscopic anatomical segmentectomy do not contradict rules of oncology, because it is perform anatomically with systematic lymphadenectomy.