Incidence of incisional recurrence after thoracoscopy
Incisional recurrence after thoracoscopic surgery has been reported infrequently. In recent years, several reports of port-site recurrence after laparoscopic oncologic procedures have been published. This study evaluates the incidence of incisional recurrence among patients with intrathoracic malign...
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Veröffentlicht in: | Surgical endoscopy 2004-03, Vol.18 (3), p.540-542 |
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description | Incisional recurrence after thoracoscopic surgery has been reported infrequently. In recent years, several reports of port-site recurrence after laparoscopic oncologic procedures have been published. This study evaluates the incidence of incisional recurrence among patients with intrathoracic malignancy after diagnostic and therapeutic thoracoscopy.
The medical records of all patients with intrathoracic malignancies who underwent thoracoscopic procedures between 1992 and 1998 at Chang Gung Memorial Hospital Linkou Medical Center were reviewed. Information includes preoperative tumor status, thoracoscopic findings, primary tumor location, tumor pathology, procedures performed, and perioperative complications were recorded.
A total of 1,069 patients with known intrathoracic malignancies underwent thoracoscopy. The mean follow-up time was 17.1 months (range, 1-68 months). Two recurrences at the incision were identified (0.19%). Both patients with incision-site recurrence had advanced intrathoracic disease at the time of thoracoscopy. The one patient had a malignant pleural effusion (T4), and the other had diffuse pleural metastasis.
The incidence of incisional recurrence after thoracoscopic oncologic surgery is very low. When recurrence occurs at the incision, it is associated most commonly with advanced intrathoracic disease. Additional patients and a longer follow-up evaluation are required, however, to confirm this observation. |
doi_str_mv | 10.1007/s00464-003-8215-9 |
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The medical records of all patients with intrathoracic malignancies who underwent thoracoscopic procedures between 1992 and 1998 at Chang Gung Memorial Hospital Linkou Medical Center were reviewed. Information includes preoperative tumor status, thoracoscopic findings, primary tumor location, tumor pathology, procedures performed, and perioperative complications were recorded.
A total of 1,069 patients with known intrathoracic malignancies underwent thoracoscopy. The mean follow-up time was 17.1 months (range, 1-68 months). Two recurrences at the incision were identified (0.19%). Both patients with incision-site recurrence had advanced intrathoracic disease at the time of thoracoscopy. The one patient had a malignant pleural effusion (T4), and the other had diffuse pleural metastasis.
The incidence of incisional recurrence after thoracoscopic oncologic surgery is very low. When recurrence occurs at the incision, it is associated most commonly with advanced intrathoracic disease. Additional patients and a longer follow-up evaluation are required, however, to confirm this observation.</description><identifier>ISSN: 0930-2794</identifier><identifier>EISSN: 1432-2218</identifier><identifier>DOI: 10.1007/s00464-003-8215-9</identifier><identifier>PMID: 14716543</identifier><identifier>CODEN: SUREEX</identifier><language>eng</language><publisher>New York, NY: Springer</publisher><subject>Adolescent ; Adult ; Aged ; Aged, 80 and over ; Biological and medical sciences ; Biopsy ; Cancer ; Disease ; Disease Progression ; Female ; Follow-Up Studies ; General aspects ; Hospitals ; Humans ; Incidence ; Laparoscopy ; Lymphatic system ; Male ; Medical records ; Medical sciences ; Metastasis ; Middle Aged ; Neoplasm Recurrence, Local ; Ostomy ; Patients ; Recurrence ; Respiration Disorders - epidemiology ; Respiration Disorders - etiology ; Retrospective Studies ; Surgeons ; Surgical Wound Dehiscence - epidemiology ; Surgical Wound Infection - epidemiology ; Taiwan - epidemiology ; Thoracic Neoplasms - surgery ; Thoracic surgery ; Thoracoscopy</subject><ispartof>Surgical endoscopy, 2004-03, Vol.18 (3), p.540-542</ispartof><rights>2004 INIST-CNRS</rights><rights>Springer-Verlag 2004</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c354t-b6c5ddf420829eea3b0e7ea6cdf593cd45cecc3afb0ff4fa0ec45b726c4f1ad13</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=15727953$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/14716543$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>CHEN, T.-P</creatorcontrib><creatorcontrib>LIU, H.-P</creatorcontrib><creatorcontrib>LU, H.-I</creatorcontrib><creatorcontrib>HSIEH, M.-J</creatorcontrib><creatorcontrib>LIU, Y.-H</creatorcontrib><creatorcontrib>WU, Y.-C</creatorcontrib><title>Incidence of incisional recurrence after thoracoscopy</title><title>Surgical endoscopy</title><addtitle>Surg Endosc</addtitle><description>Incisional recurrence after thoracoscopic surgery has been reported infrequently. In recent years, several reports of port-site recurrence after laparoscopic oncologic procedures have been published. This study evaluates the incidence of incisional recurrence among patients with intrathoracic malignancy after diagnostic and therapeutic thoracoscopy.
The medical records of all patients with intrathoracic malignancies who underwent thoracoscopic procedures between 1992 and 1998 at Chang Gung Memorial Hospital Linkou Medical Center were reviewed. Information includes preoperative tumor status, thoracoscopic findings, primary tumor location, tumor pathology, procedures performed, and perioperative complications were recorded.
A total of 1,069 patients with known intrathoracic malignancies underwent thoracoscopy. The mean follow-up time was 17.1 months (range, 1-68 months). Two recurrences at the incision were identified (0.19%). Both patients with incision-site recurrence had advanced intrathoracic disease at the time of thoracoscopy. The one patient had a malignant pleural effusion (T4), and the other had diffuse pleural metastasis.
The incidence of incisional recurrence after thoracoscopic oncologic surgery is very low. When recurrence occurs at the incision, it is associated most commonly with advanced intrathoracic disease. Additional patients and a longer follow-up evaluation are required, however, to confirm this observation.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Biological and medical sciences</subject><subject>Biopsy</subject><subject>Cancer</subject><subject>Disease</subject><subject>Disease Progression</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>General aspects</subject><subject>Hospitals</subject><subject>Humans</subject><subject>Incidence</subject><subject>Laparoscopy</subject><subject>Lymphatic system</subject><subject>Male</subject><subject>Medical records</subject><subject>Medical sciences</subject><subject>Metastasis</subject><subject>Middle Aged</subject><subject>Neoplasm Recurrence, Local</subject><subject>Ostomy</subject><subject>Patients</subject><subject>Recurrence</subject><subject>Respiration Disorders - epidemiology</subject><subject>Respiration Disorders - etiology</subject><subject>Retrospective Studies</subject><subject>Surgeons</subject><subject>Surgical Wound Dehiscence - epidemiology</subject><subject>Surgical Wound Infection - epidemiology</subject><subject>Taiwan - epidemiology</subject><subject>Thoracic Neoplasms - surgery</subject><subject>Thoracic surgery</subject><subject>Thoracoscopy</subject><issn>0930-2794</issn><issn>1432-2218</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2004</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNpdkU1LxDAQhoMo7rr6A7xIEfRWzeSjbY6y-LGw4EXPIZ0m2KXbrEl78N-bdQsLnoZhnndgniHkGugDUFo-RkpFIXJKeV4xkLk6IXMQnOWMQXVK5lRxmrNSiRm5iHFDE65AnpMZiBIKKficyFWPbWN7tJl3WZua2PredFmwOIbwNzBusCEbvnww6CP63c8lOXOmi_Zqqgvy-fL8sXzL1--vq-XTOkcuxZDXBcqmcYLRiilrDa-pLa0psHFScWyERIvIjaupc8IZalHIumQFCgemAb4g94e9u-C_RxsHvW0j2q4zvfVj1CVUUqRjEnj7D9z4MaQ7omaghKgAqgTBAcLgYwzW6V1otyb8aKB6L1QfhOokVO-FapUyN9Pisd7a5piYDCbgbgJMRNO5YPYOj5ws0wMk579zqX5c</recordid><startdate>20040301</startdate><enddate>20040301</enddate><creator>CHEN, T.-P</creator><creator>LIU, H.-P</creator><creator>LU, H.-I</creator><creator>HSIEH, M.-J</creator><creator>LIU, Y.-H</creator><creator>WU, Y.-C</creator><general>Springer</general><general>Springer Nature B.V</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>7X8</scope></search><sort><creationdate>20040301</creationdate><title>Incidence of incisional recurrence after thoracoscopy</title><author>CHEN, T.-P ; LIU, H.-P ; LU, H.-I ; HSIEH, M.-J ; LIU, Y.-H ; WU, Y.-C</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c354t-b6c5ddf420829eea3b0e7ea6cdf593cd45cecc3afb0ff4fa0ec45b726c4f1ad13</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2004</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Biological and medical sciences</topic><topic>Biopsy</topic><topic>Cancer</topic><topic>Disease</topic><topic>Disease Progression</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>General aspects</topic><topic>Hospitals</topic><topic>Humans</topic><topic>Incidence</topic><topic>Laparoscopy</topic><topic>Lymphatic system</topic><topic>Male</topic><topic>Medical records</topic><topic>Medical sciences</topic><topic>Metastasis</topic><topic>Middle Aged</topic><topic>Neoplasm Recurrence, Local</topic><topic>Ostomy</topic><topic>Patients</topic><topic>Recurrence</topic><topic>Respiration Disorders - epidemiology</topic><topic>Respiration Disorders - etiology</topic><topic>Retrospective Studies</topic><topic>Surgeons</topic><topic>Surgical Wound Dehiscence - epidemiology</topic><topic>Surgical Wound Infection - epidemiology</topic><topic>Taiwan - epidemiology</topic><topic>Thoracic Neoplasms - surgery</topic><topic>Thoracic surgery</topic><topic>Thoracoscopy</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>CHEN, T.-P</creatorcontrib><creatorcontrib>LIU, H.-P</creatorcontrib><creatorcontrib>LU, H.-I</creatorcontrib><creatorcontrib>HSIEH, M.-J</creatorcontrib><creatorcontrib>LIU, Y.-H</creatorcontrib><creatorcontrib>WU, Y.-C</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>MEDLINE - Academic</collection><jtitle>Surgical endoscopy</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>CHEN, T.-P</au><au>LIU, H.-P</au><au>LU, H.-I</au><au>HSIEH, M.-J</au><au>LIU, Y.-H</au><au>WU, Y.-C</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Incidence of incisional recurrence after thoracoscopy</atitle><jtitle>Surgical endoscopy</jtitle><addtitle>Surg Endosc</addtitle><date>2004-03-01</date><risdate>2004</risdate><volume>18</volume><issue>3</issue><spage>540</spage><epage>542</epage><pages>540-542</pages><issn>0930-2794</issn><eissn>1432-2218</eissn><coden>SUREEX</coden><abstract>Incisional recurrence after thoracoscopic surgery has been reported infrequently. In recent years, several reports of port-site recurrence after laparoscopic oncologic procedures have been published. This study evaluates the incidence of incisional recurrence among patients with intrathoracic malignancy after diagnostic and therapeutic thoracoscopy.
The medical records of all patients with intrathoracic malignancies who underwent thoracoscopic procedures between 1992 and 1998 at Chang Gung Memorial Hospital Linkou Medical Center were reviewed. Information includes preoperative tumor status, thoracoscopic findings, primary tumor location, tumor pathology, procedures performed, and perioperative complications were recorded.
A total of 1,069 patients with known intrathoracic malignancies underwent thoracoscopy. The mean follow-up time was 17.1 months (range, 1-68 months). Two recurrences at the incision were identified (0.19%). Both patients with incision-site recurrence had advanced intrathoracic disease at the time of thoracoscopy. The one patient had a malignant pleural effusion (T4), and the other had diffuse pleural metastasis.
The incidence of incisional recurrence after thoracoscopic oncologic surgery is very low. When recurrence occurs at the incision, it is associated most commonly with advanced intrathoracic disease. Additional patients and a longer follow-up evaluation are required, however, to confirm this observation.</abstract><cop>New York, NY</cop><pub>Springer</pub><pmid>14716543</pmid><doi>10.1007/s00464-003-8215-9</doi><tpages>3</tpages></addata></record> |
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subjects | Adolescent Adult Aged Aged, 80 and over Biological and medical sciences Biopsy Cancer Disease Disease Progression Female Follow-Up Studies General aspects Hospitals Humans Incidence Laparoscopy Lymphatic system Male Medical records Medical sciences Metastasis Middle Aged Neoplasm Recurrence, Local Ostomy Patients Recurrence Respiration Disorders - epidemiology Respiration Disorders - etiology Retrospective Studies Surgeons Surgical Wound Dehiscence - epidemiology Surgical Wound Infection - epidemiology Taiwan - epidemiology Thoracic Neoplasms - surgery Thoracic surgery Thoracoscopy |
title | Incidence of incisional recurrence after thoracoscopy |
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