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
Hauptverfasser: CHEN, T.-P, LIU, H.-P, LU, H.-I, HSIEH, M.-J, LIU, Y.-H, WU, Y.-C
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container_end_page 542
container_issue 3
container_start_page 540
container_title Surgical endoscopy
container_volume 18
creator CHEN, T.-P
LIU, H.-P
LU, H.-I
HSIEH, M.-J
LIU, Y.-H
WU, Y.-C
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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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. 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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. 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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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