VAMLA (Video assisted mediastinal lymphadenectomy)

Slides:

Advertisements

Similar presentations

VATS Mediastinal Lymph Node Dissection AATS Focus on Lung Cancer Boston Nov 2012 Scott J. Swanson, M.D. Director Minimally Invasive Thoracic Surgery Brigham.

Advertisements

Surgical Management.

Robotic-Assisted Thymectomy in Myasthenia Gravis Iskander Al-Githmi, MD, FRCSC, FRCSC (Ts&CDs), FACS, FCCP Department of Surgery. Division of Cardiothoracic.

Mediastinal staging in lung cancer Tuncay Göksel Ege Üniversitesi Tıp Fakültesi Göğüs Hastalıkları Anabilim Dalı Clinical and radiological staging is enough.

American Association for Thoracic Surgery

SURGEONS ROLE AND INVOLVEMENT IN SBRT PROGRAM Stephen R. Hazelrigg, M.D. Professor and Chair, Cardiothoracic Surgery Southern Illinois University, School.

SURGERY FOR NSCLC GREG CHRISTODOULIDES MD, FACS, FCCP, FESTS

The effect of surgeon volume on procedure selection in non-small cell lung cancer surgeries Dr. Christian Finley MD MPH FRCSC McMaster University.

Mediastinal Tumors Dept. of Thorac & Cardiovasc Surg Zhujiang Hospital.

Benign Giant-Cell Tumor of Bone with Metastasis to Mediastinal Lymph Nodes. A Case Report of Resection Facilitated with Use of steroids* by JONATHAN J.

Blood Flow Through the Heart. Right Lung Left Lung.

2015 AATS General Thoracic Skills Course Minimally Invasive Approaches to Diagnosis and Staging Ara Vaporciyan, MD.

Fig. 1: Regional abdominal lymph node dissection during 2-field LND. Fig. 2: full mobilisation of spleen and pancreatic tail to allow complete LND of.

Treatment of Stage I and II Non-small Cell Lung Cancer

Lung Cancer 2017 Standard of Care Screening, Diagnosis, Management

Ricardo L. Oliveira, MD, Moishe Liberman, MD, PhD

Pie chart comparison of pain control at 3 weeks after lobectomy by standard thoracotomy or video-assisted thoracic surgery (VATS). The pie charts show.

Figure 1 Degrees of major and minor pulmonary fissure completeness.

以單孔方式進行再次胸腔鏡手術做主要肺切除的可行性 The Feasibility of Major Lung Resection in Repeated Video-Assisted Thoracoscopic Surgery (VATS) by Single-Port Approach Ying-Yuan.

Table 1 The 5 stages of constructing a BET

Cardiothoracic anatomy

Mediastinum: Sternal angle angle Lower border of T4

Resection and Mediastinal Lymph Node Dissection

Mediastinum: Sternal angle angle Lower border of T4

Marcin Zieliński, MD, PhD

Masatsugu Hamaji, MD, Stephen D. Cassivi, MD, K

Treatment of Stage I and II Non-small Cell Lung Cancer

Carinal Resection and Sleeve Pneumonectomy Using a Transsternal Approach Robert J. Ginsberg Operative Techniques in Thoracic and Cardiovascular Surgery

Oncologic Outcomes of Segmentectomy Versus Lobectomy for Clinical T1a N0 M0 Non- Small Cell Lung Cancer Ken Kodama, MD, Masahiko Higashiyama, MD, Jiro.

Fetal Pig Dissection Study Material.

Combined Pulmonary Artery and Bronchial Sleeve Resection

Robotic Segmentectomy

Liverpool Heart and Chest Hospital

Thoracoscopic esophagectomy combined with mediastinoscopy via the neck

Video-assisted thoracoscopic surgical lobectomy with limited en bloc resection of superior sulcus tumor Ivan H.W. Cheung, MBBS, BEng, Eric Lim, MD, MB,

Video-Assisted Mediastinoscopic Lymphadenectomy for Staging Non-Small Cell Lung Cancer Sergi Call, MD, Carme Obiols, MD, PhD, Ramon Rami-Porta, MD, PhD,

The True False Negative Rates of Esophageal and Endobronchial Ultrasound in the Staging of Mediastinal Lymph Nodes in Patients With Non-Small Cell Lung.

Prognostic significance of lymph node metastasis found during pulmonary metastasectomy for extrapulmonary carcinoma Sina Ercan, MD, Francis C Nichols,

Video-Assisted Mediastinoscopic Lymphadenectomy (VAMLA)

Is Video-Assisted Thoracic Surgery Lobectomy Better

Intensive chemotherapy and radical resections for primary nonseminomatous mediastinal germ cell tumors Garrett L Walsh, MD, Grant D Taylor, BS, Jonathan.

Effective reduction of a giant left atrium by partial autotransplantation Arrigo Lessana, MD, Marcio Scorsin, MD, Claude Scheublé, MD, Richard Raffoul,

Tumor histology predicts mediastinal nodal status and may be used to guide limited lymphadenectomy in patients with clinical stage I non–small cell lung.

Thoracoscopic Chest Wall Resection: What Is Its Role?

Ricardo L. Oliveira, MD, Moishe Liberman, MD, PhD

Mediastinal-like growing teratoma syndrome

Mediastinal Lymph Node Examination and Survival in Resected Early-Stage Non– Small-Cell Lung Cancer in the Surveillance, Epidemiology, and End Results.

Right Upper Lobe Sleeve Resection

Virtual Mediastinoscopy for Safer and More Accurate Mediastinal Exploration Hiroyuki Shiono, MD, Meinoshin Okumura, MD, Noriyoshi Sawabata, MD, Tomoki.

Thomas J. Watson, MD, Jiejing Qiu, MS The Annals of Thoracic Surgery

Kohei Hashimoto, MD, William Stansfield, MD, Shaf Keshavjee, MD

Lobectomy for Non-Small Cell Lung Cancer by Video-Assisted Thoracic Surgery: Effects of Cumulative Institutional Experience on Adequacy of Lymphadenectomy

Better pulmonary function and prognosis with video-assisted thoracic surgery than with thoracotomy Shizuka Kaseda, MD, Teruhiro Aoki, MD, Nanae Hangai,

Hideo Ichimura, MD, Shinji Kikuchi, MD, Hiroichi Ishikawa, MD

Open, Video-Assisted Thoracic Surgery, and Robotic Lobectomy: Review of a National Database Michael Kent, MD, Thomas Wang, PhD, Richard Whyte, MD, Thomas.

Video-Assisted Mediastinoscopic Surgery: Clinical Feasibility and Accuracy of Mediastinal Lymph Node Staging Biruta Witte, MD, Michael Wolf, MD, Martin.

Mark K. Ferguson, MD, Cathy Bennett, PhD

Endobronchial Ultrasound versus Mediastinoscopy for Mediastinal Nodal Staging of Non–Small-Cell Lung Cancer Sang-Won Um, MD, PhD, Hong Kwan Kim, MD,

Distribution and Likelihood of Lymph Node Metastasis Based on the Lobar Location of Nonsmall-Cell Lung Cancer Robert J. Cerfolio, MD, Ayesha S. Bryant,

Thoracic duct tributaries from intrathoracic organs

The multi–purse string maze procedure: A new surgical technique to perform the full maze procedure without atriotomies Niv Ad, MD The Journal of Thoracic.

Video-assisted mediastinoscopic lymphadenectomy is associated with better survival than mediastinoscopy in patients with resected non–small cell lung.

Middle mediastinal parathyroid: diagnosis and surgical approach

Multicenter VATS experience with mediastinal tumors

Symptomatic neonates with Ebstein anomaly

Mark W. Hennon, MD, Elisabeth U

A) Longitudinal incision in the right pulmonary artery, exposed between the superior vena cava and aorta. b) Developing the endarterectomy dissection plane.

Energized lung resections

Norwegian Association for Cardiothoracic Surgery

Segmentectomy performed using video-assisted thoracic surgery

Presentation transcript:

VAMLA (Video assisted mediastinal lymphadenectomy) Gunda Leschber Department of Thoracic Surgery ELK Berlin Chest Hospital, Berlin, Germany

No disclosures Gunda.leschber@elk-berlin.de VAMLA AATS 25 april 2015

VAMLA by Hürtgen Video-assisted mediastinal lymphadenectomy Dissection of all mediastinal structures: trachea, main bronchi, pulmonary artery, vena azygos, superior vena cava, esophagus Complete lymphadenectomy en bloc resection of LN 7, 10 R+L, 4 R+L, (LN 8) Hürtgen M et al. Eur J Cardiothorac Surg 2002;21:348-51 Gunda.leschber@elk-berlin.de VAMLA AATS 25 april 2015

VAMLA - Indication Exact mediastinal staging (two-step-procedure: no frozen section in Germany, mediastinoscopy is an additional operation) „VAMLA will constitute a new reference standard for preresection staging of NSCLC“ * Prior to VATS lobectomy**/*** Complete removal of isolated mediastinal lymph node metastasis *Yendamuri S and Demmy TL. J Thorac Cardiovasc Surg 2012; 144: S14-7 **Leschber G et al. Eur J Cardiothoracic Surg 2003;24: 192-5 ***Yoo DG et al. Eur J Cardiothorac Surg 2011;40:1483-6 Gunda.leschber@elk-berlin.de VAMLA AATS 25 april 2015