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Microlobectomy: A Novel Form of Endoscopic Lobectomy

Monday, September 25, 2017

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Dunning, Joel ; Elsaegh, Mohamed ; Nardini, Marco ; Gillaspie, Erin A. ; Petersen, Rene Horsleben ; Hansen, Henrik Jessen ; Helsel, Bryan ; Naase, Hatam ; Kornaszewska, Malgorzata ; Will, Malcolm B.; Walker, William S. ; Wigle, Dennis; Blackmon, Shanda Haley

Microlobectomy is a novel form of VATS lobectomy.

This paper documents the experience of its use in England, at the Mayo clinic, in Copenhagen, in Edinburgh, Wales, and in Texas.

The rules of microlobectomy are that you must perform no incisions greater than 5 mm in the intercostal spaces, but the ports mirror your usual multiport approach. You use a subxiphoid incision to remove the lobe and perform the stapling, and there are hints and tips to make this easier at

Let us know what you think. Something new or just a mix of well tried and tested approaches?

Twenty-two percent of patients went home day one and 42% day two so if nothing else it shows that well-performed minimally invasive lobectomy results in very early discharges with good short-term outcomes.

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