2023 World Conference on Lung Cancer (Posters)-EP07.01. Utility of Bronchus-First Right Upper Lobectomy as a Routine Technique

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The utility of bronchus-first right upper lobectomy as a routine technique in thoracic surgery is explored in this study. The aim was to investigate the advantages of performing bronchus-first right upper lobectomy in their institute. <br /><br />The study was conducted retrospectively at a single center between 2015 and 2021. A total of 337 patients who underwent right upper lobectomy were included in the study. They were divided into two groups: the bronchus last group (BL group) and the bronchus first group (BF group). The primary endpoint of the study was to compare the perioperative outcomes, including operation time, bleeding amount, drain detention period, and postoperative air leakage.<br /><br />The results showed that the bronchus first group had shorter operation times and reduced bleeding amounts compared to the bronchus last group. There was no significant difference in the drain detention period, although the bronchus first group had more cases with poor lobulation. However, there was no significant difference in the incidence of prolonged air leakage between the two groups.<br /><br />The study also discussed the risk factors for prolonged air leakage in primary lung cancer and the benefits of anatomic pulmonary resection in fissureless lobectomy. The bronchus-first right upper lobectomy was found to be a standardized procedure that is easy to perform regardless of lobulation grade. It allows for easy identification of anatomical structures and lymph node dissection. The routine use of this technique may help reduce operation time and improve surgical outcomes.<br /><br />In conclusion, the bronchus-first right upper lobectomy technique provides advantages in terms of shorter operation time, reduced bleeding amounts, and shorter chest drain period, even in patients with incomplete fissure. It is a valuable technique that can be considered in routine thoracic surgery practice.

Asset Subtitle

Takahiro Utsumi

Meta Tag

Speaker Takahiro Utsumi

Topic Early-Stage NSCLC: Best Practice

Keywords

bronchus-first right upper lobectomy

thoracic surgery

advantages

perioperative outcomes

operation time

bleeding amount

drain detention period

postoperative air leakage

risk factors

anatomic pulmonary resection