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Intraoperative Conversion During Video-Assisted Thoracoscopy Does Not Constitute a Treatment Failure

Wednesday, April 3, 2019

Submitted by

Claire Vernon

Source

Source Name: European Journal of Cardio-Thoracic Surgery

Source URL: https://doi.org/10.1093/ejcts/ezy343

Author(s)

Alex Fourdrain, Florence De Dominicis, Jules Iquille, Sophie Lafitte, Geoni Merlusca, Alejandro Witte-Pfister, Jonathan Meynier, Patrick Bagan, Pascal Berna

Intraoperative conversion may be necessary during video-assisted thoracoscopic surgery (VATS) for lung cancer. In this study on 610 patients, Fourdrain and colleagues observed that conversion during a VATS procedure was not associated with worse outcomes than undergoing an up-front thoracotomy. The authors conclude that thoracoscopic access should be preferred to thoracotomy, since conversion is not disadvantageous.