Article Abstract

Non-anatomic lung resection by video-assisted thoracoscopic surgery

Authors: Renata Baú, Spencer Marcantonio Camargo, Stephan Adamour Soder, José Carlos Felicetti

Abstract

Most of the patients with pulmonary neoplasia are diagnosed at an advanced stage in Brazil. Consequently, the possibility of curative surgical treatment is restricted to less than 30% of patients with surgical indication. The difficulty of including a greater number of these individuals is in the difficulty of an early diagnosis of the disease, leading it to more advanced stages. Currently, despite the lack of statistical studies, a project is underway to recruit patients to set up a lung cancer screening program in Brazil. In other words, early stages amenable to surgical treatment. The prevalence of lung cancer has also been increasing in Brazil and tuberculosis has once again become a public health problem. The World Health Organization (WHO) estimates that 9.6 million cases of tuberculosis occurred in 2014. Out of this total, over 80% of the cases are concentrated in 22 countries, and Brazil ranks 19th in this classification. We also have to consider the possibility of the incidence of fungal diseases in a tropical country. With such disease profile, the presence of granulomas is high and differential diagnosis implies biopsies. In this context, small pulmonary nodules could be included in the surgical treatment for a differential diagnosis, or even for definitive treatment in certain patients with limitation for major surgeries, as in the case of lung cancer. For this group of patients, segmental, non-anatomic lung resection (wegde resection) could be performed with adequate results.