@article{oai:u-ryukyu.repo.nii.ac.jp:02016024,
 author = {Kuda, Tomoharu and Genka, Keiichirou and Ishikawa, Kiyoshi and Koja, Kageharu and Kusaba, Akira},
 issue = {1},
 journal = {琉球医学会誌 = Ryukyu Medical Journal},
 month = {},
 note = {We analyzed 47 patients who underwent exploratory thoracotomy (thoracotomy without resection) for advanced primary lung cancer. After the introduction of video-assisted thoracic surgery (VATS), we studied its usefulness and compared it with exploratory thoracotomy in marginal cases. Between 1978 and 1991, exploratory thoracotomy was performed on 7% of primary lung cancer patients with bulky N2 disease, intrapulmonary metastasis (pm) and/or pleural dissemination. After the introduction of VATS, this decreased to 5.8% (4 of 69 cases). Although there was no significant difference in the incidence after the introduction of VATS, exploratory thoracotomy was avoided in 5 cases by using VATS. Bulky N2 disease in the subaortic nodules was also diagnosed via VATS. We conelude that VATS is useful in the diagnosis of pm and/or pleural dissemination and in avoiding unnecessary exploratory thoracotomy., 論文},
 pages = {25--30},
 title = {[原著］Usefulness of video-assisted thoracic surgery in the management of advanced lung cancer in relation to exploratory thoracotomy},
 volume = {17},
 year = {1997}
}