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2015 ; 10
(ä): 116
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Sleeve lobectomy by video-assisted thoracic surgery versus thoracotomy for
non-small cell lung cancer
#MMPMID26357875
Zhou S
; Pei G
; Han Y
; Yu D
; Song X
; Li Y
; Xiao N
; Liu S
; Liu Z
; Xu S
J Cardiothorac Surg
2015[Sep]; 10
(ä): 116
PMID26357875
show ga
BACKGROUND: Both video-assisted thoracic surgery (VATS) and thoracotomy are used
for sleeve lobectomy for patients with non-small cell lung cancer (NSCLC). This
retrospective study aimed to assess the safety and efficacy of VATS sleeve
lobectomy for NSCLC patients. METHODS: Between May 2009 and May 2013, 51 sleeve
lobectomies (10 by VATS and 41 by thoracotomy) were performed for patients with
NSCLC. Operative characteristics and postoperative course were compared between
two groups. RESULTS: Patient demographics were similar between the two groups.
Thoracotomy patients had larger tumors compared with VATS patients (p?=?0.02).
VATS patients had a longer operating time (p?0.001) but a shorter length of
postoperative hospital stay (p?=?0.009). The two groups did not differ in
pathologic stage, histologic results, blood loss, ICU stay, amount of chest
drainage, duration of chest drainage, numbers and distributions of dissected
lymph nodes and the occurrence of complications. There were no perioperative
deaths in the VATS group, whereas there was one death (2.4 %) in the thoracotomy
group. There were no conversions to thoracotomy in the VATS group. The overall
median survival between the two groups was similar (3.2 years VATS versus 3.2
years thoracotomy, log-rank p?=?0.58). CONCLUSIONS: VATS sleeve lobectomy for the
treatment of NSCLC is technically feasible and safe and is associated with
comparable complication rates and survival compared with thoracotomy approach,
but it deserves further investigation in large series.
|Adult
[MESH]
|Aged
[MESH]
|Carcinoma, Non-Small-Cell Lung/*surgery
[MESH]
|Female
[MESH]
|Humans
[MESH]
|Length of Stay/statistics & numerical data
[MESH]