Short-term Results of Thoracoscopic Lobectomy and Segmentectomy for Lung Cancer in Koo Foundation Sun Yat-sen Cancer Center

Overview

Journal J Thorac Dis

Publisher AME Publishing Company

Specialty Pulmonary Medicine

Date 2012 Jan 21

PMID 22263021

Citations 10

Authors

Bing-Yen Wang

Chia-Chuan Liu

Chih-Shiun Shih

Affiliations

Soon will be listed here.

Abstract

Background: Thoracoscopic lobectomy and segmentectomy have been demonstrated to be safe and technically feasible for curative resection of lung cancer. This minimally invasive surgery is increasingly popular and adopted by the world all over. We report our short-term results of thoracoscopic lobectomy/segmentectomy operations comparing with previous surgical approach for lung cancer resection by muscle-sparing vertical minithoracotomy in Koo Foundation Sun Yat-Sen Cancer Center.

Methods: We performed a retrospective review of 317 consecutive patients who underwent lobectomy or segmentectomy either by thoracoscopic surgery (n=121) or muscle-sparing vertical mini-thoracotomy (n=195) for lung cancer in Koo Foundation Sun Yat-Sen Cancer center between Jan 2000 and Jun 2009. The operative details, postoperative complication, and length of stay were statistically analyzed.

Results: Thoracoscopic lobectomy and segmentectomy were performed successfully in 121 patients. One patient was converted to open thoracotomy during operation due to uncontrolled bleeding. There is no significant difference in age factors (p=0.763), forced expiratory volume in one second (p=0.480) or comorbidities (p=0.549) between these two groups. Thoracoscopic group had a significantly predominant percentage in women, diabetes mellitus, less smoking index and chronic obstructive pulmonary disease incidence. Patients undergoing a thoracoscopic surgery had a shorter length of stay (6.8±3.4 vs. 10.2±9.1 days, p<0.001), longer operative time (3.6±1.0 vs. 3.2±1.2 hours, p=0.004), and less blood loss (102.7±95.7 vs. 140.1±171.2 ml, p<0.029). There was no significant difference in postoperative complication rate between the two groups (18.2% vs. 23.6%, p=0.255). No surgical mortality was found in the thoracoscopic group.

Conclusions: Our findings suggested thoracoscopic surgery for lung cancer would be as safe as muscle-sparing vertical mini-thoracotomy in lobectomy and segmentectomy.

Citing Articles

Video-assisted thoracoscopic surgery versus muscle-sparing thoracotomy for non-small cell lung cancer: a systematic review and meta-analysis.

Wang Z, Pang L, Tang J, Cheng J, Chen N, Zhou J BMC Surg. 2019; 19(1):144.

PMID: 31615490 PMC: 6794906. DOI: 10.1186/s12893-019-0618-1.

Minimally invasive thoracic surgery: beyond surgical access.

Wong M, Sit A, Au T J Thorac Dis. 2018; 10(Suppl 16):S1884-S1891.

PMID: 30026975 PMC: 6035932. DOI: 10.21037/jtd.2018.05.196.

VATS segmentectomy: past, present, and future.

Nakazawa S, Shimizu K, Mogi A, Kuwano H Gen Thorac Cardiovasc Surg. 2017; 66(2):81-90.

PMID: 29255967 DOI: 10.1007/s11748-017-0878-6.

Single port VATS: recent developments in Asia.

Yu P, Capili F, Ng C J Thorac Dis. 2016; 8(Suppl 3):S302-7.

PMID: 27014478 PMC: 4783723. DOI: 10.3978/j.issn.2072-1439.2016.02.24.

Comparing the postoperative outcomes of video-assisted thoracoscopic surgery (VATS) segmentectomy using a multi-port technique versus a single-port technique for primary lung cancer.

Shih C, Liu C, Liu Z, Pennarun N, Cheng C J Thorac Dis. 2016; 8(Suppl 3):S287-94.

PMID: 27014476 PMC: 4783730. DOI: 10.3978/j.issn.2072-1439.2016.01.78.

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