Fewer complications result from a video-assisted approach to anatomic resection of clinical stage I lung cancer

Abstract

Anatomic resection of early stage lung cancer is performed with a low mortality rate, according to data from the Society of Thoracic Surgeons database. Perioperative complications are significantly less likely to occur when patients with stage I lung cancers undergo resection using the VATS approach. Further study is warranted to determine long-term effects of these differences in perioperative outcomes.

Hospital Readmission After Pulmonary Lobectomy Is Not Affected by Surgical Approach

“…However, this did not increase the LOS of the minimally invasive group. In fact, this group had a significantly lower LOS than the open group, similar to reports from other groups [5,10,14]. Although not entirely causal, there is a concern that forcing a shorter LOS actually may increase the risk of admission.…”

“…Analysis of large national databases has shown that readmissions occur at a rate of 12% after pulmonary lobectomy [3]. A recent analysis by Boffa and associates [10] of the Society of Thoracic Surgeons database between 2001 and 2010 found a readmission rate of 6% after lobectomy for clinical stage I lung cancer, which was similar between the open thoracotomy and minimally invasive group. Freeman and colleagues [7] reported a readmission rate of 7% after open lobectomy.…”

Surgical treatment for early stage non-small cell lung cancer

“…When compared to lobectomy via thoracotomy, VATS has improved short-term outcomes: it is associated with a lower incidence of post-operative complications, shorter hospitalization, shorter duration of chest tube, and similar or lower rates of postoperative mortality (5)(6)(7)(8)(9)(10)(11)(12)(13)(14).…”

Traitement des cancers du poumon de stade I : la radiothérapie en conditions stéréotaxiques devient-elle un nouveau standard ? Point de vue d’un chirurgien

“…La durée d'hospitalisation était aussi plus courte qu'après thoracotomie et il existait une tendance pour une réduction du risque de décès postopératoire. Ces données ont été confirmées par la toute dernière analyse du registre Nord-Américain de la Society of Thoracic Surgeons [36]. Dans ce travail, un score de propension a permis d'apparier 2745 paires de patients ayant été opérés d'un cancer de stade clinique I. Après chirurgie vidéotho-racoscopique, il y avait moins de complications pulmonaires, de fibrillations atriales et de nécessité de transfusions sanguines.…”