Surgical Outcome of Video-Assisted Thoracoscopic Surgery vs. Thoracotomy for Primary Lung Cancer &gt;5 cm in Diameter

Nakano, Tomoyuki; Endo, Shunsuke; Endo, Tetsuro; Otani, Shinichi; Tsubochi, Hiroyoshi; Yamamoto, Shinichi; Tetsuka, Kenji

doi:10.5761/atcs.oa.15-00014

Cited by 22 publications

(16 citation statements)

References 19 publications

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“…Tomoyuki and et al [12] compared the outcomes of VATS lobectomy versus open thoracotomy in >5 cm tumors and noted that there was less bleeding and shorter hospitalization in the VATS group. The important thing that should be cared for is that large tumors must be carefully maneuvered during VATS to prevent cancer cell spillage.…”

Section: Discussionmentioning

confidence: 99%

Comparison of Video-assisted Thoracoscopic Lobectomy versus Open Thoracotomy for Primary Non Small Cell Lung Cancer - 269 Cases Single Cohort Study

Erdoğu¹

2020

Sisli Etfal

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M any centers worldwide perform lobectomy by video-assisted thoracoscopic surgery (VATS) as an alternative to open thoracotomy in suitable cases, especially in early stage non-small cell lung cancer (NSCLC) cases. [1] According to many studies, the advantages of VATS lobectomy compared to conventional open thoracotomy include shorter length of hospitalization, less postoperative complications, shorter duration of the chest tube, a more cosmetic incision, less postoperative pain, therefore better postoperative life quality and importantly similar overall survival rates compared to open thoracotomy. [2-4] VATS resections have become increasingly popular worldwide following the improvements in training programmes, drawing young surgeons' interest in VATS lobectomy, leading to increased experience. [5] In our Thoracic Surgery Clinic, VATS lobectomy is being performed since the beginning of the 2010s. VATS experience of Objectives: This study aims to compare the outcomes of video-assisted thoracoscopic surgery (VATS) lobectomy with open thoracotomy lobectomy in patients with non-small cell lung cancer (NSCLC). Methods: There were 269 cases with NSCLC who underwent lobectomy between 2017-2019; these cases were retrospectively studied. VATS lobectomy (VATS Group) and open thoracotomy lobectomy (Thoracotomy Group) patients' results were compared according to the length of hospitalizations, early postoperative complications and tumor size and stages. Results: VATS lobectomy was performed in 89 (33%) of these patients, whereas 180 (67%) patients underwent lobectomy using open thoracotomy for NSCLC. The findings showed that the average length of hospitalization was shorter in the VATS Group compared to the Thoracotomy Group (4 vs. 5.5 days) (p<0.05). It was found that the mean size of the tumour was smaller in the VATS Group when compared to the Thoracotomy Group (2.66 cm vs 3.97 cm) (p<0.001). Early postoperative complications were lower in the VATS Group (n=15, 16.8% vs n=58, 32.2%; p<0.021). Conclusion: In VATS lobectomy cases, postoperative complications are less, and the length of hospitalization is shorter. VATS lobectomy is mostly preferred smaller than 3 cm tumor size.

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Section: Discussionmentioning

confidence: 99%

Comparison of Video-assisted Thoracoscopic Lobectomy versus Open Thoracotomy for Primary Non Small Cell Lung Cancer - 269 Cases Single Cohort Study

Erdoğu¹

2020

Sisli Etfal

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“…Recent studies showed that it is feasible to perform these kind of procedures safely and reliably, providing perioperative outcomes similar to those obtained in early stage tumours operated through this same technique (uniportal or not) (4,5). In this context it is possible to extend the indication for VATS also in those patients who previously would have undergone a thoracotomy, upon the appropriate expertise of the surgeon (6). An appropriate preoperative workup and patient selection is mandatory in order to avoid complications and to maintain a low conversion rate (7).…”

Section: Patient Selection and Workupmentioning

confidence: 91%

Technical steps in single port video-assisted thoracoscopic surgery lobectomy

2016

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Video-assisted thoracoscopic surgery (VATS) has transformed the way of treating patients with lung diseases over the past two decades and this is particularly true referred to patients with lung carcinoma. The indication for surgical treatment could be extended to those patients that were functionally unable to receive a thoracotomy and overall this approach shortened the length of stay in hospital and improved the quality of life of these patients postoperatively. The best VATS technique for lobectomy has not been well defined yet. The VATS approach to lobectomy can be performed via 1-4 incisions without rib spreading with similar outcomes. Over the last few years the single port VATS approach has generated a growing interest in the scientific thoracic surgery community as less invasive for the patients and comfortable for the performing surgeon. The aim of this video-article is to show the different steps of this technique and to provide some tips and tricks to improve and facilitate the execution of the uniportal VATS lobectomy.

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“…VATS group had less intraoperative bleeding and a shorter length of postoperative hospital stay, there was no signi icant difference for 1-and 5-year overall survival in both groups. [15] In the study of Hennon, et al, it was reported that 125 patients were evaluated, thoracoscopic lobectomy was completed in 73 patients. Overall survival were 43.7 .…”

Section: Vats Lung Resectionsmentioning

confidence: 99%

Video-assisted thoracic surgery in advanced non-small cell lung cancer treatment

Gökçe¹,

Sezen²

2020

Arch Surg Clin Res

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Non-small cell lung cancer is one of the leading causes of cancer-related mortality worldwide. Despite recent advances in adjuvant treatments, surgical resection is basis of treatment. With the development of minimally invasive surgery in thoracic surgery, surgeons work on minimally invasive surgery for advanced stages of lung cancer, previously considered non-operable at all or previously considered non-operable with minimally invasive surgery approach. Minimally invasive surgical techniques which are routinely used in the surgical treatment of early-stage lung cancer have started to be treated in more complicated and advanced stages of lung cancer. Bilateral anatomic resections, operations after neoadjuvant chemotherapy, bronchial sleeve lobectomies, double sleeve lobectomies, complementary pneumonectomies, and carinal sleeve resections can be performed by minimally invasive methods. The option of video-assisted surgery should be considered with oncological principles at foreground if patients have acceptable lung and cardiac performance conditions with minimal comorbidities. This study reviews VATS experience in patients with advanced-stage lung cancer worldwide and discusses potential benefi ts and limitations of using VATS technology to perform thoracic surgery procedures.

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Surgical Outcome of Video-Assisted Thoracoscopic Surgery vs. Thoracotomy for Primary Lung Cancer >5 cm in Diameter

Cited by 22 publications

References 19 publications

Comparison of Video-assisted Thoracoscopic Lobectomy versus Open Thoracotomy for Primary Non Small Cell Lung Cancer - 269 Cases Single Cohort Study

Comparison of Video-assisted Thoracoscopic Lobectomy versus Open Thoracotomy for Primary Non Small Cell Lung Cancer - 269 Cases Single Cohort Study

Technical steps in single port video-assisted thoracoscopic surgery lobectomy

Video-assisted thoracic surgery in advanced non-small cell lung cancer treatment

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