Video-assisted Thoracic Surgery Versus Thoracotomy for Non-small-cell Lung Cancer

Pan, Tiewen; Wu, Bin; Xu, Zu-De; Zhao, Xuewei; Zhong, Lei

doi:10.7314/apjcp.2012.13.2.447

Cited by 10 publications

(8 citation statements)

References 27 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…This outcome could be attributed to the lesser invasion of VATS surgery, a result that is also consistent with reported studies. 26,30,31,34,35 …”

Section: Discussionmentioning

confidence: 99%

Video‐assisted thoracoscopic lobectomy with a single utility port is feasible in the treatment of elderly patients with peripheral lung cancer

et al. 2014

Thoracic Cancer

View full text Add to dashboard Cite

Background: Video-assisted thoracoscopic (VATS) lobectomy with a single utility port has emerged as a new technology in recent years. The aim of this study is to review the technology in the treatment of elderly patients with peripheral lung cancer. Methods: We retrospectively analyzed the clinical data of 21 elderly patients with peripheral lung cancer who underwent single utility port VATS lobectomy from February 2011 to February 2013 in the First Affiliated Hospital of Soochow University (VATS group). The clinical outcomes and postoperative complications were then compared to data from 32 elderly patients who underwent lobectomy by thoracotomy (TL group). Results: No mortality occurred during the postoperative period in either group. There was no statistical difference in surgery duration, the quantity of lymph node dissection or intraoperative blood loss between the VATS and TL groups. However, significant differences existed in the postoperative hospital stay (6.19 ± 1.69 days vs. 8.22 ± 2.55 days), time to first activity out of bed (20.57 ± 7.72 hours vs. 26.81 ± 9.27 hours), chest drainage duration (4.24 ± 1.04 days vs. 5.22 ± 1.29 days), and total postoperative drainage volume (642.86 ± 158.18 mL vs. 787.81 ± 211.55 mL) between the VATS and TL groups (P < 0.05). The percentage of patients with no complications in the VATS group (85.71%) is significantly higher when compared with the TL group (56.25%, P < 0.05). Conclusion: VATS lobectomy with a single utility port is a safe and feasible surgical procedure for selected elderly patients with peripheral lung cancer.

show abstract

“…This outcome could be attributed to the lesser invasion of VATS surgery, a result that is also consistent with reported studies. 26,30,31,34,35 …”

Section: Discussionmentioning

confidence: 99%

Video‐assisted thoracoscopic lobectomy with a single utility port is feasible in the treatment of elderly patients with peripheral lung cancer

et al. 2014

Thoracic Cancer

View full text Add to dashboard Cite

show abstract

“…Conventional thoracotomy is generally applied in the treatment of lung cancer, but its application has been limited by larger surgical incision, more significant postoperative pain and additional complications ( 11 ). In previous years, continuous improvement and updates have been observed in surgical and anesthetic techniques and the equipment in thoracic surgeries, and an increasing number of surgical methods have been applied in the treatment of lung cancer, especially the increasingly mature minimally invasive technique ( 12 ).…”

Section: Discussionmentioning

confidence: 99%

Evaluation of efficacy and safety of minimally invasive segmentectomy in the treatment of lung cancer

et al. 2018

View full text Add to dashboard Cite

The aim of the study was to investigate the efficacy and safety of minimally invasive segmentectomy in the treatment of lung cancer. A total of 86 lung cancer patients in early stage were selected for the treatment between May, 2010 and December, 2010. The patients were randomly divided into the control (n=43) and observation (n=43) groups. Patients in the control group received conventional thoracotomy as treatment, while thoracoscopic segmentectomy was performed for patients in the observation group. Factors including intraoperative bleeding amount, number of dissected lymph nodes, surgery duration, postoperative intubation time and length of stay (LOS) were compared between the two groups. A visual analogue scale was used for comparison of the postoperative incisional pain experienced by patients in the two groups. The incidence rate of postoperative complications of patients in the two groups was observed. We also assayed variations in the levels of serum inflammatory factors C-reaction protein (CRP), interleukin (IL) −6 and −10 of patients prior to operation and on the 3rd, 5th and 7th days and after operation via ELISA, and on the 7th day after operation, we determined the pulmonary function of patients. During the 5-year follow-up, the recurrence and survival rate of patients in the two groups were observed. In the observation group, the intraoperative bleeding amount of patients was significantly lower than that in the control group, and the surgery duration, postoperative intubation time and LOS were all shorter than those in the control group (P<0.05). By contrast, no significant difference was detected in a comparison of the number of dissected lymph nodes of patients between the two groups (P>0.05). Additionally, in the observation group, patients suffered less pain after operation than those in the control group (P<0.05), and on the 3rd, 5th and 7th days after operation, the levels of CRP, IL-6 and −10 in the observation group were significantly lower than those in the control group (P<0.05). After operation, the incidence rate of complications in the observation group was significantly lower than that in the control group (P<0.05), and the recovery in pulmonary function after operation was superior to that in the control group (P<0.05). In addition, the 5-year survival rate of patients in the observation group was significantly higher than that in the control group, and the recurrence rate was significantly lower than that in the control group (P<0.05). Minimally invasive segmentectomy shows better efficacy in the treatment of lung cancer at early stage than the conventional thoracotomy. In addition to the high safety during surgery, this technique can lower the incidence rate of postoperative complications, protect the pulmonary function, increase the survival rate and decrease the recurrence rate, which shows great value in clinical practice.

show abstract

“…[1] However, this is often not possible for many patients either because of inadequate lung function or because of local or distant metastasis of the disease. [2,3] Although surgical treatment combined with external radiotherapy and/or chemotherapy is recommended, the therapeutic efficacy remains unsatisfactory. Therefore, other treatment options should be explored.…”

Section: Introductionmentioning

confidence: 99%

Computed tomography-guided iodine-125 interstitial implantation as an alternative treatment option for lung cancer

An-wei

et al. 2014

Indian J Cancer

View full text Add to dashboard Cite

show abstract

Video-assisted Thoracic Surgery Versus Thoracotomy for Non-small-cell Lung Cancer

Cited by 10 publications

References 27 publications

Video‐assisted thoracoscopic lobectomy with a single utility port is feasible in the treatment of elderly patients with peripheral lung cancer

Video‐assisted thoracoscopic lobectomy with a single utility port is feasible in the treatment of elderly patients with peripheral lung cancer

Evaluation of efficacy and safety of minimally invasive segmentectomy in the treatment of lung cancer

Computed tomography-guided iodine-125 interstitial implantation as an alternative treatment option for lung cancer

Contact Info

Product

Resources

About