Lobectomy by video-assisted thoracic surgery (VATS) versus thoracotomy for lung cancer

Flores, Raja M.; Park, Bernard J.; Dycoco, Joseph; Aronova, Anna; Hirth, Yael; Rizk, Nabil P.; Bains, Manjit S.; Downey, Robert J.; Rusch, Valerie W.

doi:10.1016/j.jtcvs.2009.03.030

Cited by 358 publications

(267 citation statements)

References 16 publications

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“…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

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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.

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“…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

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“…The long-term impact of postoperative pulmonary complications after video-assisted thoracic surgery lobectomy for lung cancer advantages, quicker postoperative recovery, less postoperative complications, especially for the elderly patients with low pulmonary function or comorbidities (12)(13)(14)(15)(16), PCs are still inevitable, therefore, accurate prediction of PCs is of great clinical significance, which can improve the quality of life and long-term survival of lung cancer patients. However, most of the studies concerned about the presence of PCs, without the severity of the complications.…”

Section: Original Articlementioning

confidence: 99%

The long-term impact of postoperative pulmonary complications after video-assisted thoracic surgery lobectomy for lung cancer

Wang¹,

Li²,

Li³

et al. 2017

J. Thorac. Dis.

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Background: Pulmonary complications (PCs) may influence long-term survivor. We sought to determine the long-term impacts of major pulmonary complications (MPCs) and identify the independent risk factors in non-small cell lung cancer (NSCLC) patients. Conclusions: MPC after VATS lobectomy is associated with a poorer long-time outcome. The independent risk factors for MPCs were age, male and ASA grade.

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“…For patients requiring a lobectomy, studies have demonstrated equivalence in morbidity, mortality, and oncologic outcome at 5 years (5)(6)(7)(8). Some areas such as length of stay and cost may even be superior in VATS (7,9).…”

Section: Vatsmentioning

confidence: 99%

Ethical aspects of a video-assisted thoracoscopic surgery practice

Wightman

Angelos

2017

J. Vis. Surg.

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Lobectomy by video-assisted thoracic surgery (VATS) versus thoracotomy for lung cancer

Abstract: VATS lobectomy and thoracotomy demonstrated similar 5-year survivals. However, VATS lobectomy was associated with fewer complications and shorter length of hospital stay.

Cited by 358 publications

References 16 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

The long-term impact of postoperative pulmonary complications after video-assisted thoracic surgery lobectomy for lung cancer

Ethical aspects of a video-assisted thoracoscopic surgery practice

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