Long-term outcomes after a variety of video-assisted thoracoscopic lobectomy approaches for clinical stage IA lung cancer: A multi-institutional study

Shigemura, Norihisa; Akashi, Akira; Funaki, Soichiro; Nakagiri, Tomoyuki; Inoue, Masayoshi; Sawabata, Noriyoshi; Shiono, Hiroshi; Minami, Masato; Takeuchi, Yukiyasu; Okumura, Meinoshin; Sawa, Yoshiki

doi:10.1016/j.jtcvs.2006.03.058

Cited by 175 publications

(106 citation statements)

References 18 publications

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“…Recently, Shigemura et al [103] demonstrated that even the effectiveness of thoracoscopic mediastinal lymph node dissection could be compared, and was in accordance with similar previously reported results [74,76,101].…”

Section: Vats Major Pulmonary Resectionssupporting

confidence: 85%

“…Thus, despite the large series published, and although there are no prospective randomized studies comparing survival after open and thoracoscopic surgery, there is no evidence to support a difference. In their opinion, and according to published series of extensive experience with thoracoscopic lobectomy reporting stage-specific survival, this was proven to be at least equivalent to that seen in historical series [74,76,85,[101][102][103].…”

Section: Vats Major Pulmonary Resectionsmentioning

confidence: 76%

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Indications and Developments of Video-Assisted Thoracic Surgery in the Treatment of Lung Cancer

Solli

Spaggiari

2007

The Oncologist

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After completing this course, the reader will be able to:1. Discuss the role of thoracoscopy in the evaluation of pulmonary nodules and pleural effusion.2. Describe the role of thoracoscopy in the staging of lung cancer.3. Discuss the role of thoracoscopy in surgical resection of early-stage lung cancer.Access and take the CME test online and receive 1 AMA PRA Category 1 Credit ™ at CME.TheOncologist.com CME CME ABSTRACTThe term video-assisted thoracic surgery (VATS) is used to describe a modern minimally invasive surgical technique that nowadays represents a valid alternative to open procedures (i.e., thoracotomy) for many chest diseases. The VATS approach is presently used in many intrathoracic disorders, but while well established in benign chest disease, its role continues to evolve regarding the management of lung cancer. It is currently considered for the evaluation and treatment of suspected (or known) pleural effusion and in the diagnosis of indeterminate pulmonary nodules, and it has a complementary role to standard cervical mediastinoscopy in the invasive staging of mediastinal lymph nodes. It has also become an accepted approach for resection of peripheral early-stage lung cancer (stage I) in many centers worldwide and considerable experience has been accumulated in respect to this field, but absolute indications have yet to be firmly defined. This paper reviews indications and current data regarding minimally invasive approaches for the staging and treatment of lung cancer.

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Section: Vats Major Pulmonary Resectionssupporting

confidence: 85%

Section: Vats Major Pulmonary Resectionsmentioning

confidence: 76%

Indications and Developments of Video-Assisted Thoracic Surgery in the Treatment of Lung Cancer

Solli

Spaggiari

2007

The Oncologist

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“…Several studies reported that VATS resulted in superior rates of postoperative morbidity when compared to thoracotomy. VATS reduced intraoperative blood loss (16,17,(28)(29)(30)(31)(32)(33), chest drain duration and length of hospital stay (28,30,32,34,35). Also, this meta-analysis suggested that the incidence of complications after VATS was less than that in the open lobectomy group, which obviously embodied the micro-invasive characterization of VATS.…”

Section: Discussionmentioning

confidence: 71%

Video-assisted thoracoscopic surgery versus open lobectomy for stage I lung cancer: A meta-analysis of long-term outcomes

Liu

2012

Experimental and Therapeutic Medicine

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Abstract. The present study aimed to evaluate the evidence comparing video-assisted thoracoscopic surgery (VATS) and open lobectomy for the treatment of stage I lung cancer using meta-analytical techniques. A literature search was undertaken until July 2011 to identify comparative studies evaluating survival rates, recurrence rates and complications. Pooled odds ratios (OR) and 95% confidence intervals (95% CI) were calculated with either the fixed-or random-effects model. These studies included a total of 1, IntroductionLung cancer is the most common malignant tumor in the world. With the improvement in diagnostic technology, more and more stage I lung cancer is identified. Video-assisted thoracoscopic surgery (VATS) was first reported by Levi et al in 1990 (1). The inital clinical reports on video-assisted thoracoscopic surgery lobe ctomy, published from 1993 onward, were either preliminary or involved a small number of patients, which indicated the feasibility and safety of VATS lobectomy (2-6). Since then, VATS has become an attractive surgical procedure for benign diseases, due to its low invasiveness (7,8). As the experience with VATS for benign diseases increased, VATS was gradually adopted for the treatment of lung cancer. Thereafter, VATS lobectomy for elderly patients and series involving a larger number of patients were reported (9-14). VATS lobectomy is now accepted, if not universally, at least as an alternative surgical option for early-stage lung cancer.The advantages of VATS lobectomy, which include less pain and better pulmonary function in the early postoperative period, have been previously reported. However, there are various controversies regarding the prognosis of VATS vs. open lobectomy for stage I lung cancer. Immune system function in the early postoperative period was found to be better preserved in patients who underwent VATS lobectomy. Curability after VATS lobectomy was also reported to be similar to the generally accepted curability rate after open lobectomy. Several investigators reported that the survival rate after VATS lobectomy was similar to that after open lobectomy. Sawada et al (15), Sugiura et al (16), Tashima et al (17) and Flores et al (18) reported that there was no statistically significant difference in survival between the VATS and open lobectomy in early-stage lung cancer. However, this meta-analysis showed that VATS had significantly better survival rates in terms of overall survival at 5 years. Materials and methodsStudy selection. Electronic searches were performed of the MEDLINE, Cochrane Controlled Trial Register (CENTRAL) and EMBASE databases until July 2011. The following Mesh search headings were used: (VATS, video-assisted thoracoscopic or video-assisted thoracoscopic surgery), (open or conventional or standard lobectomy), (lung cancer or lung carcinoma), (randomized controlled trials) and (comparative study) in English (Fig. 1).Data extraction and quality assessment. Data were extracted by three independent observers using standardized forms. The rec...

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“…Although only a few reports from Japan were included, recent results after 2005 are shown in Table 2. [20][21][22][23][24][25] Similarly, the blood loss, duration of drainage period, length of hospital stay, and complication rates of VATS were favorable, although the operative time was long. In addition, the postoperative pain level and QOL were also favorable, and favorable outcomes, such as an early return to normal life and conservation of the respiratory function, were achieved.…”

Section: Thoracoscopic Lobectomy For Primary Lung Cancermentioning

confidence: 93%

Systematic Review of Published Studies on Safety and Efficacy of Thoracoscopic and Robot-Assisted Lobectomy for Lung Cancer

Nakamura

2014

ATCS

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The safety and effi cacy of thoracoscopic and robot-assisted lobectomies for primary lung cancer were reviewed in the literature. Thoracoscopic surgery is less invasive compared to thoracotomy, and it has been reported to be superior with regard to the outcome. In addition, the operability of a surgical robot (da Vinci) is favorable and supplements the disadvantages of conventional endoscopic surgery. Robot-assisted lobectomy has been reported to be comparable to thoracoscopic surgery with regard to the safety and effi cacy based on analysis of perioperative results and superior with regard to the operability and length of the learning curve. However, a high cost and a long operative time are of concern. Since robot-assisted surgery has been performed only in early cases, the continuation of a comparative investigation may be necessary.

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Long-term outcomes after a variety of video-assisted thoracoscopic lobectomy approaches for clinical stage IA lung cancer: A multi-institutional study

Cited by 175 publications

References 18 publications

Indications and Developments of Video-Assisted Thoracic Surgery in the Treatment of Lung Cancer

Indications and Developments of Video-Assisted Thoracic Surgery in the Treatment of Lung Cancer

Video-assisted thoracoscopic surgery versus open lobectomy for stage I lung cancer: A meta-analysis of long-term outcomes

Systematic Review of Published Studies on Safety and Efficacy of Thoracoscopic and Robot-Assisted Lobectomy for Lung Cancer

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