Video-assisted thoracic surgery versus open lobectomy for lung cancer: A secondary analysis of data from the American College of Surgeons Oncology Group Z0030 randomized clinical trial

Abstract

Patients undergoing video-assisted lobectomy had fewer respiratory complications and shorter length of stay. These data suggest video-assisted thoracoscopic lobectomy is safe in patients with resectable lung cancer. Longer follow-up is needed to determine the oncologic equivalency of video-assisted versus open lobectomy.

Uniportal video-assisted thoracoscopic surgery: safety, efficacy and learning curve during the first 250 cases in Quebec, Canada

“…In fact, thoracoscopic surgery is the preferred approach for lung anatomic resection in current practice guidelines for the treatment of early-stage lung cancer (1,2) as well as for most benign intrathoracic pathologies. Benefits include decreased blood loss, decreased pain, shorter length of hospital stay and fewer complications (3)(4)(5).…”

Ethical aspects of a video-assisted thoracoscopic surgery practice

“…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).…”

“…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). There are still areas where the appropriateness of VATS is less defined such as for late-stage lung cancer, VATS sleeve lobectomy, thoracic trauma, rib resections, or low-resource medical environments (10)(11)(12).…”

“…When an operation, traditionally done open, is then offered minimally invasively, the risks of the traditional open operation are known but do not necessarily translate over directly to the new technique. A perfect example of this challenge is VATS lobectomy; long term oncologic equivalence with open lobectomy is still yet to be seen (7). As VATS is further developed and adapted to other surgical applications, this will continue to pose an issue during the consent process.…”

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

“…Table 1 shows a list of previously performed randomized, controlled studies and recent cohort-matched studies. [4][5][6][7][8][9][10][11][12][13][14][15][16][17][18][19] Thoracoscopic surgery was superior to thoracotomy in many reports with regard to the duration of drainage period, postoperative complications, operative mortality rate, and length of hospital stay. The postoperative mortality rate after thoracoscopic surgery is comparable to that after thoracotomy, but the postoperative complication rate was lower in thoracoscopic surgery, resulting in a short hospital stay in many reports.…”