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Sleeve lobectomy by video-assisted thoracic surgery versus thoracotomy for non-small cell lung cancer

BACKGROUND: Both video-assisted thoracic surgery (VATS) and thoracotomy are used for sleeve lobectomy for patients with non-small cell lung cancer (NSCLC). This retrospective study aimed to assess the safety and efficacy of VATS sleeve lobectomy for NSCLC patients. METHODS: Between May 2009 and May...

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Autores principales: Zhou, Shijie, Pei, Guotian, Han, Yi, Yu, Daping, Song, Xiaoyun, Li, Yunsong, Xiao, Ning, Liu, Shuku, Liu, Zhidong, Xu, Shaofa
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4564953/
https://www.ncbi.nlm.nih.gov/pubmed/26357875
http://dx.doi.org/10.1186/s13019-015-0318-6
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author Zhou, Shijie
Pei, Guotian
Han, Yi
Yu, Daping
Song, Xiaoyun
Li, Yunsong
Xiao, Ning
Liu, Shuku
Liu, Zhidong
Xu, Shaofa
author_facet Zhou, Shijie
Pei, Guotian
Han, Yi
Yu, Daping
Song, Xiaoyun
Li, Yunsong
Xiao, Ning
Liu, Shuku
Liu, Zhidong
Xu, Shaofa
author_sort Zhou, Shijie
collection PubMed
description BACKGROUND: Both video-assisted thoracic surgery (VATS) and thoracotomy are used for sleeve lobectomy for patients with non-small cell lung cancer (NSCLC). This retrospective study aimed to assess the safety and efficacy of VATS sleeve lobectomy for NSCLC patients. METHODS: Between May 2009 and May 2013, 51 sleeve lobectomies (10 by VATS and 41 by thoracotomy) were performed for patients with NSCLC. Operative characteristics and postoperative course were compared between two groups. RESULTS: Patient demographics were similar between the two groups. Thoracotomy patients had larger tumors compared with VATS patients (p = 0.02). VATS patients had a longer operating time (p < 0.001) but a shorter length of postoperative hospital stay (p = 0.009). The two groups did not differ in pathologic stage, histologic results, blood loss, ICU stay, amount of chest drainage, duration of chest drainage, numbers and distributions of dissected lymph nodes and the occurrence of complications. There were no perioperative deaths in the VATS group, whereas there was one death (2.4 %) in the thoracotomy group. There were no conversions to thoracotomy in the VATS group. The overall median survival between the two groups was similar (3.2 years VATS versus 3.2 years thoracotomy, log-rank p = 0.58). CONCLUSIONS: VATS sleeve lobectomy for the treatment of NSCLC is technically feasible and safe and is associated with comparable complication rates and survival compared with thoracotomy approach, but it deserves further investigation in large series.
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spelling pubmed-45649532015-09-11 Sleeve lobectomy by video-assisted thoracic surgery versus thoracotomy for non-small cell lung cancer Zhou, Shijie Pei, Guotian Han, Yi Yu, Daping Song, Xiaoyun Li, Yunsong Xiao, Ning Liu, Shuku Liu, Zhidong Xu, Shaofa J Cardiothorac Surg Research Article BACKGROUND: Both video-assisted thoracic surgery (VATS) and thoracotomy are used for sleeve lobectomy for patients with non-small cell lung cancer (NSCLC). This retrospective study aimed to assess the safety and efficacy of VATS sleeve lobectomy for NSCLC patients. METHODS: Between May 2009 and May 2013, 51 sleeve lobectomies (10 by VATS and 41 by thoracotomy) were performed for patients with NSCLC. Operative characteristics and postoperative course were compared between two groups. RESULTS: Patient demographics were similar between the two groups. Thoracotomy patients had larger tumors compared with VATS patients (p = 0.02). VATS patients had a longer operating time (p < 0.001) but a shorter length of postoperative hospital stay (p = 0.009). The two groups did not differ in pathologic stage, histologic results, blood loss, ICU stay, amount of chest drainage, duration of chest drainage, numbers and distributions of dissected lymph nodes and the occurrence of complications. There were no perioperative deaths in the VATS group, whereas there was one death (2.4 %) in the thoracotomy group. There were no conversions to thoracotomy in the VATS group. The overall median survival between the two groups was similar (3.2 years VATS versus 3.2 years thoracotomy, log-rank p = 0.58). CONCLUSIONS: VATS sleeve lobectomy for the treatment of NSCLC is technically feasible and safe and is associated with comparable complication rates and survival compared with thoracotomy approach, but it deserves further investigation in large series. BioMed Central 2015-09-10 /pmc/articles/PMC4564953/ /pubmed/26357875 http://dx.doi.org/10.1186/s13019-015-0318-6 Text en © Zhou et al. 2015 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Research Article
Zhou, Shijie
Pei, Guotian
Han, Yi
Yu, Daping
Song, Xiaoyun
Li, Yunsong
Xiao, Ning
Liu, Shuku
Liu, Zhidong
Xu, Shaofa
Sleeve lobectomy by video-assisted thoracic surgery versus thoracotomy for non-small cell lung cancer
title Sleeve lobectomy by video-assisted thoracic surgery versus thoracotomy for non-small cell lung cancer
title_full Sleeve lobectomy by video-assisted thoracic surgery versus thoracotomy for non-small cell lung cancer
title_fullStr Sleeve lobectomy by video-assisted thoracic surgery versus thoracotomy for non-small cell lung cancer
title_full_unstemmed Sleeve lobectomy by video-assisted thoracic surgery versus thoracotomy for non-small cell lung cancer
title_short Sleeve lobectomy by video-assisted thoracic surgery versus thoracotomy for non-small cell lung cancer
title_sort sleeve lobectomy by video-assisted thoracic surgery versus thoracotomy for non-small cell lung cancer
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4564953/
https://www.ncbi.nlm.nih.gov/pubmed/26357875
http://dx.doi.org/10.1186/s13019-015-0318-6
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