The early outcome of video-assisted thoracic surgery lobectomy for primary lung carcinoma.
- Author:
Jian YANG
1
;
Ge-ning JIANG
;
Wen GAO
;
Wen-pu TONG
;
Yu-ming ZHU
;
Hao WANG
;
Bo-xiong XIE
Author Information
- Publication Type:Journal Article
- MeSH: Adult; Aged; Carcinoma, Bronchogenic; pathology; surgery; Female; Follow-Up Studies; Humans; Lung Neoplasms; pathology; surgery; Male; Middle Aged; Pneumonectomy; methods; Retrospective Studies; Thoracic Surgery, Video-Assisted; Time Factors; Treatment Outcome
- From: Chinese Journal of Surgery 2007;45(8):546-548
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVETo evaluate the early outcome of patients who underwent video-assisted thoracic surgery (VATS) lobectomy for primary lung carcinoma.
METHODSThe records of 121 patients with lung cancer undergoing VATS lung resection from 1997 to 2004 were reviewed retrospectively, I stage: 101 cases, 34 cases underwent right upper lobectomy, 13 cases underwent right middle lobectomy, 17 cases underwent right down lobectomy, 21 cases underwent left upper lobectomy, 16 cases underwent left down lobectomy. Thirty-eight cases underwent VATS lobectomy without assisted mini-incision.
RESULTSThere were 18 cases of morbidities (15%) and no surgical mortality. The 1-year, 2-year and 3-year survival rates of primary non-small cell lung cancer with I stage is: 99% (76/77), 96% (49/51) and 79% (15/19), respectively. There are statistic difference (P < 0.01) between adenocarcinoma and the others. There are no statistic difference (P > 0.05) between the VATS lobectomy with assisted mini-incision (n = 38) and without (n = 63), also no statistic difference (P > 0.05) between the VATS lobectomy and the standard procedure.
CONCLUSIONOur findings suggest that VATS lobectomy is superior regarding its ability to achieve the same survival rates and little morbidities in comparison with the standard procedure.
