Video-assisted thoracic surgery lobectomy: An analysis of clinical effectiveness of 516 cases
10.3724/SP.J.1008.2010.00770
- Author:
Yi ZHANG
1
Author Information
1. Department of Cardiothoracic Surgery
- Publication Type:Journal Article
- Keywords:
Lobectomy;
Outcome;
Video-assisted thoracic surgery
- From:
Academic Journal of Second Military Medical University
2010;31(7):770-774
- CountryChina
- Language:Chinese
-
Abstract:
Objective: To analyze the clinical effectiveness of video-assisted thoracic surgery (VATS) lobectomy, so as to provide evidence for its popularization in clinical practice. Methods: The clinical data of patients who received VATS lobectomy from January 2004 to June 2009 were retrospectively analyzed, so as to screen for the factors influencing the effectiveness of. VATS. Results: A total of 516 patients who received VATS lobectomy at Shanghai Pulmonary Disease Hospital were included in the present study; the patients included 282(54.7%) males and 234(45.3%) females, with an age range of 35-70 years old and a mean of (55.9 ± 8.1) years old. Postoperatively 168 patients (32.6%) were diagnosed as benign diseases and 348 (67.4%) as malignant. Post-operation complications were found in 48 (9.3%) patients and 4 (0.8%) patients died after operation. Twenty-three (4.6%) patients were converted to open thoracotomy during operation. Multivariate analysis showed that the operation time (P = 0.0257, OR= 1.0150, 95% CI 1.0018-1.0284) was the only factor influencing the postoperative complications. Analysis of 266 non-small cell lung cancer patients receiving VATS lobectomy between January 2004 and December 2008 showed that the 1, 3, and 5-year survival rates were 91.3%, 76. 5%, and 54.7%, respectively. Conclusion: VATS lobectomy is a safe therapeutic method for pulmonary diseases needing surgical treatment. For patients with lung cancer VATS also has the advantage of mini-invasion, but the patients should be carefully selected. The time of VATS procedure should be controlled to avoid postoperative morbidity.
