Efficacy of Single-Port Video-Assisted Thoracoscopic Surgery Lobectomy Compared with Triple-Port VATS by Propensity Score Matching.
10.5090/kjtcs.2017.50.5.339
- Author:
Kyung Sub SONG
1
;
Chang Kwon PARK
;
Jae Bum KIM
Author Information
1. Department of Thoracic and Cardiovascular Surgery, Keimyung University Dongsan Medical Center, Keimyung University School of Medicine, Korea. ckpark80@dsmc.or.kr
- Publication Type:Original Article
- Keywords:
Video-assisted thoracic surgery;
Lobectomy;
Lung neoplasms
- MeSH:
Carcinoma, Non-Small-Cell Lung;
Chest Tubes;
Fistula;
Humans;
Length of Stay;
Lung Neoplasms;
Lymph Nodes;
Mortality;
Operative Time;
Propensity Score*;
Retrospective Studies;
Thoracic Surgery, Video-Assisted*;
Thoracotomy
- From:The Korean Journal of Thoracic and Cardiovascular Surgery
2017;50(5):339-345
- CountryRepublic of Korea
- Language:English
-
Abstract:
BACKGROUND: In recent years, single-port video-assisted thoracoscopic surgery (VATS) for lobectomy in non-small cell lung cancer (NSCLC) patients has become increasingly common. The objective of this study was to compare the feasibility and safety of single-port and triple-port VATS lobectomy. METHODS: A total of 73 patients with NSCLC who underwent VATS lobectomy from December 2011 to August 2016 were retrospectively reviewed, including 47 in the triple-port group and 26 in the single-port group. Statistical analysis was performed after propensity score matching. Patients were matched on a 1-to-1 basis. RESULTS: Operative time and intraoperative blood loss in the triple-port group and the single-port group were similar (189.4±50.8 minutes vs. 205.4±50.6 minutes, p=0.259; 286.5±531.0 mL vs. 314.6±513.1 mL, p=0.813). There were no cases of morbidity or mortality. No significant differences in complications or the total number of dissected lymph nodes were found between the 2 groups. In the single-port group, more mediastinal lymph nodes were dissected than in the triple-port group (1.7±0.6 vs. 1.2±0.5, p=0.011). Both groups had 1 patient with bronchopleural fistula. Chest tube duration and postoperative hospital stay were shorter in the single-port group than in the triple-port group (8.7±5.1 days vs. 6.2±6.6 days, p=0.130; 11.7±6.1 days vs. 9.5±6.4 days, p=0.226). However, the differences were not statistically significant. In the single-port group, the rate of conversion to multi-port VATS lobectomy was 11.5% (3 of 26). The rates of conversion to open thoracotomy in the triple-port and single-port groups were 7.7% and 3.8%, respectively (p=1.000). CONCLUSION: In comparison with the triple-port group, single-port VATS lobectomy showed similar results in safety and efficacy, indicating that single-port VATS lobectomy is a feasible and safe option for lung cancer patients.
