Analysis of clinical application of thoracoscopic lobectomy for lung cancer
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WORLD JOURNAL OF SURGICAL ONCOLOGY
RESEARCH
Open Access
Analysis of clinical application of thoracoscopic lobectomy for lung cancer Qing-Quan Luo3, Hao Lin1, Qiang Tan1, Jia Huang1 and Lin Xu2*
Abstract Background: VATS has been extensively considered as a standard method of pulmonary diagnosis and treatment of benign lung diseases. This study aimed to investigate the safety, efficacy, and feasibility of video-assisted thoracoscopic surgery (VATS) lobectomy compared with conventional lobectomy via open thoracotomy in patients with clinical early stage lung cancer. Methods: A total of 120 patients with lung cancer underwent VATS lobectomy; another 120 patients with lung cancer underwent conventional lobectomy. The clinical outcomes from these two groups were retrospectively analyzed and compared. Results: The numbers of patients who underwent lobectomy in the left upper lobe, left lower lobe, right upper lobe, right middle lobe, and right lower lobe were 24, 28, 40, 4, and 24 in the VATS group and 38, 20, 30, 7, and 25 in the conventional group, respectively. No statistical differences were observed between the two groups. Likewise, no statistical differences were observed in terms of duration of operation, time for postoperative extubation, complications, length of hospital stay, and number of dissected lymph nodes (VATS group: left, 5.12 ± 1.45, right, 6.84 ± 1.33; conventional group: left, 4.96 ± 1.39 mm, right, 6.91 ± 1.27; P >0.05). Conclusion: Anatomical lobectomy was successfully completed by VATS lobectomy for lung cancer; the standard lymph node dissection was also achieved. This procedure also showed advantages in terms of surgical bleeding, duration, postoperative complications, indwelling time of chest tube, and short-term recurrence rate without significant differences from conventional lobectomy. Keywords: Video-assisted thoracoscopic surgery (VATS), Clinical early stage lung cancer, Lobectomy, Complication, Short-term recurrence rate
Background Video-assisted thoracoscopic surgery (VATS) was first applied in the diagnosis and treatment of lung diseases in the early 1990s. VATS has been gradually accepted in other applications, such as local resection of pulmonary nodules and treatment of early stage lung cancer, among others [1-4]. VATS has been extensively considered as a standard method of pulmonary diagnosis and treatment of benign lung diseases [5,6]. VATS lobectomy has been performed by thoracic surgeons to treat clinical early stage non-small cell lung cancer (NSCLC) because this method shows several advantages, such as shorter postoperative hospital stay,
slight pain, less intraoperative and postoperative complications, and less loss of lung function in patients compared with conventional lobectomy [6,7]. We conducted a retrospective study of patients with clinical early stage lung cancer and underwent VATS lobectomy in our department. We then analyzed lymph node dissection, recurrence rate, survival rate, and intraoperative and postoperative complications. We also investigated the safety
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