Video‐assisted thoracoscopic lobectomy with a single utility port is feasible in the treatment of elderly patients with peripheral lung cancer
Open Access
- 15 November 2013
- journal article
- research article
- Published by Wiley in Thoracic Cancer
- Vol. 5 (3), 219-224
- https://doi.org/10.1111/1759-7714.12081
Abstract
Background Video‐assisted thoracoscopic (VATS) lobectomy with a single utility port has emerged as a new technology in recent years. The aim of this study is to review the technology in the treatment of elderly patients with peripheral lung cancer. Methods We retrospectively analyzed the clinical data of 21 elderly patients with peripheral lung cancer who underwent single utility port VATS lobectomy from February 2011 to February 2013 in the First Affiliated Hospital of Soochow University (VATS group). The clinical outcomes and postoperative complications were then compared to data from 32 elderly patients who underwent lobectomy by thoracotomy (TL group). Results No mortality occurred during the postoperative period in either group. There was no statistical difference in surgery duration, the quantity of lymph node dissection or intraoperative blood loss between the VATS and TL groups. However, significant differences existed in the postoperative hospital stay (6.19 ± 1.69 days vs. 8.22 ± 2.55 days), time to first activity out of bed (20.57 ± 7.72 hours vs. 26.81 ± 9.27 hours), chest drainage duration (4.24 ± 1.04 days vs. 5.22 ± 1.29 days), and total postoperative drainage volume (642.86 ± 158.18 mL vs. 787.81 ± 211.55 mL) between the VATS and TL groups (P < 0.05). The percentage of patients with no complications in the VATS group (85.71%) is significantly higher when compared with the TL group (56.25%, P < 0.05). Conclusion VATS lobectomy with a single utility port is a safe and feasible surgical procedure for selected elderly patients with peripheral lung cancer.Keywords
This publication has 37 references indexed in Scilit:
- Long-Term Survival After Lobectomy for Non-Small Cell Lung Cancer by Video-Assisted Thoracic Surgery Versus ThoracotomyThe Annals of Thoracic Surgery, 2013
- Single-Incision Thoracoscopic Lobectomy and Segmentectomy With Radical Lymph Node DissectionThe Annals of Thoracic Surgery, 2013
- Surgery for nonsmall cell lung cancerEuropean Respiratory Review, 2013
- Safety of Thoracoscopic Lobectomy in Locally Advanced Lung CancerAnnals of Surgical Oncology, 2011
- A model for morbidity after lung resection in octogenariansEuropean Journal of Cardio-Thoracic Surgery, 2011
- Non-Small Cell Lung Cancer: Epidemiology, Risk Factors, Treatment, and SurvivorshipMayo Clinic Proceedings, 2008
- Diagnosis and Management of Lung Cancer Executive Summary: ACCP Evidence-Based Clinical Practice Guidelines (2nd Edition)Chest, 2007
- Thoracoscopic Lobectomy Is a Safe and Versatile ProcedureAnnals of Surgery, 2006
- Early lung-cancer detection with spiral CT and positron emission tomography in heavy smokers: 2-year resultsThe Lancet, 2003
- A new method of classifying prognostic comorbidity in longitudinal studies: Development and validationJournal of Chronic Diseases, 1987