Lobectomy for non-small cell lung cancer: differences in morbidity and mortality between thoracotomy and thoracoscopy

Innovations : Technology and Techniques in Cardiothoracic and Vascular Surgery
Michael PapiashvilliIlan Bar

Abstract

Until the last decade, lobectomy by thoracotomy (TL) was the "gold standard" for treatment of patients with operable lung carcinoma. Today, video-assisted thoracic surgery lobectomy (VATS-L) has become accepted as a safe and effective procedure to treat early-stage lung cancer. We analyzed and compared postoperative complications, hospital stay, morbidity, and mortality after TL and VATS-L in patients with non-small cell lung carcinoma (NSCLC). Between February 1998 and December 2007, we performed 326 TLs in patients with NSCLC. From December 2007, VATS-L was preferentially performed, and 63 cases of NSCLC patients underwent surgery using this method. Comorbidities were scaled according to the Charlson Comorbidity Index, and propensity scores between the TL and VATS-L patients were compared. Postoperative complications occurred in 142 TL patients (43.6%) and 17 VATS-L patients (27%), with 3.6% and 1.6% intrahospital mortality, respectively. There were no significant differences between the TL and VATS-L patients in Charlson Comorbidity Index or propensity scores, which led us to compare complications between TL and VATS-L groups and discovered that VATS-L patients had a shorter median length of stay (P < 0.001) and VATS-L was a...Continue Reading

References

May 1, 1995·The Journal of Thoracic and Cardiovascular Surgery·T J KirbyT W Rice
Feb 6, 1998·The Journal of Thoracic and Cardiovascular Surgery·H WadaY Watanabe
Apr 30, 1999·The Journal of Thoracic and Cardiovascular Surgery·D H HarpoleS F Khuri
Feb 6, 2002·The Journal of Thoracic and Cardiovascular Surgery·Richard J BattafaranoG Alexander Patterson
Feb 21, 2002·The European Respiratory Journal·J P van MeerbeeckM L Vos de Wael
Jun 12, 2002·Lung Cancer : Journal of the International Association for the Study of Lung Cancer·Yasuo SekineTakehiko Fujisawa
Dec 21, 2002·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·O BirimA J J C Bogers
Mar 1, 2005·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Angel López-EncuentraUNKNOWN Bronchogenic Carcinoma Cooperative Group of the Spanish Society of Pneumology and Thoracic Surgery (GCCB-S)
Jan 24, 2006·The Annals of Thoracic Surgery·Robert J McKennaClark Beeman Fuller
Feb 27, 2007·The Journal of Thoracic and Cardiovascular Surgery·Bernard J ParkDavid Amar
Nov 1, 2007·Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology·Scott J SwansonDavid J Sugarbaker
Dec 25, 2007·The Annals of Thoracic Surgery·Stephen M CattaneoValerie W Rusch
Apr 25, 2008·Lung Cancer : Journal of the International Association for the Study of Lung Cancer·Thomas SchneiderHans Hoffmann
Aug 2, 2008·Journal of Thoracic Oncology : Official Publication of the International Association for the Study of Lung Cancer·Sai-Hong Ignatius Ou, Jason A Zell
Nov 26, 2008·American Journal of Respiratory and Critical Care Medicine·Max KatesJuan P Wisnivesky
Mar 18, 2009·Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology·Tristan D YanBrian C McCaughan
Jul 22, 2009·The Journal of Thoracic and Cardiovascular Surgery·Nestor R VillamizarThomas A D'Amico
Aug 14, 2009·Nature·Jonathan M Levine, Janneke HilleRisLambers
Sep 22, 2009·The Annals of Thoracic Surgery·Mark F BerryMark W Onaitis
Jan 29, 2010·The Journal of Thoracic and Cardiovascular Surgery·Subroto PaulThomas A D'Amico
Nov 1, 2007·Innovations : Technology and Techniques in Cardiothoracic and Vascular Surgery·Davy ChengJanet Martin

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Citations

Apr 11, 2013·Innovations : Technology and Techniques in Cardiothoracic and Vascular Surgery·Michael PapiashvilliIsrael E Priel
Mar 4, 2014·Annals of Thoracic and Cardiovascular Surgery : Official Journal of the Association of Thoracic and Cardiovascular Surgeons of Asia·Hiroshige Nakamura

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