Comparison of outcomes between muscle-sparing thoracotomy and video-assisted thoracic surgery in patients with cT1 N0 M0 lung cancer

Abstract

Abstract Objective To compare short-term complications and long-term survival outcomes between muscle-sparing thoracotomy (MST) and video-assisted thoracic surgery (VATS) groups using a propensity-score matching process. Methods One thousand eighty-three patients with cT1 N0 M0 lung cancer from January 2009 to December 2014 who underwent lobectomy and a systematic lymph node dissection were retrospectively included, and statistical analyses including a propensity-score matching process were used to compare short-term and long-term outcomes. Results Before propensity-score matching, for short-term surgical outcomes, the VATS group had fewer chest tube dwelling days ( P P P = .015). For long-term survival outcomes, the VATS group had a longer recurrence-free survival ( P P P P P = .002), and fewer postoperative complications ( P = .008). There was no difference in recurrence-free survival and overall survival between the 2 groups ( P = .158 and P = .639, respectively). Conclusions VATS is less invasive and is associated with shorter length of hospital stay and fewer postoperative complications. The 2 surgical approaches have equivalent long-term survival outcomes.