Abstract
Objective To compare the results and safety between video-assisted thoracic surgery (VATS) lobectomy and conv-antional lobectomy via open theracotomy in patients with stage Ⅰ non small cell lung cancer (NSCLC). Methods Retrospectively re-viewed 165 patients with stage Ⅰ NSCLC underwent either VATS lobectomy (VATS group, n=41) or standard lobectomy via thora-cotomy (open group, n = 124) from January 2002 to December 2007. Patients' operative characteristics and postoperative courseswere comparable between two groups. Results The operative time was ( 195 ~ 57)rain in the VATS group and (224±64)min in theopen group ( P 0.05). The postoperative chest tube drainage was ( 1595±1038 )ml and (1828±1074)ml (P>0.05). The postoperative pneumonia rate was 4.9% and 12.1% (P 0.05)respectively, and for stage Ⅰ A pa-tiants in both groups was 100%. Conclusion Compare with thoracotomy, VATS lobectomy for patients with stage Ⅰ NSCLC appearsto be as effective but less morbid. Key words: Carcinoma, non-small-cell lung Thoracascopy Pneumonecomy Neoplasm staging Lobectomy
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