Abstract
To evaluate the safety, efficacy, and invasiveness of lobectomy by video-assisted thoracoscopic surgery (VATS) in the treatment of stage I/II non-small cell lung cancer (NSCLC). A total of 148 patients presenting with Stage I or II NSCLC were enrolled into our study, comprising 71 who underwent VATS and 77 patients undergoing conventional thoracotomic lobectomy, in combination with systematic lymph node resection. It was found that VATS was superior to conventional thoracotomy in terms of the duration of surgery, intraoperative blood loss, frequency of the need to administer postoperative analgesia, thoracic intubation indwelling time, post-operative hospital stay, and survival rate (P<0.05). We saw no obvious difference in the number of resected lymph nodes with either approach. VATS lobectomy is a safe and reliable surgical approach for the treatment of Stage I/II NSCLC, characterized by significantly minimal invasiveness, rapid post-operative recovery, and markedly lower loss of blood.
Highlights
Thoracotomy was the most common thoracic surgical approach before the advent of minimally invasive devices
General information Perioperative death was not seen in the video-assisted thoracoscopic surgery (VATS) lobectomy group, two study subjects were excluded from the study due to the conversion in treatment approach to thoracotomy
In China, thoracoscope-assisted lobectomy was widely used instead of the video-assisted thoracoscopic lobectomy, which unlike thoracoscopic surgery still relies on direct visualization with the naked eye, whereas the VATS surgical approach is solely visualized with the aid of a fiber optic thoracoscope
Summary
Thoracotomy was the most common thoracic surgical approach before the advent of minimally invasive devices. The malignant lesions can be fully exposed and resected, there are major concerns associated with post-operative and severe pulmonary complications and prolonged wound healing This is largely due to massive surgical trauma and intraoperative loss of blood loss, all of which have been major concerns for both the surgeon and the patient. The advantage of VATS over thoracotomy is that the incision to the patient’s chest is relatively minor, which leads to reductions in post-operative infection and wound dehiscence. This permits the prompt return of the patient to full activity. Experts in the field have estimated that approximately 60% of lung cancer surgeries could be performed by adopting VATS in the US over the several years
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