Abstract
BackgroundVATS lobectomy is a recommended surgical approach for patients with early-stage lung cancer. However, it is still controversial in locally advance disease. This study was conducted to compare intraoperative and postoperative results of VATS and thoracotomy in patients with tumors greater than 5 cm.MethodsFrom January 2014 to December 2018, 849 patients underwent lobectomy or pneumonectomy for the treatment of non-small-cell lung cancer at our center. The inclusion criterion of this study was patients who underwent anatomic lung resection for lung cancer with tumors larger than 5 cm((≥ T3). The patients were divided into two groups: those who underwent video-assisted thoracoscopic surgery (n = 24) and those who underwent thoracotomy (n = 36). Patient characteristics, intraoperative and postoperative results were evaluated by review of the hospital records.ResultsIn the VATS group, mean drainage time and postoperative length of hospital stay were significantly shorter than the thoracotomy group. Kaplan–Meier survival curves showed that overall and recurrence-free survival was longer in the VATS group and this result was statistically significant.ConclusionsAccording to the results of this study, we emphasize that VATS is a feasible surgical procedure for tumors larger than 5 cm.
Highlights
video-assisted thoracoscopic surgery (VATS) lobectomy is a recommended surgical approach for patients with early-stage lung cancer
24 of them were included in the VATS group and 36 of them were included in the thoracotomy group
In the VATS group, mean drainage time and postoperative length of hospital stay were significantly shorter than the thoracotomy group (p = 0.009; p = 0.001)
Summary
VATS lobectomy is a recommended surgical approach for patients with early-stage lung cancer It is still controversial in locally advance disease. With the increasing experience in parallel with the number of VATS lobectomies performed, we began to prefer VATS for patients with tumors larger than 5 cm in recent years and we have achieved positive results in terms of the applicability of VATS. In this retrospective study we aimed to present these results and evaluate the safety, efficacy, and feasibility of video-assisted thoracoscopic lobectomy in patients with tumors greater than 5 cm compared with open lobectomy
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