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Single- versus multiple-port thoracoscopic lobectomy for lung cancer: a propensity-matched study

Single- versus multiple-port thoracoscopic lobectomy for lung cancer: a propensity-matched study OBJECTIVESIn this retrospective study, we aimed to compare single-port (SP) and multiport (MP) video-assisted thoracoscopic surgery (VATS) for the surgical resection of non-small-cell lung cancer (NSCLC).METHODSBetween October 2013 and October 2014, a total of 411 consecutive NSCLC patients who underwent VATS lobectomy in the Department of Thoracic Surgery, Zhongshan Hospital of Fudan University, were enrolled. Propensity-matched analysis, incorporating preoperative clinical features, was used to compare the perioperative outcomes and analyse the safety and efficacy between SP and MP VATS lobectomies for NSCLCs.RESULTSThere were 115 patients in the SP group, and 296 patients in the MP group from October 2013 to October 2014. Propensity matching produced 100 pairs in this retrospective study. During the operation, the lobectomy took less time in the SP than in the MP (65.7 14.8 vs 81.3 13.6, P < 0.001) group, while the duration of lymphadenectomy was longer in the SP group (29.6 16.7 vs 17.4 13.3, P < 0.001). The total operation duration, the volume of estimated blood loss (55.1 9.0 ml vs 58.7 7.1 ml, P 0.22) and the length of postoperative hospital stay (4.7 1.2 days vs 5.3 1.4 days, P 0.05) were similar between the two groups. Postoperatively, SP and MP groups showed similar results in terms of morbidity and mortality.CONCLUSIONSIn comparison with conventional VATS, SP VATS lobectomy showed better safety and efficacy in the surgical resection of NSCLCs. Further studies based on larger populations and better methodology are required to determine its further benefits towards patients. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png European Journal of Cardio-Thoracic Surgery Oxford University Press

Single- versus multiple-port thoracoscopic lobectomy for lung cancer: a propensity-matched study

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References (25)

Publisher
Oxford University Press
Copyright
The Author 2015. Published by Oxford University Press on behalf of the European Association for Cardio-Thoracic Surgery. All rights reserved.
ISSN
1010-7940
eISSN
1873-734X
DOI
10.1093/ejcts/ezv358
pmid
26464451
Publisher site
See Article on Publisher Site

Abstract

OBJECTIVESIn this retrospective study, we aimed to compare single-port (SP) and multiport (MP) video-assisted thoracoscopic surgery (VATS) for the surgical resection of non-small-cell lung cancer (NSCLC).METHODSBetween October 2013 and October 2014, a total of 411 consecutive NSCLC patients who underwent VATS lobectomy in the Department of Thoracic Surgery, Zhongshan Hospital of Fudan University, were enrolled. Propensity-matched analysis, incorporating preoperative clinical features, was used to compare the perioperative outcomes and analyse the safety and efficacy between SP and MP VATS lobectomies for NSCLCs.RESULTSThere were 115 patients in the SP group, and 296 patients in the MP group from October 2013 to October 2014. Propensity matching produced 100 pairs in this retrospective study. During the operation, the lobectomy took less time in the SP than in the MP (65.7 14.8 vs 81.3 13.6, P < 0.001) group, while the duration of lymphadenectomy was longer in the SP group (29.6 16.7 vs 17.4 13.3, P < 0.001). The total operation duration, the volume of estimated blood loss (55.1 9.0 ml vs 58.7 7.1 ml, P 0.22) and the length of postoperative hospital stay (4.7 1.2 days vs 5.3 1.4 days, P 0.05) were similar between the two groups. Postoperatively, SP and MP groups showed similar results in terms of morbidity and mortality.CONCLUSIONSIn comparison with conventional VATS, SP VATS lobectomy showed better safety and efficacy in the surgical resection of NSCLCs. Further studies based on larger populations and better methodology are required to determine its further benefits towards patients.

Journal

European Journal of Cardio-Thoracic Surgery – Oxford University Press

Published: Jan 13, 2016

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