Results of video-assisted thoracic surgery versus thoracotomy in surgical resection of pN2 non-small cell lung cancer in a Chinese high-volume Center

2020 ◽  
Author(s):  
Chengwu Liu ◽  
Chenglin Guo ◽  
Fanyi Gan ◽  
Jiandong Mei ◽  
Qiang Pu ◽  
...  
Keyword(s):  
Lung Cancer ◽  
Thoracic Surgery ◽  
Small Cell Lung Cancer ◽  
Surgical Resection ◽  
Cell Lung Cancer ◽  
High Volume ◽  
Small Cell ◽  
Small Cell Lung ◽  
Video Assisted Thoracic Surgery ◽  
High Volume Center

Right non-small-cell lung cancer involving the atrium: VATS atriotomy and closure of the atrium using a running suture. VATS, video-assisted thoracic surgery

ASVIDE ◽  
2021 ◽  
Vol 8 ◽  
pp. 214-214
Author(s):  
Debora Brascia ◽  
Giulia De Iaco ◽  
Marcella Schiavone ◽  
Samuele Nicotra ◽  
Francesca Signore ◽  
...  
Keyword(s):  
Lung Cancer ◽  
Thoracic Surgery ◽  
Small Cell Lung Cancer ◽  
Cell Lung Cancer ◽  
Small Cell ◽  
Small Cell Lung ◽  
Video Assisted Thoracic Surgery ◽  
Video Assisted

Comparison of the Early Robot-Assisted Lobectomy Experience to Video-Assisted Thoracic Surgery Lobectomy for Lung Cancer a Single-Institution Case Series Matching Study

2011 ◽  
Vol 6 (5) ◽  
pp. 305-310 ◽  
Author(s):  
Hee-Jin Jang ◽  
Hyun-Sung Lee ◽  
Seong Yong Park ◽  
Jae Ill Zo
Keyword(s):  
Lung Cancer ◽  
Robotic Surgery ◽  
Thoracic Surgery ◽  
Small Cell Lung Cancer ◽  
Cell Lung Cancer ◽  
Small Cell ◽  
Small Cell Lung ◽  
Robot Assisted ◽  
Vats Lobectomy ◽  
Video Assisted Thoracic Surgery

Objective Robotic surgery has evolved in urology, gynecology, and general surgery and seems to be an oncologically sound surgical approach. Robotic surgery has been infrequently reported for pulmonary lobectomy. The aim of this study is to compare the outcomes of our early experience in performing robot-assisted lobectomy (RAL) with video-assisted thoracic surgery (VATS) for the treatment of non-small cell lung cancer. Methods Between February and October 2009, 40 patients underwent RAL for resectable non-small cell lung cancer. The dissection and anatomic isolation of the hilar structures were performed using two arms of the da Vinci S system. A retrospective comparison with two VATS groups was performed, our initial 40 VATS patients (between January 2006 and February 2007) and our most recent 40 VATS patients (between June 2008 and September 2009). The entire experience with VATS lobectomy is 163 cases. Results In the RAL group, the mean age was 64 years, and there were 23 male patients. Adenocarcinoma was diagnosed in 29 patients with a mean tumor size of 3.5 cm. There were no conversions to open thoracotomy. Among the patients in our initial and recent VATS lobectomy groups, the conversion rate was 3 (8%) and 2 (5%) patients, respectively. The operative time for the RAL (240 ± 62 minutes) and the initial VATS lobectomy groups (257 ± 57 minutes) were similar but was longer than the recent VATS lobectomy group (161 ± 39 minutes, P < 0.001). However, the rate of postoperative complications in the RAL group (n = 4, 10%) was significantly lower than that of the initial VATS group (n = 13, 32.5%, P = 0.027) and similar to that of the recent VATS group (n = 7, 17.5%, P = 0.755). Intraoperative bleeding was reduced in the RAL group compared with the initial VATS group (219 mL vs 374 mL P = 0.017), and the median length of postoperative stay was significantly shorter for the RAL group compared with the initial VATS group (6 vs 9 days, P < 0.001). Conclusions The outcomes of our early RAL experience was comparable to the our outcomes achieved with VATS lobectomy, whether performed early or late.

Short- and Medium-Term Outcomes After Uniportal and Multiportal Video-Assisted Thoracic Surgery Lobectomy in Elderly Patients with Non-Small Cell Lung Cancer

2020 ◽  
Author(s):  
Dian Zhong ◽  
Qing Lin ◽  
Jinqiang Zhang ◽  
Yujuan Liu ◽  
Zhiqiang Zhan
Keyword(s):  
Lung Cancer ◽  
Elderly Patients ◽  
Thoracic Surgery ◽  
Small Cell Lung Cancer ◽  
Cell Lung Cancer ◽  
Small Cell ◽  
Small Cell Lung ◽  
Medium Term ◽  
Video Assisted Thoracic Surgery ◽  
Video Assisted

Abstract Objective: To investigate the short- and medium-term outcomes following treatment with uniportal video-assisted thoracic surgery lobectomy (uniportal VATS) in elderly patients with non-small cell lung cancer (NSCLC). Methods: We conducted a retrospective analysis on the clinical and follow-up data of 74 elderly patients with NSCLC who underwent uniportal VATS between January 2015 and January 2020. One-to-one propensity score matching (PSM) was employed to select 71 elderly patients with NSCLC who underwent multiportal video-assisted thoracoscopic lobectomy (multiportal VATS) during the same period. Results: The baseline characteristics of the two patient groups were comparable, with no statistically significant differences in postoperative complications, operation time, conversion to thoracotomy, or lymph node dissection. The amount of intraoperative blood loss and postoperative pain were lower in the uniportal VATS group than in the multiportal VATS group. The 3-year overall survival and disease-free survival of the two groups were similar. Conclusions: Uniportal VATS achieved similar short- and medium-term outcomes as Multiportal VATS in elderly patients with NSCLC.

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