دورية أكاديمية
Video-assisted thoracic surgery lobectomy versus lobectomy by thoracotomy for lung cancer: pilot study.
| العنوان: | Video-assisted thoracic surgery lobectomy versus lobectomy by thoracotomy for lung cancer: pilot study. |
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| المؤلفون: | Papiashvilli M; Department of Cardiothoracic Surgery, Edith Wolfson Medical Center, Holon, Israel. fredricag@asaf.health.gov.il, Sasson L, Azzam S, Hayat H, Schreiber L, Ezri T, Priel IE |
| المصدر: | Innovations (Philadelphia, Pa.) [Innovations (Phila)] 2013 Jan-Feb; Vol. 8 (1), pp. 6-11. |
| نوع المنشور: | Comparative Study; Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: SAGE Publications Country of Publication: United States NLM ID: 101257528 Publication Model: Print Cited Medium: Internet ISSN: 1559-0879 (Electronic) Linking ISSN: 15569845 NLM ISO Abbreviation: Innovations (Phila) Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: 2019- : [Thousand Oaks, CA] : SAGE Publications Original Publication: Philadelphia, PA : Lippincott Williams & Wilkins |
| مواضيع طبية MeSH: | Carcinoma, Non-Small-Cell Lung/*surgery , Lung Neoplasms/*surgery , Pneumonectomy/*methods , Thoracic Surgery, Video-Assisted/*methods , Thoracotomy/*methods, Age Factors ; Aged ; Carcinoma, Non-Small-Cell Lung/mortality ; Carcinoma, Non-Small-Cell Lung/pathology ; Cohort Studies ; Female ; Follow-Up Studies ; Hospital Mortality/trends ; Humans ; Length of Stay ; Lung Neoplasms/mortality ; Lung Neoplasms/pathology ; Male ; Middle Aged ; Pneumonectomy/adverse effects ; Pneumonectomy/mortality ; Postoperative Complications/mortality ; Postoperative Complications/physiopathology ; Retrospective Studies ; Risk Assessment ; Survival Rate ; Thoracic Surgery, Video-Assisted/mortality ; Thoracotomy/mortality ; Treatment Outcome |
| مستخلص: | Objective: Video-assisted thoracic surgery lobectomy (VATS-L) has become accepted as a safe and effective procedure to treat early-stage non-small cell lung carcinoma (NSCLC). However, the advantages of VATS-L compared with lobectomy by thoracotomy (TL) remain controversial. The aim of this study was to compare the outcomes of patients who underwent VATS-L with those who underwent TL. Methods: We studied 103 patients who underwent surgery for operable NSCLC between October 2009 and March 2012. All operations were performed by a single surgeon. The inclusion and exclusion criteria for VATS-L and TL were formulated before the study was initiated. Data on age, sex, preoperative comorbidities, intraoperative and postoperative complications, hospital stay, morbidity, mortality, and other characteristics were recorded preoperatively, in real time intraoperatively, and during hospitalization and were statistically compared. Comorbidities were scaled according to the Charlson Comorbidity Index, and propensity scores between the patients who underwent TL and VATS-L were compared. Results: Sixty-three VATS-L operations and 40 TL operations were performed. There were no postoperative complications in 39 patients (61.9%) who underwent VATS-L compared with 25 patients (62.5%) who underwent TL. The patients who underwent TL were significantly younger than the patients who underwent VATS-L (mean ± SD, 64.7 ± 12.6 vs 70.9 ± 8.4; P = 0.003). Hospital stay was not found to be related to the type of surgery (mean ± SD, 8.43 ± 3.15 days vs 8.32 ± 4.13 days; P = 0.888). There were no significant differences when comparing postoperative complications. Conclusions: Our initial data suggest that VATS-L is a safe procedure in patients with resectable IA/IB NSCLC and may be the preferred strategy for treatment of the older patient population. |
| تواريخ الأحداث: | Date Created: 20130411 Date Completed: 20131114 Latest Revision: 20130410 |
| رمز التحديث: | 20240628 |
| DOI: | 10.1097/IMI.0b013e31828d5f15 |
| PMID: | 23571787 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 1559-0879 |
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| DOI: | 10.1097/IMI.0b013e31828d5f15 |