Video-assisted thoracoscopic lobectomy and bilobectomy versus open thoracotomy for non-small cell lung cancer: Mortality and survival.

التفاصيل البيبلوغرافية
العنوان:	Video-assisted thoracoscopic lobectomy and bilobectomy versus open thoracotomy for non-small cell lung cancer: Mortality and survival.
المؤلفون:	Üçvet A; Department of Thoracic Surgery, Health Sciences University, Dr. Suat Seren Chest Diseases and Thoracic Surgery Training and Research Hospital, Izmir, Turkey., Yazgan S; Department of Thoracic Surgery, Health Sciences University, Dr. Suat Seren Chest Diseases and Thoracic Surgery Training and Research Hospital, Izmir, Turkey., Samancılar Ö; Department of Thoracic Surgery, Health Sciences University, Dr. Suat Seren Chest Diseases and Thoracic Surgery Training and Research Hospital, Izmir, Turkey., Türk Y; Department of Thoracic Surgery, Health Sciences University, Dr. Suat Seren Chest Diseases and Thoracic Surgery Training and Research Hospital, Izmir, Turkey., Gürsoy S; Department of Thoracic Surgery, Health Sciences University, Dr. Suat Seren Chest Diseases and Thoracic Surgery Training and Research Hospital, Izmir, Turkey., Erbaycu AE; Department of Chest Diseases, Izmir Bakırçay University, Izmir, Turkey.
المصدر:	Turk gogus kalp damar cerrahisi dergisi [Turk Gogus Kalp Damar Cerrahisi Derg] 2022 Jan 28; Vol. 30 (1), pp. 66-74. Date of Electronic Publication: 2022 Jan 28 (Print Publication: 2022).
نوع المنشور:	Journal Article
اللغة:	English
بيانات الدورية:	Publisher: Bayçınar Medical Publishing Country of Publication: Turkey NLM ID: 100887967 Publication Model: eCollection Cited Medium: Print ISSN: 1301-5680 (Print) Linking ISSN: 13015680 NLM ISO Abbreviation: Turk Gogus Kalp Damar Cerrahisi Derg Subsets: PubMed not MEDLINE
أسماء مطبوعة:	Publication: [İstanbul, Turkey] : Bayçınar Medical Publishing Original Publication: İstanbul : Türk Kalp Damar Cerrahisi Derneǧi
مستخلص:	Background: In this study, we aimed to evaluate patients who had non-small cell lung cancer and underwent resection, to investigate our tendency to prefer video-assisted thoracic surgery or open thoracotomy, and to compare 30- and 90-day mortalities and survival rates. Methods: Between January 2013 and January 2019, a total of 706 patients (577 males, 129 females; mean age: 61.9±8.6 years; range, 17 to 84 years) who underwent lobectomy or bilobectomy due to primary non-small cell lung cancer were retrospectively analyzed. The patients were divided into two groups as operated on through video-assisted thoracic surgery and through open thoracotomy. The 30- and 90-day mortality rates and survival rates were compared. Results: Of the patients, 202 (28.6%) underwent video-assisted thoracic surgery and 504 (71.4%) underwent open thoracotomy. Lobectomy was performed in 632 patients (89.5%) and bilobectomy was performed in 74 patients (10.5%). Patients who were chosen for video-assisted thoracic surgery were statistically significantly older, did not require any procedure other than lobectomy, did not receive neoadjuvant therapy, had a small tumor, and did not have lymph node metastases. The 30- and 90-day mortality rates in the video-assisted thoracic surgery and open thoracotomy groups were 1.8% vs. 2% and 2.6% vs. 2.5%, respectively. The five-year survival rates of video-assisted thoracic surgery and open thoracotomy groups were 74.1% and 65.2%, respectively (p>0.05). The 30- and 90-day mortality and five-year survival rates were 2.1%, 2.6%, and 73.5% in the video-assisted thoracic surgery group and 2.1%, 2.1%, and 68.5% in the open thoracotomy group, respectively, indicating no statistically significant difference between the two groups. Conclusion: Throughout the study period, video-assisted thoracic surgery was more preferred in patients with advanced age, in those who had a small tumor, who did not receive neoadjuvant therapy, did not have lymph node metastasis, and did not require any procedure other than lobectomy. In the video-assisted thoracic surgery and open thoracotomy groups, 30- and 90-day mortality and five-year survival rates were similar. Based on these findings, both procedures seem to be acceptable in this patient population. Competing Interests: Conflict of Interest: The authors declared no conflicts of interest with respect to the authorship and/or publication of this article. (Copyright © 2022, Turkish Society of Cardiovascular Surgery.)
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فهرسة مساهمة:	Keywords: Lung cancer; mortality; survival; thoracotomy; video-assisted thoracic surgery
تواريخ الأحداث:	Date Created: 20220421 Latest Revision: 20220423
رمز التحديث:	20231215
مُعرف محوري في PubMed:	PMC8990136
DOI:	10.5606/tgkdc.dergisi.2022.20912
PMID:	35444859
قاعدة البيانات:	MEDLINE

الوصف
تدمد:	1301-5680
DOI:	10.5606/tgkdc.dergisi.2022.20912