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Long-term outcomes after a variety of video-assisted thoracoscopic lobectomy approaches for clinical stage IA lung cancer: a multi-institutional study.
J Thorac Cardiovasc Surg. 2006 Sep; 132(3):507-12.JT

Abstract

BACKGROUND

Although video-assisted thoracic surgery (VATS) has been in use for more than a decade, its application to major lung resection for lung cancer is still not widely practiced. The success of a cancer operation is judged by the long-term survival of the treated patients. Therefore, the goal of the present study was to evaluate long-term outcomes associated with various video-assisted lobectomy techniques and conventional surgery in patients with peripheral non-small cell lung cancer less than or equal to 2 cm in diameter (stage IA).

METHODS

A multi-institutional, retrospective review was performed in 145 consecutive patients. Patients with clinical stage IA disease, with tumor size less than or equal to 2 cm in diameter, from three institutions underwent a complete VATS (c-VATS, n = 56), an assisted VATS (a-VATS, n = 34), or a conventional open (open, n = 55) approach for pulmonary lobectomy and lymph node dissection.

RESULTS

Patients undergoing lobectomy and lymph node dissection with c-VATS had less blood loss, faster recovery, shorter hospitalization, and longer operating times than did patients undergoing the lobectomy with the a-VATS and open approaches. At a mean follow-up of 38.8 months, Kaplan-Meier probabilities of survival at 5 years were as follows: c-VATS, 96.7%; a-VATS, 95.2%; open, 97.2%. There was no significant difference in the rate of recurrence among the 3 different procedures.

CONCLUSION

VATS lobectomy, a safe procedure with earlier return to normal activities, can be regarded as an acceptable cancer operation for the patients with peripheral non-small cell lung cancer less than or equal to 2 cm in diameter (clinical stage IA) with the same long-term survivals as open surgery.

Authors+Show Affiliations

Division of General Thoracic Surgery, Takarazuka Municipal Hospital, Hyogo, Japan. drshige0714@yahoo.co.jpNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Multicenter Study

Language

eng

PubMed ID

16935102

Citation

Shigemura, Norihisa, et al. "Long-term Outcomes After a Variety of Video-assisted Thoracoscopic Lobectomy Approaches for Clinical Stage IA Lung Cancer: a Multi-institutional Study." The Journal of Thoracic and Cardiovascular Surgery, vol. 132, no. 3, 2006, pp. 507-12.
Shigemura N, Akashi A, Funaki S, et al. Long-term outcomes after a variety of video-assisted thoracoscopic lobectomy approaches for clinical stage IA lung cancer: a multi-institutional study. J Thorac Cardiovasc Surg. 2006;132(3):507-12.
Shigemura, N., Akashi, A., Funaki, S., Nakagiri, T., Inoue, M., Sawabata, N., Shiono, H., Minami, M., Takeuchi, Y., Okumura, M., & Sawa, Y. (2006). Long-term outcomes after a variety of video-assisted thoracoscopic lobectomy approaches for clinical stage IA lung cancer: a multi-institutional study. The Journal of Thoracic and Cardiovascular Surgery, 132(3), 507-12.
Shigemura N, et al. Long-term Outcomes After a Variety of Video-assisted Thoracoscopic Lobectomy Approaches for Clinical Stage IA Lung Cancer: a Multi-institutional Study. J Thorac Cardiovasc Surg. 2006;132(3):507-12. PubMed PMID: 16935102.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Long-term outcomes after a variety of video-assisted thoracoscopic lobectomy approaches for clinical stage IA lung cancer: a multi-institutional study. AU - Shigemura,Norihisa, AU - Akashi,Akinori, AU - Funaki,Soichiro, AU - Nakagiri,Tomoyuki, AU - Inoue,Masayoshi, AU - Sawabata,Noriyoshi, AU - Shiono,Hiroyuki, AU - Minami,Masato, AU - Takeuchi,Yukiyasu, AU - Okumura,Meinoshin, AU - Sawa,Yoshiki, PY - 2005/12/14/received PY - 2006/03/03/revised PY - 2006/03/28/accepted PY - 2006/8/29/pubmed PY - 2006/10/20/medline PY - 2006/8/29/entrez SP - 507 EP - 12 JF - The Journal of thoracic and cardiovascular surgery JO - J. Thorac. Cardiovasc. Surg. VL - 132 IS - 3 N2 - BACKGROUND: Although video-assisted thoracic surgery (VATS) has been in use for more than a decade, its application to major lung resection for lung cancer is still not widely practiced. The success of a cancer operation is judged by the long-term survival of the treated patients. Therefore, the goal of the present study was to evaluate long-term outcomes associated with various video-assisted lobectomy techniques and conventional surgery in patients with peripheral non-small cell lung cancer less than or equal to 2 cm in diameter (stage IA). METHODS: A multi-institutional, retrospective review was performed in 145 consecutive patients. Patients with clinical stage IA disease, with tumor size less than or equal to 2 cm in diameter, from three institutions underwent a complete VATS (c-VATS, n = 56), an assisted VATS (a-VATS, n = 34), or a conventional open (open, n = 55) approach for pulmonary lobectomy and lymph node dissection. RESULTS: Patients undergoing lobectomy and lymph node dissection with c-VATS had less blood loss, faster recovery, shorter hospitalization, and longer operating times than did patients undergoing the lobectomy with the a-VATS and open approaches. At a mean follow-up of 38.8 months, Kaplan-Meier probabilities of survival at 5 years were as follows: c-VATS, 96.7%; a-VATS, 95.2%; open, 97.2%. There was no significant difference in the rate of recurrence among the 3 different procedures. CONCLUSION: VATS lobectomy, a safe procedure with earlier return to normal activities, can be regarded as an acceptable cancer operation for the patients with peripheral non-small cell lung cancer less than or equal to 2 cm in diameter (clinical stage IA) with the same long-term survivals as open surgery. SN - 1097-685X UR - https://www.unboundmedicine.com/medline/citation/16935102/Long_term_outcomes_after_a_variety_of_video_assisted_thoracoscopic_lobectomy_approaches_for_clinical_stage_IA_lung_cancer:_a_multi_institutional_study_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0022-5223(06)00798-7 DB - PRIME DP - Unbound Medicine ER -