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[Comparison of the short-term outcomes of surgical treatment for non-small cell lung cancer via video assisted thoracoscopic surgery and open thoracotomy].
Zhonghua Zhong Liu Za Zhi. 2012 Apr; 34(4):301-5.ZZ

Abstract

OBJECTIVE

To compare the short-term outcomes of surgical treatment for non-small cell lung cancer (NSCLC) by video-assisted thoracoscopic surgery (VATS) and open thoracotomy (OT).

METHODS

Data of 737 consecutive NSCLC patients who underwent surgical treatment for non-small cell lung cancer by video-assisted thoracoscopic surgery and 630 patients who underwent pulmonary resection via open thoracotomy (as controls) in Cancer Institute & Hospital, Chinese Academy of Medical Sciences between January 2009 and August 2011 were retrospectively reviewed. The risk factors after lobectomy were also analyzed.

RESULTS

In the 506 NSCLC patients who received VATS lobectomy, postoperative complications occurred in 13 patients (2.6%) and one patient died of acute respiratory distress syndrome (0.2%). In the 521 patients who received open thoracotomy (OT) lobectomy, postoperative complications occurred in 21 patients (4.0%) and one patient died of pulmonary infection (0.2%). There was no significant difference in the morbidity rate (P > 0.05) and mortality rate (P > 0.05) between the VATS group and OT group. In the 190 patients who received VATS wedge resections, postoperative complications occurred in 3 patients (1.6%). One hundred and nine patients received OT wedge resections. Postoperative complications occurred in 4 patients (3.7%). There were no significant differences for morbidity rate (P = 0.262) between these two groups, and there was no perioperative death in these two groups. Univariate and multivariate analyses demonstrated that age (OR = 1.047, 95%CI: 1.004 - 1.091), history of smoking (OR = 6.374, 95%CI: 2.588 - 15.695) and operation time (OR = 1.418, 95%CI: 1.075 - 1.871) were independent risk factors of postoperative complications.

CONCLUSIONS

To compare with the NSCLC patients who should undergo lobectomy or wedge resection via open thoracotomy, a similar short-term outcome can be achieved via VATS approach.

Authors+Show Affiliations

Department of Thoracic Surgical Oncology, Cancer Institute & Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100021, China.No 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 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)

Comparative Study
English Abstract
Journal Article

Language

chi

PubMed ID

22781045

Citation

Mu, Ju-wei, et al. "[Comparison of the Short-term Outcomes of Surgical Treatment for Non-small Cell Lung Cancer Via Video Assisted Thoracoscopic Surgery and Open Thoracotomy]." Zhonghua Zhong Liu Za Zhi [Chinese Journal of Oncology], vol. 34, no. 4, 2012, pp. 301-5.
Mu JW, Zhang BH, Li N, et al. [Comparison of the short-term outcomes of surgical treatment for non-small cell lung cancer via video assisted thoracoscopic surgery and open thoracotomy]. Zhonghua Zhong Liu Za Zhi. 2012;34(4):301-5.
Mu, J. W., Zhang, B. H., Li, N., Lü, F., Mao, Y. S., Xue, Q., Gao, S. G., Zhao, J., Wang, D. L., Li, Z. S., Gao, Y. S., Zhang, L. Z., Huang, J. F., Shao, K., Feng, F. Y., Zhao, L., Li, J., Cheng, G. Y., Sun, K. L., & He, J. (2012). [Comparison of the short-term outcomes of surgical treatment for non-small cell lung cancer via video assisted thoracoscopic surgery and open thoracotomy]. Zhonghua Zhong Liu Za Zhi [Chinese Journal of Oncology], 34(4), 301-5. https://doi.org/10.3760/cma.j.issn.0253-3766.2012.04.014
Mu JW, et al. [Comparison of the Short-term Outcomes of Surgical Treatment for Non-small Cell Lung Cancer Via Video Assisted Thoracoscopic Surgery and Open Thoracotomy]. Zhonghua Zhong Liu Za Zhi. 2012;34(4):301-5. PubMed PMID: 22781045.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Comparison of the short-term outcomes of surgical treatment for non-small cell lung cancer via video assisted thoracoscopic surgery and open thoracotomy]. AU - Mu,Ju-wei, AU - Zhang,Bai-hua, AU - Li,Ning, AU - Lü,Fang, AU - Mao,You-sheng, AU - Xue,Qi, AU - Gao,Shu-geng, AU - Zhao,Jun, AU - Wang,Da-li, AU - Li,Zhi-shan, AU - Gao,Yu-shun, AU - Zhang,Liang-ze, AU - Huang,Jin-feng, AU - Shao,Kang, AU - Feng,Fei-yue, AU - Zhao,Liang, AU - Li,Jian, AU - Cheng,Gui-yu, AU - Sun,Ke-lin, AU - He,Jie, PY - 2012/7/12/entrez PY - 2012/7/12/pubmed PY - 2013/3/15/medline SP - 301 EP - 5 JF - Zhonghua zhong liu za zhi [Chinese journal of oncology] JO - Zhonghua Zhong Liu Za Zhi VL - 34 IS - 4 N2 - OBJECTIVE: To compare the short-term outcomes of surgical treatment for non-small cell lung cancer (NSCLC) by video-assisted thoracoscopic surgery (VATS) and open thoracotomy (OT). METHODS: Data of 737 consecutive NSCLC patients who underwent surgical treatment for non-small cell lung cancer by video-assisted thoracoscopic surgery and 630 patients who underwent pulmonary resection via open thoracotomy (as controls) in Cancer Institute & Hospital, Chinese Academy of Medical Sciences between January 2009 and August 2011 were retrospectively reviewed. The risk factors after lobectomy were also analyzed. RESULTS: In the 506 NSCLC patients who received VATS lobectomy, postoperative complications occurred in 13 patients (2.6%) and one patient died of acute respiratory distress syndrome (0.2%). In the 521 patients who received open thoracotomy (OT) lobectomy, postoperative complications occurred in 21 patients (4.0%) and one patient died of pulmonary infection (0.2%). There was no significant difference in the morbidity rate (P > 0.05) and mortality rate (P > 0.05) between the VATS group and OT group. In the 190 patients who received VATS wedge resections, postoperative complications occurred in 3 patients (1.6%). One hundred and nine patients received OT wedge resections. Postoperative complications occurred in 4 patients (3.7%). There were no significant differences for morbidity rate (P = 0.262) between these two groups, and there was no perioperative death in these two groups. Univariate and multivariate analyses demonstrated that age (OR = 1.047, 95%CI: 1.004 - 1.091), history of smoking (OR = 6.374, 95%CI: 2.588 - 15.695) and operation time (OR = 1.418, 95%CI: 1.075 - 1.871) were independent risk factors of postoperative complications. CONCLUSIONS: To compare with the NSCLC patients who should undergo lobectomy or wedge resection via open thoracotomy, a similar short-term outcome can be achieved via VATS approach. SN - 0253-3766 UR - https://www.unboundmedicine.com/medline/citation/22781045/[Comparison_of_the_short_term_outcomes_of_surgical_treatment_for_non_small_cell_lung_cancer_via_video_assisted_thoracoscopic_surgery_and_open_thoracotomy]_ L2 - http://journal.yiigle.com/LinkIn.do?linkin_type=pubmed&issn=0253-3766&year=2012&vol=34&issue=4&fpage=301 DB - PRIME DP - Unbound Medicine ER -