|Table of Contents|

Comparison of clinical effects between completed video-assisted thoracoscopic surgery and video-assisted mini-thoracotomy resection of lung cancer

Journal Of Modern Oncology[ISSN:1672-4992/CN:61-1415/R]

Issue:
2017 18
Page:
2919-2921
Research Field:
Publishing date:

Info

Title:
Comparison of clinical effects between completed video-assisted thoracoscopic surgery and video-assisted mini-thoracotomy resection of lung cancer
Author(s):
Feng Lei1; 2; Qin Sida1; Luo Gang1; Zhang Xumin2; Ren Hong1
1.The Second Department of Thoracic Surgery,the First Affiliated Hospital of Xi'an Jiaotong University,Shaanxi Xi'an 710061, China;2.Department of Oncology,Hanzhong People's Hospital,Shaanxi Hanzhong 723000,China.
Keywords:
CVATS; VAMT; non-small cell lung cancer
PACS:
R734.2
DOI:
10.3969/j.issn.1672-4992.2017.18.016
Abstract:
Objective:To compare the clinical efficacy and safety of video-assisted mini-thoracotomy(VAMT)and completed video-assisted thoracoscopic surgery(CVATS)in the treatment of lung cancer.Methods:138 cases of patients with lung cancer(10 cases Ia,39 cases Ib,47 cases IIa,37 cases IIb,5 cases IIIa)were divided into two groups:CVATS group with 62 cases,VAMT group with 76 cases.The clinical effects were analyzed statistically.Results:The operation time and hospitalization cost of CVATS group were higher than those of VAMT group,but the hospitalization time was shorter.There was no significant difference between the two groups in the amount of bleeding,the number of lymph node dissection,and the time of postoperative management.The level of serum inflammatory factors on the 1th and 4th day after operation was significantly increased in the two groups,and VAMT group was more than CVATS group.The concentration of of IL-6 and IL-10 in pleural infusion in VAMT group was higher than CVATS group.But the concentration of CRP had no any changes.The rates of postoperative complications were 9.68%vs 9.21% respectively in the two groups without difference.Conclusion:There was no significant difference using CVATS or VAMT for lung cancer surgery patient safety including resection,lymph node dissection,hemorrhage,and complications.It suggested that the experiences of personal practice and indication of the lesions are always the first choice for the surgeons.

References:

［1］ Scott WJ,Howington J,Feigenberg S,et al.Treatment of non-small cell lung cancer stage I and stage II:ACCP evidence-based clinical practice guidelines(2nd edition)［J］.Chest,2007,132(3):234S.
[2] Hartwig MG,D'Amico TA.Thoracoscopic lobeetomy:The gold standard for early-stage lung cancer［J］.Ann Thorac Surg,2010,89(6):2098-2101.
[3] Migliore M,Criscione A,Calvo D,et al.Safety of video-assisted thoracic surgery lobectomy for non-small-cell lung cancer in a low-volume unit［J］.Future Oncology,2017,12(23s):47-50.
[4] Li J,Wei W,Long J,et al.Video-assisted thoracic surgery resection and reconstruction of carina and trachea for malignantor benign disease in 12 patients:Three centers' experience in China［J］.Ann Thoracic Surgery,2016,102(1):295-303.
[5]Watanabe A,Mishina T,Ohori S,et al.Is video-assisted thoracoscopic surgery a feasible appmach for clinical N0 and postoperatively pathological N2 non-small cell lung cancer［J］.Eur J Cardiothorac Surg,2008,33(5):812-818.
[6] Zhang R,Ferguson MK.Video-assisted versus open lobectomy in patients with compromised lung function:A literature review and Meta-analysis［J］.PLoS One,2015,10(7):e0124512.
[7] Shen WM,Cen HF,Yuan XD,et al.A comparative study on the effect of thoracoscopic surgery and conventional thoracotomy for lung cancer［J］.Zhejiang Medical Journal,2014,36（13）：1165-1167． ［申文明，岑浩锋，袁小冬，等.胸腔镜下与常规开胸肺癌根治术手术效果的对照研究［J］．浙江医学，2014，36（13）：1165-1167.］
[8] Paul S,Sedrakyan A,Chiu YL,et al.Outcomes after lobectomy using thoracoscopy VS thoracotomy：A comparative effectiveness analysis utilizing the nationwide inpatient sample database［J］.Eur J Cardiothorac Surg,2013,43(4):813-817.
[9] Chen HW,Du M.Video-assisted thoracoscopic pneumonectomy［J］.Journal of Thoracic Disease,2015,7(4):764.
[10] Wang KB,Qin ZM,Zuo XP,et al.Clinical application of video-assisted mini-thoracotomy in non-small cell lung cancer［J］.Journal of Regional Anatomy and Operative Surgery,2013,22（4）：391-395.［王凯斌，秦治明，左小平，等．电视胸腔镜辅助小切口手术在非小细胞肺癌中的应用［J］．局解手术学杂志，2013,22（4）：391-395.］
[11] Liu Jia,Zhang Xi,Lei Guangyan.Effect of VATS in thoracotomy for resectable lung cancer［J］.Modern Oncology,2016,24(10):1555-1557.［刘佳,张曦,雷光焰.胸腔镜与开胸手术治疗肺癌的对比研究［J］.现代肿瘤医学,2016,24(10):1555-1557.］
[12] Zhang ZH,Ma DC,Xu MQ,et al.A comparative study of video-assisted thoracoscopic lymphadenectomy for non-small cell lung cancer［J］.Chinese Journal of Minimally Invasive Surgery,2013,13(3):211-214.［张正华,马冬春,徐美清,等.全胸腔镜下非小细胞肺癌淋巴结清扫的对比研究［J］.中国微创外科杂志,2013,13(3):211-214.］
[13] Luo GJ,Zhang L,Li ZD,et al.Analysis of the effect of video assisted thoracic small incision lobectomy for lung cancer［J］．Journal of Regional Anatomy and Operative Surgery，2012，21(4)：454-455.［罗国军，张利，李卓东，等．电视胸腔镜辅助小切口肺叶切除术治疗肺癌的疗效分析［J］．局解手术学杂志，2012，21(4)：454-455．］
[14] Petersen RH,Hansen HJ,Dirksen A,et al.Lung cancer screening and video-assisted thoracic surgery［J］.J Thorac Oncol,2012,7(6):1026-1031.

Memo

Memo:
National Natural Science Foundation of China(No.81402506）；国家自然科学基金项目(编号：81402506）
Last Update: 1900-01-01