- 作者：Ana Triviñ ; o<sup>asup><sup> ; sup><sup>atrivi_17@hotmail.com" class="auth_mailsup> ; Miguel Congregado<sup>bsup> ; Jesú ; s Loscertales<sup>bsup> ; Rafael Jimé ; nez-Merchá ; n<sup>bsup> ; Nathalie Pinos-Vé ; lez<sup>bsup> ; Fernando Có ; zar<sup>bsup> ; Patricia Carmona-Soto<sup>bsup>
- 关键词：Video-assisted thoracic surgery ; Thoracotomy ; Non-small cell lung carcinoma ; Surgery
- 刊名：Archivos de Bronconeumología (English Edition)
- 出版年：February, 2014
- 年：2014
- 卷：50
- 期：2
- 页码：57-61
- 全文大小：447 K
ss="h4">Background
Surgical treatment of stage I non-small cell lung cancer (NSCLC) can be performed either by thoracotomy or by employing video-assisted thoracic surgery (VATS). The aim of this study was to compare long- and short-term results of conventional surgery (CS) vs VATS lobectomy in the treatment of stage I NSCLC.ss="h4">Materials and methods
We performed a retrospective, analytical study of patients undergoing surgery for stage I NSCLC during the period January 1993 to December 2005. The variables analysed were overall survival, recurrence, distant metastasis, morbidity, mortality and hospital stay. During this period, 256 anatomic lung resections were performed: 141 by CS and 115 by VATS.
ss="h4">Results
There were statistically significant differences in: (i) mean hospital stay in patients with no complications (VATS group: 4.3 days vs CS group: 8.7 days, P=.0001); (ii) mean hospital stay in patients with complications (VATS: 7.2 days vs CS: 13.7 days, P=.0001), and (iii) morbidity (VATS: 15.6% vs CS: 36.52%, P=.0001). No statistically significant differences were found in: (i) mortality (VATS: 2.17% vs CS: 1.7%, P=.88); (ii) 5-year overall survival (VATS: 68.1% vs CS: 63.8%), and (iii) local recurrence and distant metastasis (P=.82).
ss="h4">Conclusions
VATS lobectomy is a safe and effective approach, with a shorter hospital stay and lower morbidity than CS; no statistically significant differences were observed in survival in patients undergoing surgery for stage I NSCLC.