Single Utility Port Complete Video-assisted Thoracoscopic Surgery Lobectomy for Patients with Early-stage Lung Cancer_Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Authors：

CHU Xiangyang , XUE Zhiqiang , LIU Yi

Department of Thoracic Surgery, Chinese PLA General Hospital , Beijing 100853, P.R.China;

Corresponding author：

Keywords：

Single utility port; ?Video-assisted thoracic surgery; ?Lobectomy; ?Lung cancer

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Abstract：?Objective?To evaluate clinical outcomes of single utility port complete video-assisted thoracoscopic surgery （VATS） lobectomy for patients with early-stage lung cancer.?Methods?We retrospectively analyzed the clinical data of 162 consecutive patients with early-stage lung cancer who underwent single utility port complete VATS lobectomy from September 2009 to October 2011 in Chinese PLA General Hospital （single utility port group），and compared them with 221 patients with early-stage lung cancer who underwent video-assisted mini-thoracotomy （VAMT） lobectomy in the same period （VAMT group）. The clinical outcomes including operation time, intraoperative blood loss, lymph node dissection number, time to first activity out of bed, chest drainage duration and postoperative complications, were compared between the two groups.?Results?No perioperative death was observed in both groups. There were statistical differences in the intraoperative blood loss （162.8±75.6 ml vs. 231.4±62.8 ml）, time to first activity out of bed （2.2±0.3 d vs. 3.7±0.5 d） , and chest drainage duration （3.5±0.2 d vs. 4.6±0.4 d） between the two groups （P＜0.05）. There was no statistical difference in operation time （133.7±22.0 min vs. 124.9±25.7 min） , lymph node dissection number （11.7±1.9 vs. 12.5±2.7）， and incidence of serious postoperative complications （7.4% vs. 8.1%）between the two groups.?Conclusion?Single utility port complete VATS lobectomy and lymph node dissection are safe and reliable for patients with early-stage lung cancer with less injury and better postoperative recovery compared with VAMT.

Citation： CHU Xiangyang,XUE Zhiqiang,LIU Yi,et al .. Single Utility Port Complete Video-assisted Thoracoscopic Surgery Lobectomy for Patients with Early-stage Lung Cancer. Chinese Journal of Clinical Thoracic and Cardiovascular Surgery, 2012, 19(2): 113-115. doi: Copy

1.	Ettinger DS, Bepler G, Bueno R, et al. Non-small cell lung cancer clinical practice guidelines in oncology. J Natl Compr Canc Netw, 2006, 4（6）：548-582.
2.	初向阳, 薛志强, 张连斌, 等. 单操作孔胸腔镜肺叶切除术的初步报道 .中国肺癌杂志, 2010, 13（1）：19-21.
3.	Paul S, Altorki NK, Sheng S, et al. Thoracoscopic lobectomy is associated with lower morbidity than open lobectomy： a propensity- matched analysis from the STS database. J Thorac Cardiovasc Surg, 2010, 139（2）：366-378.
4.	高珂, 刘早阳, 吴剑, 等. 单向式全胸腔镜肺叶切除术治疗早期非小细胞肺癌的临床疗效分析. 中国胸心血管外科临床杂志, 2011, 18（3）：231-235.
5.	Flores RM, Alam N. Video-assisted thoracic surgery lobectomy （VATS）, open thoracotomy, and the robot for lung cancer. Ann Thorac Surg , 2008, 85（2）：S710-715.
6.	Salati M, Brunelli A, Rocco G . Uniportal video-assisted thoracic surgery for diagnosis and treatment of intrathoracic conditions.Thorac Surg Clin, 2008, 18（3）：305-310.
7.	刘伦旭, 车国卫, 王允, 等. 电视胸腔镜手术治疗肺良性疾病128例.中国胸心血管外科临床杂志, 2008, 15（1）：29-31.
8.	薛志强, 初向阳, 张连斌, 等. 单操作孔电视胸腔镜手术切除纵隔肿瘤32例临床分析. 军医进修学院学报, 2010, 31（11）：1052-1053.
9.	Kim K, Kim HK, Park JS, et al. Video-assisted thoracic surgery lobectomy： single institutional experience with 704 cases. Ann Thorac Surg, 2010, 89（6）：S2118-2122.
10.	Kim HK, Choi YS, Kim J, et al. Outcomes of unexpected pathologic N1 and N2 diease after video-assisted thoracic surgery lobectomy for clinical stage I non-small cell lung cancer. J Thorac Cardiovasc Surg, 2010, 140（6）：1288-1293.
11.	Yan TD, Black D, Bannon PG, et al. Systematic review and meta-analysis of randomized and nonrandomized trials on safety and efficacy of video-assisted thoracic surgery lobectomy for early-stage non-small-cell lung cancer. J Clin Oncol, 2009, 27（15）：2553-2562.

1. 　Ettinger DS, Bepler G, Bueno R, et al. Non-small cell lung cancer clinical practice guidelines in oncology. J Natl Compr Canc Netw, 2006, 4（6）：548-582.
2. 　初向阳, 薛志强, 张连斌, 等. 单操作孔胸腔镜肺叶切除术的初步报道 .中国肺癌杂志, 2010, 13（1）：19-21.
3. 　Paul S, Altorki NK, Sheng S, et al. Thoracoscopic lobectomy is associated with lower morbidity than open lobectomy： a propensity- matched analysis from the STS database. J Thorac Cardiovasc Surg, 2010, 139（2）：366-378.
4. 　高珂, 刘早阳, 吴剑, 等. 单向式全胸腔镜肺叶切除术治疗早期非小细胞肺癌的临床疗效分析. 中国胸心血管外科临床杂志, 2011, 18（3）：231-235.
5. 　Flores RM, Alam N. Video-assisted thoracic surgery lobectomy （VATS）, open thoracotomy, and the robot for lung cancer. Ann Thorac Surg , 2008, 85（2）：S710-715.
6. 　Salati M, Brunelli A, Rocco G . Uniportal video-assisted thoracic surgery for diagnosis and treatment of intrathoracic conditions.Thorac Surg Clin, 2008, 18（3）：305-310.
7. 　刘伦旭, 车国卫, 王允, 等. 电视胸腔镜手术治疗肺良性疾病128例.中国胸心血管外科临床杂志, 2008, 15（1）：29-31.
8. 　薛志强, 初向阳, 张连斌, 等. 单操作孔电视胸腔镜手术切除纵隔肿瘤32例临床分析. 军医进修学院学报, 2010, 31（11）：1052-1053.
9. 　Kim K, Kim HK, Park JS, et al. Video-assisted thoracic surgery lobectomy： single institutional experience with 704 cases. Ann Thorac Surg, 2010, 89（6）：S2118-2122.
10. 　Kim HK, Choi YS, Kim J, et al. Outcomes of unexpected pathologic N1 and N2 diease after video-assisted thoracic surgery lobectomy for clinical stage I non-small cell lung cancer. J Thorac Cardiovasc Surg, 2010, 140（6）：1288-1293.
11. 　Yan TD, Black D, Bannon PG, et al. Systematic review and meta-analysis of randomized and nonrandomized trials on safety and efficacy of video-assisted thoracic surgery lobectomy for early-stage non-small-cell lung cancer. J Clin Oncol, 2009, 27（15）：2553-2562.

Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Single Utility Port Complete Video-assisted Thoracoscopic Surgery Lobectomy for Patients with Early-stage Lung Cancer

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