Comparison of single utility port complete video-assisted thoracoscopic surgery versus open lymphadenectomy for non-small cell lung cancer
Wang Guangyu
Chu Xiangyang
LI Guo
Xue Zhiqiang
Zhang Lianbin
Hou Xiaobin
Abstract：Objective To evaluate the safety and clinical outcomes of single utility port complete videoassisted thoracoscopic surgery (VATS)lobectomy.Methods We retrospectively analyzed the clinical data of 203 consecutive patients with early-stage lung cancer who underwent single utility port complete VATS lobectomy from January 2009 to May 2013 in Chinese PLA general hospital (single utility port group).201 patients with earlystage lung cancer who underwent open surgery lobectomy in the same period (open surgery group)were enrolled as a control group.The clinical outcomes including lymph node dissection number,operation time,intraoperative blood loss,chest drainage duration,hospitalization time and postoperative complications were compared between the two groups.Results There were statistical differences in the intraoperative blood loss [(119 ± 50)ml vs (166 ± 78) ml],chest drainage duration [(4.9 ± 2.2) d vs (5.5 ± 2.7) d],hospitalization time [(10.1 ± 2.6) d vs(12.9 ± 3.5) d] and incidence of serious postoperative complications [7.4％ (15/203) vs 13.9％ (28/201)] between the two groups (all P ＜ 0.05).There was no statistical difference in operation time and lymph node dissection number between the two groups(P ＞ 0.05).Conclusions 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 open surgery.Lymphadenectomy outcome related to this therapy is as good as open surgery.
Keywords：Lung neoplasmsThoracic surgery,video-assistedSingle utility portLymph node dissection
Publication Date：2014-01-30
Online Publishing Date：2026-09-14(First online date of this platform, not the publication date of the document)
Pages：4( 37-40 )