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Is it safe to perform completion lobectomy after diagnostic wedge resection using video-assisted thoracoscopic surgery?
- Source :
-
General thoracic and cardiovascular surgery [Gen Thorac Cardiovasc Surg] 2016 Apr; Vol. 64 (4), pp. 203-8. Date of Electronic Publication: 2016 Feb 25. - Publication Year :
- 2016
-
Abstract
- Objectives: The objective of this study was to assess the safety of video-assisted thoracoscopic surgery (VATS) completion lobectomy (CL) for non-small cell lung cancer (NSCLC) after diagnostic wedge resection by comparing with standard VATS lobectomy (SL).<br />Methods: Data were retrieved from an institutional database of consecutive VATS lobectomies between January 1st 2007 and December 31st 2013. Patients were grouped into CL or SL. Patient characteristics, operative data, converted procedures, complications, and mortality was compared using Pearson Chi square, Fisher's exact test, or Mann-Whitney U test.<br />Results: In total 80 CL and 958 SLs were performed. There were no significant differences in median operating time, median chest drain duration or median length of stay. Median operative bleeding was 100 mL (IQR 50-238) in the CL group compared to 75 mL (IQR 25-200) in the SL group (p = 0.01). There were no differences between groups in major or minor complications. Median time from VATS wedge resection to CL was 33 days (IQR 27-41). Conversion rate was 1.3% in the CL group and 2.6% in the SL group (p = 0.72). 30-day mortality was 0 vs. 1.1 % for the CL group and the SL group accordingly (p > 0.99).<br />Conclusions: This study comparing short-term surgical outcome and complications after surgical treatment of NSCLC indicates that VATS completion lobectomy after diagnostic wedge resection seems safe when looking at a relatively short time interval between the two procedures.
- Subjects :
- Aged
Databases, Factual
Female
Humans
Length of Stay
Male
Middle Aged
Operative Time
Patient Safety
Pneumonectomy adverse effects
Psychosurgery methods
Thoracic Surgery, Video-Assisted adverse effects
Carcinoma, Non-Small-Cell Lung surgery
Lung Neoplasms surgery
Pneumonectomy methods
Thoracic Surgery, Video-Assisted methods
Subjects
Details
- Language :
- English
- ISSN :
- 1863-6713
- Volume :
- 64
- Issue :
- 4
- Database :
- MEDLINE
- Journal :
- General thoracic and cardiovascular surgery
- Publication Type :
- Academic Journal
- Accession number :
- 26914890
- Full Text :
- https://doi.org/10.1007/s11748-016-0633-4