Comparison of perioperative results of conventional versus thoracoscopic lobectomy for clinical stage I lung carcinoma

Amaç: Bu çalışmada klinik evre I küçük hücreli dışı akciğer kanserli (KHDAK) hastalarda klasik torakotomi ile yapılan lobektomi ile video-yardımlı torakoskopik (VYT) lobektominin perioperatif sonuçları karşılaştırıldı. Çalışma planı: Kliniğimizde VYT lobektomi Aralık 2007’de yapılmaya başlandı. Bu tarihten sonra klinik evre I KHDAK tanısı ile ameliyat ettiğimiz hastaların (VYT grubu, n=20) sonuçları, aynı klinik evrede olup Ocak- Kasım 2007 tarihleri arasında klasik torakotomi (torakotomi grubu, n=28) ile lobektomi yaptığımız hastaların sonuçları ile karşılaştırıldı. Bulgular: Her iki grubun yaş, cinsiyet, ameliyat tarafı ve rezeke edilen lobu, solunum fonksiyonları ve hücre tipleri gibi ameliyat öncesi karakteristikleri benzerdi. Ameliyat süresi VYT grubunda, torakotomi grubuna kıyasla anlamlı olarak daha uzundu (207.5 dakikaya karşılık 142.8 dakika; p

Klinik evre I akciğer kanserinde klasik lobektomi ile torakoskopik lobektominin perioperatif sonuçlarının karşılaştırılması

Background: This study aimed to compare the perioperative results of video-assisted thoracic surgery (VATS) lobectomy with those of conventional lobectomy in patients with clinical stage I non-small cell lung carcinoma (NSCLC). Methods: We began performing VATS lobectomy in our institution in December 2007. The patients with clinical stage I NSCLC who were operated after this date (VATS group, n=20) were compared with the group of patients who were in the same clinical stage and operated via conventional lobectomy (thoracotomy group, n=28) between January and November 2007. Results: The two groups had similar preoperative characteristics of age, sex, laterality, resected lobe, pulmonary functions, and histological type. The duration of operation was significantly longer in the VATS group than thoracotomy group (207.5 min versus 142.8 min, p

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  • 1. Yim AP, Ko KM, Ma CC, Chau WS, Kyaw K. Thoracoscopic lobectomy for benign diseases. Chest 1996;109:554-6.
  • 2. McKenna RJ Jr, Houck W, Fuller CB. Video-assisted thoracic surgery lobectomy: experience with 1,100 cases. Ann Thorac Surg 2006;81:421-5.
  • 3. McKenna RJ Jr, Wolf RK, Brenner M, Fischel RJ, Wurnig P. Is lobectomy by video-assisted thoracic surgery an adequate cancer operation? Ann Thorac Surg 1998;66:1903-8.
  • 4. Walker WS, Codispoti M, Soon SY, Stamenkovic S, Carnochan F, Pugh G. Long-term outcomes following VATS lobectomy for non-small cell bronchogenic carcinoma. Eur J Cardiothorac Surg 2003;23:397-402.
  • 5. Whitson BA, Andrade RS, Boettcher A, Bardales R, Kratzke RA, Dahlberg PS, et al. Video-assisted thoracoscopic surgery is more favorable than thoracotomy for resection of clinical stage I non-small cell lung cancer. Ann Thorac Surg 2007;83:1965-70.
  • 6. Shigemura N, Akashi A, Funaki S, Nakagiri T, Inoue M, Sawabata N, et al. Long-term outcomes after a variety of video-assisted thoracoscopic lobectomy approaches for clinical stage IA lung cancer: a multi-institutional study. J Thorac Cardiovasc Surg 2006;132:507-12.
  • 7. Kirby TJ, Mack MJ, Landreneau RJ, Rice TW. Lobectomyvideo assisted thoracic surgery versus muscle-sparing thoracotomy. A randomized trial. J Thorac Cardiovasc Surg 1995;109:997-1001.
  • 8. Landreneau RJ, Mack MJ, Hazelrigg SR, Naunheim K, Dowling RD, Ritter P, et al. Prevalence of chronic pain after pulmonary resection by thoracotomy or video-assisted thoracic surgery. J Thorac Cardiovasc Surg 1994;107:1079-85.
  • 9. Yim AP, Wan S, Lee TW, Arifi AA. VATS lobectomy reduces cytokine responses compared with conventional surgery. Ann Thorac Surg 2000;70:243-7.
  • 10. Nakajima J, Takamoto S, Kohno T, Ohtsuka T. Costs of videothoracoscopic surgery versus open resection for patients with of lung carcinoma. Cancer 2000;89(11 Suppl):2497-501.
  • 11. Sugiura H, Morikawa T, Kaji M, Sasamura Y, Kondo S, Katoh H. Long-term benefits for the quality of life after video-assisted thoracoscopic lobectomy in patients with lung cancer. Surg Laparosc Endosc Percutan Tech 1999;9:403-8.
  • 12. Mahtabifard A, Fuller CB, McKenna RJ Jr. Video-assisted thoracic surgery sleeve lobectomy: a case series. Ann Thorac Surg 2008;85:S729-32.
  • 13. Swanson SJ, Herndon JE 2nd, D’Amico TA, Demmy TL, McKenna RJ Jr, Green MR, et al. Video-assisted thoracic surgery lobectomy: report of CALGB 39802--a prospective, multiinstitution feasibility study. J Clin Oncol 2007; 25:4993-7.
  • 14. Shaw JP, Dembitzer FR, Wisnivesky JP, Litle VR, Weiser TS, Yun J, et al. Video-assisted thoracoscopic lobectomy: state of the art and future directions. Ann Thorac Surg 2008; 85:S705-9.
  • 15. Cattaneo SM, Park BJ, Wilton AS, Seshan VE, Bains MS, Downey RJ, et al. Use of video-assisted thoracic surgery for lobectomy in the elderly results in fewer complications. Ann Thorac Surg 2008;85:231-5.
  • 16. Sagawa M, Sato M, Sakurada A, Matsumura Y, Endo C, Handa M, et al. A prospective trial of systematic nodal dissection for lung cancer by video-assisted thoracic surgery: can it be perfect? Ann Thorac Surg 2002;73:900-4.
  • 17. Watanabe A, Koyanagi T, Ohsawa H, Mawatari T, Nakashima S, Takahashi N, et al. Systematic node dissection by VATS is not inferior to that through an open thoracotomy: a comparative clinicopathologic retrospective study. Surgery 2005;138:510-7.
  • 18. Shiraishi T, Shirakusa T, Hiratsuka M, Yamamoto S, Iwasaki A. Video-assisted thoracoscopic surgery lobectomy for c-T1N0M0 primary lung cancer: its impact on locoregional control. Ann Thorac Surg 2006;82:1021-6.
  • 19. Okur E, Baysungur V, Tezel C, Sevilgen G, Ergene G, Gokce M, et al. Comparison of the single or double chest tube applications after pulmonary lobectomies. Eur J Cardiothorac Surg 2009;35:32-5.
Türk Göğüs Kalp Damar Cerrahisi Dergisi-Cover
  • ISSN: 1301-5680
  • Yayın Aralığı: Yılda 4 Sayı
  • Başlangıç: 1991
  • Yayıncı: Bayçınar Tıbbi Yayıncılık
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