The Japanese Journal of Thoracic and Cardiovascular Surgery

, Volume 54, Issue 2, pp 49–55

Video-assisted thoracic surgery lobectomy reduces the morbidity after surgery for stage I non-small cell lung cancer

  • Masashi Muraoka
  • Tadayuki Oka
  • Shinji Akamine
  • Tsutomu Tagawa
  • Akihiro Nakamura
  • Satoshi Hashizume
  • Keitaro Matsumoto
  • Masato Araki
  • Yutaka Tagawa
  • Takeshi Nagayasu
Original Article

DOI: 10.1007/BF02744600

Cite this article as:
Muraoka, M., Oka, T., Akamine, S. et al. Jpn J Thorac Caridovasc Surg (2006) 54: 49. doi:10.1007/BF02744600
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Abstract

Objective: We conducted this study to evaluate the surgical invasiveness and the safety of video-assisted thoracic surgery lobectomy for stage I lung cancer. Methods: Video-assisted thoracic surgery lobectomies were performed on 43 patients with clinical stage IA non-small cell lung cancer. We compared the surgical invasiveness parameters with 42 patients who underwent lobectomy by conventional thoracotomy. Results: Intraoperative blood loss was significantly less than that in the conventional thoracotomy group (151±149 vs. 362±321 g, p<0.01). Chest tube duration (3.0±2.1 vs. 3.9±1.9 days) was significantly shorter than those in the conventional thoracotomy group (p<0.05). The visual analog scale which was evaluated as postoperative pain level on postoperative day 7, maximum white blood count and C-reactive protein level were significantly lower than those in the conventional thoracotomy group (p<0.05). The morbidity rate was significantly lower than that in the conventional thoracotomy group (25.6% vs. 47.6%, p<0.05). Sputum retention and arrhythmia were significantly less frequent than in the conventional thoracotomy group (p<0.05). We experienced no operative deaths in both groups. Conclusion: We conclude that video-assisted thoracic surgery lobectomy for stage I non-small cell lung cancer patients is a less invasive and safer procedure with a lower morbidity rate compared with lobectomy by thoracotomy.

Key words

video-assisted thoracic surgerylung canceroperative morbidity

Copyright information

© Japanese Association for Thoracic Surgery 2006

Authors and Affiliations

  • Masashi Muraoka
    • 1
  • Tadayuki Oka
    • 1
  • Shinji Akamine
    • 1
  • Tsutomu Tagawa
    • 1
  • Akihiro Nakamura
    • 1
  • Satoshi Hashizume
    • 1
  • Keitaro Matsumoto
    • 1
  • Masato Araki
    • 1
  • Yutaka Tagawa
    • 1
  • Takeshi Nagayasu
    • 1
  1. 1.Division of Surgical Oncology, Department of Translational Medical SciencesNagasaki University Graduate School of Biomedical SciencesNagasakiJapan
  2. 2.Department of Chest SurgeryOita Prefectural HospitalOitaJapan