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

The Japanese Journal of Thoracic and Cardiovascular Surgery volume 54, pages 49–55 (2006)Cite this article

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.

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Affiliations

  1. Division of Surgical Oncology, Department of Translational Medical Sciences, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan

    Masashi Muraoka MD, Tadayuki Oka MD, Shinji Akamine MD, Tsutomu Tagawa MD, Akihiro Nakamura MD, Satoshi Hashizume MD, Keitaro Matsumoto MD, Masato Araki MD, Yutaka Tagawa MD & Takeshi Nagayasu MD

Authors
  1. Masashi Muraoka MD
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  2. Tadayuki Oka MD
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  3. Shinji Akamine MD
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  4. Tsutomu Tagawa MD
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  5. Akihiro Nakamura MD
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  6. Satoshi Hashizume MD
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  7. Keitaro Matsumoto MD
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  8. Masato Araki MD
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  9. Yutaka Tagawa MD
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  10. Takeshi Nagayasu MD
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Muraoka, M., Oka, T., Akamine, S. et al. Video-assisted thoracic surgery lobectomy reduces the morbidity after surgery for stage I non-small cell lung cancer. Jpn J Thorac Caridovasc Surg 54, 49–55 (2006). https://doi.org/10.1007/BF02744600

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  • DOI: https://doi.org/10.1007/BF02744600

Key words

  • video-assisted thoracic surgery
  • lung cancer
  • operative morbidity