Uniportal video-assisted thoracoscopic lobectomies in lung cancer management
https://doi.org/10.24884/0042-4625-2017-176-5-33-37
Abstract
OBJECTIVE. The study summarized personal surgical experience of uniportal video-assisted thoracoscopic (VATS) lobectomies for patients with stage I-II non-small cell lung cancer. MATERIAL AND METHODS. The authors have performed 72 VATS lobectomies for patients with stage I-II non-small lung cancer using modified minimally invasive single incision above anterior part of musculus latissimus dorsi. RESULTS. During the implementation period, there were carried out 2 (2,8 %) conversions to open thoracotomy. There weren’t observed lethal postoperative complications of VATS lobectomies. Other complications had 5 (6,9 %) patients. Postoperative pneumonia was in 1 (1,4 %) patient. Arrhytmia was noted in 4 (5,6 %) patients. The average operation time consisted of 227,4 min (from 60 to 460 min). Learning curve demonstrated a significant decrease of operation time with every following VATS lobectomy from 227,4 to 90,3 min (p=0,03). The quantity of removed regional lymph nodes estimated 14,2 ± 0,7 during uniportal VATS lobectomy. The median blood loss was 98,3 ml (from 10 to 300 ml). The average duration of air leak was 2,3 ± 0,65 days after uniportal VATS lobectomy. The mean term of drainage was 4,6 ± 0,53 days. CONCLUSIONS. The data obtained justified the feasibility, efficacy and safety of VATS lobectomies in patients with I-II stage of lung cancer.
About the Authors
A. I. Arsen’Ev
N. N. Petrov Research Institute of Oncology
Russian Federation
Russian Federation
A. O. Nefedov
N. N. Petrov Research Institute of Oncology
Russian Federation
Russian Federation
A. A. Barchuk
N. N. Petrov Research Institute of Oncology
Russian Federation
Russian Federation
S. A. Tarkov
N. N. Petrov Research Institute of Oncology
Russian Federation
Russian Federation
K. A. Kostitsyn
N. N. Petrov Research Institute of Oncology
Russian Federation
Russian Federation
A. V. Nefedova
N. N. Petrov Research Institute of Oncology
Russian Federation
Russian Federation
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Review
For citations:
Arsen’Ev A.I., Nefedov A.O., Barchuk A.A., Tarkov S.A., Kostitsyn K.A., Nefedova A.V. Uniportal video-assisted thoracoscopic lobectomies in lung cancer management. Grekov's Bulletin of Surgery. 2017;176(5):33-37. (In Russ.) https://doi.org/10.24884/0042-4625-2017-176-5-33-37
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