Korean J Thorac Cardiovasc Surg.  2017 Jun;50(3):190-196. 10.5090/kjtcs.2017.50.3.190.

Feasibility and Safety of Single-Port Video-Assisted Thoracic Surgery for Primary Lung Cancer

• Heo W
• Kang DK
• Min HK
• Jun HJ
• Hwang YH

• KMID: 2381902
• DOI: http://doi.org/10.5090/kjtcs.2017.50.3.190

Abstract

BACKGROUND
The feasibility of single-port video-assisted thoracic surgery (SPVATS) for primary lung cancer is not well understood. In this study, we compared SP and multi-port (MP) VATS for the surgical treatment of patients with primary lung cancer.
METHODS
Surgical treatment was performed in 181 patients with primary lung cancer at Inje University Haeundae Paik Hospital between June 2012 and December 2015. A propensity-matched analysis was used to compare the postoperative outcomes and to evaluate the comparative feasibility and safety of SPVATS and MPVATS.
RESULTS
There were 37 patients in the SPVATS group and 67 patients in the MPVATS group. Propensity matching produced 32 pairs. The operation time (210 minutes versus 200 minutes, p=0.11), volume of the estimated blood loss (170 mL versus 160 mL, p=0.19), duration of chest tube drainage (5 days versus 6 days, p=0.66), and length of hospital stay (9 days versus 10 days, p=0.89) were similar between the 2 groups.
CONCLUSION
In our study, SPVATS for primary lung cancer was safe and feasible in well selected patients. A prospective, randomized study with a large group and long-term follow-up is necessary to evaluate the clinical feasibility and the advantages of SPVATS for primary lung cancer.

Keyword

Video-assisted thoracic surgery; Lung neoplasms; Lobectomy

MeSH Terms

Chest Tubes
Drainage
Follow-Up Studies
Humans
Length of Stay
Lung Neoplasms*
Lung*
Prospective Studies
Thoracic Surgery, Video-Assisted*