초록접수 현황
| 16F-075 | 구연 발표 |
Efficacy of Single Port VATS Lobectomy in Lung Cancer (Compared with Triple Port VATS)
Kyung Sub Song M.D. Chang Kwon Park M.D.
Department of Thoracic and Cardiovascular Surgery, Dongsan Hospital, Keimyung University Dongsan Medical Center, Keimyung University School of Medicine, Daegu, Korea
Background : In recent years, the number of single-port video-assiseted thoracoscopic surgery (VATS) for lobectomy of non-small cell lung cancer (NSCLC) patients is increasing. We performed this study to compare the feasibility and safety of single-port and triple-port VATS lobectomy.
Methods : We performed retrospective study on 73 patients with NSCLC who underwent VATS lobectomy from December 2011 to August 2016. There were 47 cases in triple-port group and the other 26 patients in single-port group.
Results : Operation time and intraoperative blood loss were similar in triple-port and single-port group (185.40±48.06 min vs 205.38±50.63 min, p=0.100 and 328.72±530.97 mL vs 314.61±513.10 mL, p=0.913). There was not morbidity and mortality case, and there were not significant differences in complications, total number of dissected lymph nodes. In single-port group, lymph nodes were dissected in more various mediastinal area (1.66±0.70 vs 1.23±0.51, p=0.004). Both group had one patients of bronchopleural fistula each. Excepts these two cases, in 71 patients, chest tube duration and postoperative hospital stay were shorter in single-port group (8.50±5.03 days vs 5.04±3.52 days, p=0.003 and 11.59±5.50 days vs 8.48±3.42 days, p=0.005). In single-port group, the rate of conversion to multiport was 11.54% (2 of 26). Rate of conversion to open thoracotomy in single port and triple port group was 3.85% and 6.38% (p=0.551).
Conclusion : In comparison with triple-port group, single-port VATS lobectomy showed faster recovery after lobectomy, and similar results in safety and efficacy. As more experience is accumulated, a large number of triple-port VATS lobectomy might be replaced by single-port VATS lobectomy.
Methods : We performed retrospective study on 73 patients with NSCLC who underwent VATS lobectomy from December 2011 to August 2016. There were 47 cases in triple-port group and the other 26 patients in single-port group.
Results : Operation time and intraoperative blood loss were similar in triple-port and single-port group (185.40±48.06 min vs 205.38±50.63 min, p=0.100 and 328.72±530.97 mL vs 314.61±513.10 mL, p=0.913). There was not morbidity and mortality case, and there were not significant differences in complications, total number of dissected lymph nodes. In single-port group, lymph nodes were dissected in more various mediastinal area (1.66±0.70 vs 1.23±0.51, p=0.004). Both group had one patients of bronchopleural fistula each. Excepts these two cases, in 71 patients, chest tube duration and postoperative hospital stay were shorter in single-port group (8.50±5.03 days vs 5.04±3.52 days, p=0.003 and 11.59±5.50 days vs 8.48±3.42 days, p=0.005). In single-port group, the rate of conversion to multiport was 11.54% (2 of 26). Rate of conversion to open thoracotomy in single port and triple port group was 3.85% and 6.38% (p=0.551).
Conclusion : In comparison with triple-port group, single-port VATS lobectomy showed faster recovery after lobectomy, and similar results in safety and efficacy. As more experience is accumulated, a large number of triple-port VATS lobectomy might be replaced by single-port VATS lobectomy.
책임저자: Chang Kwon Park
Department of Thoracic and Cardiovascular Surgery, Dongsan Hospital, Keimyung University Dongsan Medical Center, Keimyung University School of Medicine, Daegu, Korea
발표자: Kyung Sub Song, E-mail : chest.songks@gmail.com