초록접수 현황
| 16F-260 | 구연 발표 |
Comparison with Perioperative Outcomes after Single Port Versus Multi-Ports Thoracoscopic Lobectomy for Lung Cancer: A Propensity Matching Study
Bong Soo Son, Sung Kwang Lee, Mi Hee Lim, Do Hyung Kim
Department of Thoracic and Cardiovascular Surgery, Pusan National University Yangsan Hospital, Pusan National University College of Medicine, Gyeongsangnam-do, Korea
Background : Recently, single incision thoracoscopic lobectomy for non-small cell lung cancer has been performed at several centers worldwide. But compared with conventional multi-ports thoracoscopic lobectomy, Reports for perioperative outcomes after single incision thoracosopic lobectomy are limited. This study aimed to compare single incision thoracoscopic lobectomy against conventional multi-ports thoracoscopic lobectomy for non-small cell lung cancer.
Methods : Between January 2009 and December 2016, 141 single-incision thoracoscopic lobectomies and 159 multi-ports thoracoscopic lobectomies were enrolled on patients with non-small cell lung cancer in our institute. Preoperative patient characteristics were compared between two groups (Table 1.). Age and previous caner history were used for propensity matching because age and previous caner history were a statistically significant difference among parameters. After propensity score matching, 141 single incision thoracoscopic lobectomies and 141 multi-ports thoracoscopic lobectomies were selected and compared (Table 2.).
Results : There were no differences significantly between single incision and multi-ports thoracoscopic lobectomy with regard to operation time, number of lymph node, hospital stay, the number of units transfused pack RBC, FFP and PLT during perioperative period, chest tube drainage for first 24 hour, complications except prolonged air leakage, hospital mortality. In regard to postoperative pain, Wong-Baker pain scores at POD 0 and 1 were differences significantly between two groups but pain score at OPD 5, before discharge, first visit of out-patient clinic were no difference. Chest tube drainage for 24 hours after operation and intraoperative blood loss are better with single incision thoracoscopic lobectomy group (Table 3.).
Conclusion : Single incision thoracoscopic lobectomy could achieve similar short-term surgical results compared with multi-ports thoracoscopic lobectomy but immediate postoperative pain after single port thoracoscopic lobectomy is superior to multi-ports group.
Methods : Between January 2009 and December 2016, 141 single-incision thoracoscopic lobectomies and 159 multi-ports thoracoscopic lobectomies were enrolled on patients with non-small cell lung cancer in our institute. Preoperative patient characteristics were compared between two groups (Table 1.). Age and previous caner history were used for propensity matching because age and previous caner history were a statistically significant difference among parameters. After propensity score matching, 141 single incision thoracoscopic lobectomies and 141 multi-ports thoracoscopic lobectomies were selected and compared (Table 2.).
Results : There were no differences significantly between single incision and multi-ports thoracoscopic lobectomy with regard to operation time, number of lymph node, hospital stay, the number of units transfused pack RBC, FFP and PLT during perioperative period, chest tube drainage for first 24 hour, complications except prolonged air leakage, hospital mortality. In regard to postoperative pain, Wong-Baker pain scores at POD 0 and 1 were differences significantly between two groups but pain score at OPD 5, before discharge, first visit of out-patient clinic were no difference. Chest tube drainage for 24 hours after operation and intraoperative blood loss are better with single incision thoracoscopic lobectomy group (Table 3.).
Conclusion : Single incision thoracoscopic lobectomy could achieve similar short-term surgical results compared with multi-ports thoracoscopic lobectomy but immediate postoperative pain after single port thoracoscopic lobectomy is superior to multi-ports group.
첨부파일 : Table.docx
책임저자: Do Hyung Kim
Department of Thoracic and Cardiovascular Surgery, Pusan National University Yangsan Hospital, Pusan National University College of Medicine, Gyeongsangnam-do, Korea
발표자: Bong Soo Son, E-mail : wtknight98@gmail.com