Surgical Outcomes Of Video-assisted Sleeve Lobectomy
Jeonghee Yun, Yong Soo Choi
Samsung Medical Center, Seoul, Korea, Republic of
Background Thoracotomy has been standard approach for sleeve lobectomy for decades. Along with advance of surgical technique, attempts to perform sleeve lobectomy with video-assisted thoracoscopic surgery are increasing. In this study, we aimed to evaluate safety and efficacy of VATS sleeve lobectomy. Methods We retrospectively reviewed 30 consecutive patients who underwent sleeve lobectomy by one surgeon from October 2010 to June 2019. Twelve patients were operated by VATS and 18 patients were operated by thoracotomy. Operative features, surgical outcomes are compared between the two groups. Results Baseline patient characteristics (age, sex, smoking history, comorbidity, PFT) were not significantly different between the two groups. Although tumor size was smaller in VATS group (p=0.01), pathologic stage was not significantly different. Operating time, thoracic drainage stay, ICU stay, hospital stay, Complication rate (pneumonia, atelectasis, ARDS, BPF, prolonged air-leak) were also not significantly different between two groups. There was one early mortality (within 30 days) in thoracotomy group but not in VATS group. Lung cancer recurred in 4 patients of VATS group and 7 patients of thoracotomy group (33.3% vs 38.8%, p=0.65). Conclusion VATS sleeve lobectomy is safe procedure with acceptable complication rates. Surgical outcomes of VATS sleeve lobectomy were not inferior to thoracotomy sleeve lobectomy.
Back to 2020 Abstracts