Med Bull Sisli Etfal Hosp. 2020; 54(3): 291-296 | DOI: 10.14744/SEMB.2020.60963

Comparison of the Video-assisted Thoracoscopic Lobectomy versus Open Thoracotomy for Primary Non-Small Cell Lung Cancer: Single Cohort Study with 269 Cases

Volkan Erdogu, Hasan Akin, Yasar Sonmezoglu, Ali Cevat Kutluk, Celal Bugra Sezen, Mustafa Vedat Dogru, Ozkan Saydam, Muzaffer Metin
Department of Chest Surgery, Yedikule Chest Diseases and Surgery Training and Research Hospital, Istanbul, Turkey

Objectives: This study aims to compare the outcomes of video-assisted thoracoscopic surgery (VATS) lobectomy with open thoracotomy lobectomy in patients with non-small cell lung cancer (NSCLC).
Methods: There were 269 cases with NSCLC who underwent lobectomy between 2017-2019; these cases were retrospectively studied. VATS lobectomy (VATS Group) and open thoracotomy lobectomy (Thoracotomy Group) patients’ results were compared according to the length of hospitalizations, early postoperative complications and tumor size and stages.
Results: VATS lobectomy was performed in 89 (33%) of these patients, whereas 180 (67%) patients underwent lobectomy using open thoracotomy for NSCLC. The findings showed that the average length of hospitalization was shorter in the VATS Group compared to the Thoracotomy Group (4 vs. 5.5 days) (p<0.05). It was found that the mean size of the tumour was smaller in the VATS Group when compared to the Thoracotomy Group (2.66 cm vs 3.97 cm) (p<0.001). Early postoperative complications were lower in the VATS Group (n=15, 16.8% vs n=58, 32.2%; p<0.021).
Conclusion: In VATS lobectomy cases, postoperative complications are less, and the length of hospitalization is shorter. VATS lobectomy is mostly preferred smaller than 3 cm tumor size.

Keywords: Lobectomy, thoracotomy; non-small cell lung cancer; video-assisted thoracoscopic surgery (VATS).

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Primer Küçük Hücreli Dýþý Akciðer Kanserinde Video-yardýmlý Torakoskopik Lobektomi ile Torakotominin Karþýlaþtýrýlmasý- Tek merkezli çalýþma 269 olgu.

Volkan Erdogu, Hasan Akin, Yasar Sonmezoglu, Ali Cevat Kutluk, Celal Bugra Sezen, Mustafa Vedat Dogru, Ozkan Saydam, Muzaffer Metin
Department of Chest Surgery, Yedikule Chest Diseases and Surgery Training and Research Hospital, Istanbul, Turkey

Amaç
Çalýþmamýzda, küçük hücre dýþý akciðer kanser olgularýnda, video yardýmlý torakoskopik lobektomi ile açýk torakotomi lobektomi sonuçlarýný karþýlaþtýrdýk.
Materyal Metod
2017-2019 yýllarý arasýnda küçük hücreli dýþý akciðer kanser tanýsý ile lobektomi yapýlan 269 olgu geriye dönük olarak tarandý. VATS lobektomi (VATS Grup) ve torakotomi lobektomi (Torakotomi Grup) olgularýnýn sonuçlarý, hastanede kalýþ süresi, ameliyat sonrasý erken dönem komplikasyonlar, tümör çapý ve tümör evresi yönünden karþýlaþtýrýldý.
Sonuç
89 (%33) olguya VATS lobektomi yapýlýrken 180 (%67) olguya torakotomi lobektomi yapýldý. VATS Grubunda hastanede kalýþ süresi, Torakotomi Grubundan daha kýsa olarak bulundu (4 güne karþýlýk 5,5 gün p<0.05). VATS Grubunda ortama tümör çapý, Torakotomi Grubuna göre daha kýsa bulundu (2,66 cm’ e karþý 3,97 cm p<0.001). Ameliyat sonrasý erken dönem komplikasyonlar VATS Grubunda istatistiksel olarak anlamlý þekilde kýsaydý (n=15 (%16,8) e karþýlýk n=58 (%32,2) p<0,021).
VATS Grubunda ameliyat sonrasý erken dönem komplikasyonlar daha az, hastanede kalýþ süresi daha kýsadýr. VATS lobektomi daha çok 3 cm’ den küçük tümörlerde tercih edilmektedir. (SETB-2020-05-061)

Anahtar Kelimeler: Video yardýmlý torakoskopik cerrahi, lobektomi, torakotomi, küçük hücreli dýþý akciðer kanseri

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