Uniportal video‐assisted thoracic surgery could reduce postoperative thorax drainage for lung cancer patients
Background Uniportal video‐assisted thoracic surgery (VATS) has undergone significant development in recent years, yet its usefulness and value in the treatment of lung cancer remains controversial. We investigated the effect of uniportal VATS surgery for reducing postoperative thorax drainage in lu...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2019-06-01
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| Series: | Thoracic Cancer |
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| Online Access: | https://doi.org/10.1111/1759-7714.13040 |
| _version_ | 1828434506524131328 |
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| author | Jiagen Li Bin Qiu Marco Scarci Gaetano Rocco Shugeng Gao |
| author_facet | Jiagen Li Bin Qiu Marco Scarci Gaetano Rocco Shugeng Gao |
| author_sort | Jiagen Li |
| collection | DOAJ |
| description | Background Uniportal video‐assisted thoracic surgery (VATS) has undergone significant development in recent years, yet its usefulness and value in the treatment of lung cancer remains controversial. We investigated the effect of uniportal VATS surgery for reducing postoperative thorax drainage in lung cancer patients. Methods The data of primary lung cancer patients who underwent VATS anatomical lung resection at the China National Cancer Center by a single surgeon were retrospectively collected. After propensity score matched analysis, 492 patients (246 uniportal VATS, 246 multiportal VATS) were included in the study. The clinicopathologic and surgery‐related features, including drainage volume, were compared. Student's t and chi‐square tests were used; all tests were two‐sided. Results Patients in the two groups had similar demographic and clinicopathological features. Patients who underwent uniportal VATS surgery had significantly lower postoperative thorax drainage (830.0 ± 666.0 mL vs. 1014.5 ± 616.9 mL, P = 0.002) and a comparatively lower rate of unplanned return to the operating room (0 vs. 0.8%; P = 0.156) than multiportal VATS patients. The surgical duration, blood loss, number of lymph nodes dissected, postoperative complications, and length of hospital stay were similar between the groups. Conclusions Uniportal VATS could reduce postoperative thorax drainage and the risk of unplanned return to the operating room for lung cancer patients. This study included the largest sample by a single surgeon and our results suggest the potential value of uniportal VATS for the faster recovery of lung cancer patients. |
| first_indexed | 2024-12-10T18:51:08Z |
| format | Article |
| id | doaj.art-ae73f3e4ae8f416c89d6e204a5bc4596 |
| institution | Directory Open Access Journal |
| issn | 1759-7706 1759-7714 |
| language | English |
| last_indexed | 2024-12-10T18:51:08Z |
| publishDate | 2019-06-01 |
| publisher | Wiley |
| record_format | Article |
| series | Thoracic Cancer |
| spelling | doaj.art-ae73f3e4ae8f416c89d6e204a5bc45962022-12-22T01:37:18ZengWileyThoracic Cancer1759-77061759-77142019-06-011061334133910.1111/1759-7714.13040Uniportal video‐assisted thoracic surgery could reduce postoperative thorax drainage for lung cancer patientsJiagen Li0Bin Qiu1Marco Scarci2Gaetano Rocco3Shugeng Gao4Department of Thoracic Surgery, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital Chinese Academy of Medical Sciences and Peking Union Medical College Beijing ChinaDepartment of Thoracic Surgery, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital Chinese Academy of Medical Sciences and Peking Union Medical College Beijing ChinaDepartment of Thoracic Surgery University College of London Hospitals London UKDivision of Thoracic Surgery, Department of Thoracic Surgery & Oncology National Cancer Institute, Pascale Foundation Naples ItalyDepartment of Thoracic Surgery, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital Chinese Academy of Medical Sciences and Peking Union Medical College Beijing ChinaBackground Uniportal video‐assisted thoracic surgery (VATS) has undergone significant development in recent years, yet its usefulness and value in the treatment of lung cancer remains controversial. We investigated the effect of uniportal VATS surgery for reducing postoperative thorax drainage in lung cancer patients. Methods The data of primary lung cancer patients who underwent VATS anatomical lung resection at the China National Cancer Center by a single surgeon were retrospectively collected. After propensity score matched analysis, 492 patients (246 uniportal VATS, 246 multiportal VATS) were included in the study. The clinicopathologic and surgery‐related features, including drainage volume, were compared. Student's t and chi‐square tests were used; all tests were two‐sided. Results Patients in the two groups had similar demographic and clinicopathological features. Patients who underwent uniportal VATS surgery had significantly lower postoperative thorax drainage (830.0 ± 666.0 mL vs. 1014.5 ± 616.9 mL, P = 0.002) and a comparatively lower rate of unplanned return to the operating room (0 vs. 0.8%; P = 0.156) than multiportal VATS patients. The surgical duration, blood loss, number of lymph nodes dissected, postoperative complications, and length of hospital stay were similar between the groups. Conclusions Uniportal VATS could reduce postoperative thorax drainage and the risk of unplanned return to the operating room for lung cancer patients. This study included the largest sample by a single surgeon and our results suggest the potential value of uniportal VATS for the faster recovery of lung cancer patients.https://doi.org/10.1111/1759-7714.13040Thorax drainageuniportalvideo‐assisted thoracic surgery |
| spellingShingle | Jiagen Li Bin Qiu Marco Scarci Gaetano Rocco Shugeng Gao Uniportal video‐assisted thoracic surgery could reduce postoperative thorax drainage for lung cancer patients Thoracic Cancer Thorax drainage uniportal video‐assisted thoracic surgery |
| title | Uniportal video‐assisted thoracic surgery could reduce postoperative thorax drainage for lung cancer patients |
| title_full | Uniportal video‐assisted thoracic surgery could reduce postoperative thorax drainage for lung cancer patients |
| title_fullStr | Uniportal video‐assisted thoracic surgery could reduce postoperative thorax drainage for lung cancer patients |
| title_full_unstemmed | Uniportal video‐assisted thoracic surgery could reduce postoperative thorax drainage for lung cancer patients |
| title_short | Uniportal video‐assisted thoracic surgery could reduce postoperative thorax drainage for lung cancer patients |
| title_sort | uniportal video assisted thoracic surgery could reduce postoperative thorax drainage for lung cancer patients |
| topic | Thorax drainage uniportal video‐assisted thoracic surgery |
| url | https://doi.org/10.1111/1759-7714.13040 |
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