Efficacy of Single-Port Video-Assisted Thoracoscopic Surgery Lobectomy Compared with Triple-Port VATS by Propensity Score Matching
Background: In recent years, single-port video-assisted thoracoscopic surgery (VATS) for lobectomy in non-small cell lung cancer (NSCLC) patients has become increasingly common. The objective of this study was to compare the feasibility and safety of single-port and triple-port VATS lobectomy. Met...
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| Format: | Article |
| Language: | English |
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Korean Society for Thoracic and Cardiovascular Surgery
2017-10-01
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| Series: | Korean Journal of Thoracic and Cardiovascular Surgery |
| Subjects: | |
| Online Access: | http://www.kjtcvs.org/journal/download_pdf.php?doi=10.5090/kjtcs.2017.50.5.339 |
| _version_ | 1811266496668631040 |
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| author | Kyung Sub Song Chang Kwon Park Jae Bum Kim |
| author_facet | Kyung Sub Song Chang Kwon Park Jae Bum Kim |
| author_sort | Kyung Sub Song |
| collection | DOAJ |
| description | Background: In recent years, single-port video-assisted thoracoscopic surgery (VATS) for lobectomy in
non-small cell lung cancer (NSCLC) patients has become increasingly common. The objective of this study
was to compare the feasibility and safety of single-port and triple-port VATS lobectomy. Methods: A total of
73 patients with NSCLC who underwent VATS lobectomy from December 2011 to August 2016 were retrospectively
reviewed, including 47 in the triple-port group and 26 in the single-port group. Statistical analysis
was performed after propensity score matching. Patients were matched on a 1-to-1 basis. Results: Operative
time and intraoperative blood loss in the triple-port group and the single-port group were similar
(189.4±50.8 minutes vs. 205.4±50.6 minutes, p=0.259; 286.5±531.0 mL vs. 314.6±513.1 mL, p=0.813). There
were no cases of morbidity or mortality. No significant differences in complications or the total number of
dissected lymph nodes were found between the 2 groups. In the single-port group, more mediastinal lymph
nodes were dissected than in the triple-port group (1.7±0.6 vs. 1.2±0.5, p=0.011). Both groups had 1 patient
with bronchopleural fistula. Chest tube duration and postoperative hospital stay were shorter in the single-
port group than in the triple-port group (8.7±5.1 days vs. 6.2±6.6 days, p=0.130; 11.7±6.1 days vs.
9.5±6.4 days, p=0.226). However, the differences were not statistically significant. In the single-port group,
the rate of conversion to multi-port VATS lobectomy was 11.5% (3 of 26). The rates of conversion to open
thoracotomy in the triple-port and single-port groups were 7.7% and 3.8%, respectively (p=1.000).
Conclusion: In comparison with the triple-port group, single-port VATS lobectomy showed similar results in
safety and efficacy, indicating that single-port VATS lobectomy is a feasible and safe option for lung cancer
patients. |
| first_indexed | 2024-04-12T20:44:18Z |
| format | Article |
| id | doaj.art-f5484a8bd1684cb4b04e870f73c945b6 |
| institution | Directory Open Access Journal |
| issn | 2233-601X 2093-6516 |
| language | English |
| last_indexed | 2024-04-12T20:44:18Z |
| publishDate | 2017-10-01 |
| publisher | Korean Society for Thoracic and Cardiovascular Surgery |
| record_format | Article |
| series | Korean Journal of Thoracic and Cardiovascular Surgery |
| spelling | doaj.art-f5484a8bd1684cb4b04e870f73c945b62022-12-22T03:17:20ZengKorean Society for Thoracic and Cardiovascular SurgeryKorean Journal of Thoracic and Cardiovascular Surgery2233-601X2093-65162017-10-0150533934510.5090/kjtcs.2017.50.5.339Efficacy of Single-Port Video-Assisted Thoracoscopic Surgery Lobectomy Compared with Triple-Port VATS by Propensity Score MatchingKyung Sub Song0Chang Kwon Park1Jae Bum Kim2Keimyung University Dongsan Medical CenterKeimyung University Dongsan Medical CenterKeimyung University Dongsan Medical CenterBackground: In recent years, single-port video-assisted thoracoscopic surgery (VATS) for lobectomy in non-small cell lung cancer (NSCLC) patients has become increasingly common. The objective of this study was to compare the feasibility and safety of single-port and triple-port VATS lobectomy. Methods: A total of 73 patients with NSCLC who underwent VATS lobectomy from December 2011 to August 2016 were retrospectively reviewed, including 47 in the triple-port group and 26 in the single-port group. Statistical analysis was performed after propensity score matching. Patients were matched on a 1-to-1 basis. Results: Operative time and intraoperative blood loss in the triple-port group and the single-port group were similar (189.4±50.8 minutes vs. 205.4±50.6 minutes, p=0.259; 286.5±531.0 mL vs. 314.6±513.1 mL, p=0.813). There were no cases of morbidity or mortality. No significant differences in complications or the total number of dissected lymph nodes were found between the 2 groups. In the single-port group, more mediastinal lymph nodes were dissected than in the triple-port group (1.7±0.6 vs. 1.2±0.5, p=0.011). Both groups had 1 patient with bronchopleural fistula. Chest tube duration and postoperative hospital stay were shorter in the single- port group than in the triple-port group (8.7±5.1 days vs. 6.2±6.6 days, p=0.130; 11.7±6.1 days vs. 9.5±6.4 days, p=0.226). However, the differences were not statistically significant. In the single-port group, the rate of conversion to multi-port VATS lobectomy was 11.5% (3 of 26). The rates of conversion to open thoracotomy in the triple-port and single-port groups were 7.7% and 3.8%, respectively (p=1.000). Conclusion: In comparison with the triple-port group, single-port VATS lobectomy showed similar results in safety and efficacy, indicating that single-port VATS lobectomy is a feasible and safe option for lung cancer patients.http://www.kjtcvs.org/journal/download_pdf.php?doi=10.5090/kjtcs.2017.50.5.339Video-assisted thoracic surgeryLobectomyLung neoplasms |
| spellingShingle | Kyung Sub Song Chang Kwon Park Jae Bum Kim Efficacy of Single-Port Video-Assisted Thoracoscopic Surgery Lobectomy Compared with Triple-Port VATS by Propensity Score Matching Korean Journal of Thoracic and Cardiovascular Surgery Video-assisted thoracic surgery Lobectomy Lung neoplasms |
| title | Efficacy of Single-Port Video-Assisted Thoracoscopic Surgery Lobectomy Compared with Triple-Port VATS by Propensity Score Matching |
| title_full | Efficacy of Single-Port Video-Assisted Thoracoscopic Surgery Lobectomy Compared with Triple-Port VATS by Propensity Score Matching |
| title_fullStr | Efficacy of Single-Port Video-Assisted Thoracoscopic Surgery Lobectomy Compared with Triple-Port VATS by Propensity Score Matching |
| title_full_unstemmed | Efficacy of Single-Port Video-Assisted Thoracoscopic Surgery Lobectomy Compared with Triple-Port VATS by Propensity Score Matching |
| title_short | Efficacy of Single-Port Video-Assisted Thoracoscopic Surgery Lobectomy Compared with Triple-Port VATS by Propensity Score Matching |
| title_sort | efficacy of single port video assisted thoracoscopic surgery lobectomy compared with triple port vats by propensity score matching |
| topic | Video-assisted thoracic surgery Lobectomy Lung neoplasms |
| url | http://www.kjtcvs.org/journal/download_pdf.php?doi=10.5090/kjtcs.2017.50.5.339 |
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