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Single-Port Video-Assisted Thoracoscopic Major Lung Resections: Experience with 150 Consecutive Cases.

Calvin S H Ng1, Hyun Koo Kim2, Randolph H L Wong1

  • 1Department of Surgery, Prince of Wales Hospital, The Chinese University of Hong Kong, Hong Kong Special Administrative Region.

The Thoracic and Cardiovascular Surgeon
|January 21, 2015
PubMed
Summary

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This summary is machine-generated.

Single-port video-assisted thoracic surgery (VATS) for major lung resection is safe and effective for lung diseases. This approach shows acceptable disease-free survival rates for non-small cell lung cancer (NSCLC).

Area of Science:

  • Thoracic Surgery
  • Minimally Invasive Procedures
  • Surgical Oncology

Background:

  • Video-assisted thoracic surgery (VATS) has evolved from multi-port to single-port approaches for major lung resections.
  • Assessing the safety and efficacy of single-port VATS is crucial for advancing lung cancer treatment.

Purpose of the Study:

  • To analyze outcomes of single-port VATS major lung resection.
  • To determine the safety and efficacy of this minimally invasive technique.

Main Methods:

  • Prospective review of 150 consecutive patients undergoing single-port VATS major lung resection.
  • Analysis of demographics, perioperative parameters, histopathology, and 2-year follow-up outcomes.
  • Descriptive statistics and Kaplan-Meier survival analysis were employed.

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Main Results:

  • Successful single-port VATS major lung resection in 142 patients (5.3% conversion rate) for malignant and benign lung diseases.
  • Non-small cell lung carcinoma (NSCLC) comprised 87% of cases, with varying stages.
  • Low perioperative morbidity and mortality observed; 2-year mortality was 3%.
  • Disease-free survival rates for stage I and stage II+ NSCLC were 96% and 83%, respectively.

Conclusions:

  • Single-port VATS major lung resection demonstrates low perioperative morbidity and mortality for lung diseases.
  • Disease-free survival rates in NSCLC patients are comparable to conventional VATS.
  • This technique is a safe and effective option for major lung resections.