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Drainless Thoracoscopic Lobectomy for Lung Cancer
Luo-Sheng Yong1, Mong-Wei Lin1, Ke-Cheng Chen1
1Department of Surgery, National Taiwan University Hospital, Taipei 100, Taiwan.
Journal of Clinical Medicine
|August 27, 2021
Summary
Drainless video-assisted thoracoscopic surgery (VATS) lobectomy is a feasible approach for select lung cancer patients, reducing postoperative pain. Further research is needed to confirm its long-term benefits.
Area of Science:
- Thoracic Surgery
- Surgical Oncology
- Minimally Invasive Surgery
Background:
- Video-assisted thoracoscopic (VATS) wedge resection without drainage is established.
- The application of drainless VATS lobectomy for lung cancer is not well-defined.
Purpose of the Study:
- To evaluate the perioperative outcomes of drainless minimally invasive lobectomy in lung cancer patients.
- To compare drainless VATS lobectomy with traditional chest-drained VATS lobectomy.
Main Methods:
- Retrospective analysis of 26 lung cancer patients undergoing pulmonary lobectomy.
- Propensity score matching to compare drainless VATS lobectomy with chest-drained VATS lobectomy.
Main Results:
- No major perioperative morbidity or mortality observed.
- Similar postoperative hospital stay between drainless and drained groups.
- Significantly less postoperative pain on day one in the drainless VATS lobectomy group (3.8% vs. 34.6%, p=0.005).
Conclusions:
- Drainless minimally invasive lobectomy is feasible for selected lung cancer patients.
- The technique shows promise in reducing early postoperative pain.
- Further studies are required to assess long-term surgical outcomes.
