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Video-assisted thoracic surgery (VATS) lobectomy for bronchogenic carcinoma
R J McKenna1, R J Fischel, R Wolf
1Cedars Sinai Medical Center, Los Angeles, CA, USA.
Seminars in Thoracic and Cardiovascular Surgery
|November 4, 1998
Summary
Video-assisted thoracic surgery (VATS) lobectomy is a safe and effective procedure for lung cancer. This study found VATS lobectomy offers comparable survival rates to traditional thoracotomy for early-stage lung cancer.
Area of Science:
- Thoracic Surgery
- Surgical Oncology
- Pulmonology
Background:
- Video-assisted thoracic surgery (VATS) lobectomy for lung cancer is debated due to safety and oncologic adequacy concerns.
- Surgeons express reservations regarding VATS lobectomy's efficacy in treating primary lung cancer.
Purpose of the Study:
- To evaluate the safety and oncologic outcomes of VATS lobectomy for primary lung cancer.
- To address surgeon concerns regarding VATS lobectomy for lung cancer treatment.
Main Methods:
- A review of 212 VATS lobectomies performed over 4.5 years for primary lung cancer.
- All procedures included standard anatomic dissection and lymph node sampling/dissection.
Main Results:
- Mean length of stay was 4.6 days.
- No significant intraoperative bleeding occurred.
- 4.5-year survival for stage I lung cancer was 76%.
Conclusions:
- VATS lobectomy can be safely performed for primary lung cancer.
- VATS lobectomy provides survival outcomes comparable to thoracotomy for lung cancer.