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T. Guan
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P2.02 - Poster Session/ Treatment of Localized Disease – NSCLC (ID 210)
- Event: WCLC 2015
- Type: Poster
- Track: Treatment of Localized Disease - NSCLC
- Presentations: 1
- Moderators:
- Coordinates: 9/08/2015, 09:30 - 17:00, Exhibit Hall (Hall B+C)
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P2.02-014 - Cross-Sectional Study on Surgical Treatment Patterns of 1927 Stage I-IIIa NSCLC Patients from 11 Medical Centers in China in 2013 (ID 3115)
09:30 - 09:30 | Author(s): T. Guan
- Abstract
Background:
Video- assisted thoracoscopic surgery (VATS) was introduced into China in 1992. Over the past two decades, VATS has experienced dramatic development in China. However, the development is imbalanced. This cross-sectional study aimed to assess the ulitility of VATS in lung cancer patients in China
Methods:
Data of non-small cell lung cancer (NSCLC) patients who received curative-intent resections during the year 2013 were obtained from the national lung cancer registry , which included 1927 patients from 11 tertiary hospitals nationwide. Surgery patterns, stations of lymph nodes dissected, operation time were analyzed.
Results:
Among the 1927 patients, the mean age was 60.0 years old, and 1228 were male. The numbers of patients in final pathologic stages 0, Ia, Ib, IIa, IIb, IIIa were 13, 571,414,243,171,495. Sublobar resection/ lobectomy/ sleeve lobectomy/ pneumonectomy number was 112/1643/57/111. The overall VATS rate is 45.0%, 71.9%, 52.2%,19.3%,6.3% in lobectomies，wedge resection, segmentectomy, sleeve lobectomy, pneumonectomy respectively . In different centers, the median number of lymph nodes stations dissected in VATS single lobectomy is 6 (ranging from 0 to 11) in different centers, while 6.5 (ranging from 0 to 11) in thoracotomy . The average VATS lobectomy surgery time is 184.0 minutes. VATS rates of lobectomy in different centers ranged from 4.4% to 90.2% respectively . VATS rates of Ia,Ib,IIa,IIb,IIIa lobectomy is 65.4%, 41.7%, 31.3%, 24.2%, 38.5% respectively.
Conclusion:
The difference of VATS rate is quite significant between different centers in China . Some centers perform 90-100% VATS in early stage patients and more VATS than thoracotomy in II and III patients. While some centers still perform over 80% thoracotomy surgeries even in stage I patients.
