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K. Su
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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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P2.02-018 - Evaluation of Invasiveness among 3 Methods of Thoracoscopic Lobectomy in Patients with NSCLC: A Favorable Result for Uniportal VATS (ID 2611)
09:30 - 09:30 | Author(s): K. Su
- Abstract
Background:
Video-assisted thoracoscopic surgery (VATS) lobectomy includes 3 main methods: assisted VATS (a-VATS), multiport complete VATS (m-VATS), and uniportal VATS (u-VATS). However, the comparison of invasiveness among 3 methods remains unclear.
Methods:
74 consecutive patients with early stage NSCLC undertaken VATS lobectomies at a single unit during Jan 2014 to Aug 2014 were analyzed. According to the surgical approach, patients were divided into a-VATS group (n=31), m-VATS group (n=21), and u-VATS group (n=22). Certain perioperative parameters, VAS scores, WBC and CRP levels were analyzed.
Results:
Age, gender, pathological type, TNM stage, operative time, postoperative drainage time, volume of drain, postoperative hospital stays and hospitalization cost were no statistical difference among 3 groups. Intraoperative blood loss of u-VATS was less than c-VATS, and c-VATS was less than a-VATS (Kruskal-Wallis test, p<0.01).VAS scores on the postoperative 3[rd ]day and 1 month of a-VATS were higher than u-VATS (p<0.05). WBC level on postoperative 5[th] day of a-VATS was higher than u-VATS (p<0.05). CRP levels of u-VATS on the postoperative 1[st], 3[rd] and 5[th] day (p<0.01) were all significantly difference compared to a-VATS.
Conclusion:
Uniportal VATS lobectomy causes less surgical damage than assisted VATS method. Further researches are needed to clarify whether uniportal VATS lobectomy is better than multiport complete VATS in surgical damage.
