Author of

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  P1.08 - Poster Session with Presenters Present (ID 460)

  • Event: WCLC 2016
  • Type: Poster Presenters Present
  • Track: Surgery
  • Presentations: 1
  • Moderators:
  • Coordinates: 12/05/2016, 14:30 - 15:45, Hall B (Poster Area)

  • 16978

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    P1.08-043 - Perioperative and Mid-Term Outcomes after Single Port versus Multi-Ports Thoracoscopic Lobectomy for Lung Cancer: A Propensity Matching Study (ID 6366)

    14:30 - 14:30  |  Author(s): D.H. Kim
    • Abstract
    • Slides

    Background:
    Recently, single incision thoracoscopic lobectomy for non-small cell lung cancer has been performed at several centers worldwide. But compared with conventional multi-ports thoracoscopic lobectomy, Reports for perioperative and oncologic outcomes after single incision thoracosopic lobectomy are limited. This study aimed to compare single incision thoracoscopic lobectomy against conventional multi-ports thoracoscopic lobectomy for non-small cell lung cancer.
    
    Methods:
    Between January 2009 and December 2016, 141 single-incision thoracoscopic lobectomies and 159 multi-ports thoracoscopic lobectomies were enrolled on patients with non-small cell lung cancer in our institute. Preoperative patient characteristics including gender, age, smoking history (P/Y), comorbidities, histologic type, tumor size, pathological stage, histology and forced expiratory volume in 1 s (FEV1) and pathologic stage were compared between two groups. Age and previous caner history were used for propensity matching because age and previous caner history were a statistically significant difference among parameters. After propensity score matching, 141 single incision thoracoscopic lobectomies and 141 multi-ports thoracoscopic lobectomies were selected and compared.
    
    Results:
    There were no differences significantly between single incision and multi-ports thoracoscopic lobectomy with regard to operation time (233.3 ± 70.8 vs. 222.7 ± 79.5, P=0.236), hospital stay (15.6 ± 31.8 vs. 21.3 ± 114.4, P=0.572), number of lymph node (23.6 ± 11.6 vs. 25.5 ± 12.9, P=0.209), the number of units transfused pack RBC (0.3±0.7 vs. 0.5±1.4, P=0.055), FFP (0.0 ± 0.3 vs. 0.1 ± 0.8, P=0.145) and PLT(0.1 ± 1.5 vs. 0.1 ± 1.1, P>0.05) during perioperative period. Overall survival rate and disease free survival also were no difference between two groups. Chest tube drainage for 24 hours after operation (410.2 ± 205.6ml vs. 571.0 ± 289.3ml, P<0.01) and intraoperative blood loss (314.6 ± 348.6ml vs. 555.0 ± 460.5ml, P<0.01) are better with single incision thoracoscopic lobectomy group.
    
    Conclusion:
    Single incision thoracoscopic lobectomy could achieve similar short-term surgical results and mid-term outcomes compared with multi-ports thorscoscopic lobectomy except
    
    

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