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J. Zhao
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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)
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P1.08-057 - Outcomes between Single Port, Two Port and Three Port VATS Pulmonary Resection (ID 6770)
14:30 - 14:30 | Author(s): J. Zhao
- Abstract
Background:
To investigate the difference of outcome between single port , two port and three port VATS pulmonary resection.
Methods:
The data of 3217 cases of VATS pulmonary resection from November 2014 to August 2016 in the Department of Thoracic Surgery of National Cancer Center / Cancer Hospital, Chinese Academy of Medical Sciences were retrospectively reviewed. The following data were compared between two groups: duration of operation, intraoperative blood loss, lymph nodes retrieved, volume of drainage, duration of chest tube, complication rate, postoperative length of stay, hospital cost and surgery cost.
Results:
There were 516 patients in single port, 178 patients in two port group and 2523 patients in three port group. Compared with three port group, patients in the single port and two port group had decreased operative time (136.69±55.90 vs 129.09±57.36 vs 122.23±58.38min；P=0.002), decreased intraoperative blood loss(71.06±106.94 vs 57.32±45.21 vs 67.39±93.00ml；P=0.028), decreased chest tube drainage(1037.58±797.56 vs 791.09±535.36 vs 926.21±766.82 mL；P<0.001), reduced duration of chest tube (5.08±2.84 vs 4.53±1.77 vs 4.30±2.29 d；P<0.001), and decreased postoperative length of stay (6.13±3.13 vs 5.73±2.39 vs 5.16±2.42 d，P<0.001). However, the number of lymph nodes retrieved was significantly less in single port and two port compared with that in three port group (13.76±8.96 vs 11.13±9.76 vs 11.78±9.78；P<0.001). There was more patients were diagnosed as benign pulmonary lesions in single port and two port group than in three port group (19.6% vs 19.1% vs 18.6%, P<0.001). There were no significant difference in the complication rate between there three groups(2.7% vs 5.6% vs 3.7%；P=0.789).Figure 1
Conclusion:
The outcomes between single port and multiple port VATS lobectomy were comparable. However, compared with three port VATS pulmonary resection, single port and two port VATS pulmonary resection was associated with decreased number of lymph nodes retrieved, which may need further study.
