Author of

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  P2.16 - Treatment of Early Stage/Localized Disease (Not CME Accredited Session) (ID 965)

  • Event: WCLC 2018
  • Type: Poster Viewing in the Exhibit Hall
  • Track:
  • Presentations: 1
  • Moderators:
  • Coordinates: 9/25/2018, 16:45 - 18:00, Exhibit Hall

  • 27307

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    P2.16-48 - Outcomes of Stage I Lung Cancer Patients Treated with Segmentectomy via Three-Dimensional Uniportal VATS Versus Two-Dimensional Approach (ID 13009)

    16:45 - 18:00  |  Author(s): Wenli Sun
    • Abstract
    • Slides

    Background
    

    Three dimensional uniportal Video-assisted Thoracic Surgery (3D-VATS) segmentectomy is an emerging technique for the surgical resection of early stage lung cancer. There were few reports on its benefits over two dimensional uniportal Video-assisted Thoracic Surgery (2D-VATS) procedure. This study aimed to compare the operative and perioperative data between 2D and 3D-VATS anatomic segmentectomy and to identify the actual role of 3D-VATS in thoracic surgery.

    a9ded1e5ce5d75814730bb4caaf49419 Method
    

    Between August 2016 and March 2018, a total of 125 consecutive stage I Non-small cell lung cancer (NSCLC) patients who underwent uniportal VATS anatomic segmentectomy in the Department of Thoracic Surgery, Shenyang Chest Hospital, were retrospectively reviewed. Incorporating preoperative clinical features were used to compare the perioperative outcomes and analyze the safety and efficacy of 3D-VATS and 2D-VATS anatomic segmentectomies for stage I NSCLCs.

    4c3880bb027f159e801041b1021e88e8 Result
    

    There were 64 patients in the 3D-VATS group and 61 patients in the 2D-VATS group from August 2016 and March 2018. During the operation, the anatomic segmentectomy took less time in the 3D-VATS than in the 2D-VATS ( 81.5±36.7 min vs 105.7±39.4 min, P< 0.05) group. The total operation duration, the volume of estimated blood loss (36.5 ± 12.5 ml vs 41.5 ± 18.4 ml, P= 0.24), and the length of postoperative hospital stay (4.5 ± 1.6 days vs 5.1 ± 1.9 days, P= 0.07) were similar between the two groups. Postoperatively, 3D-VATS and 2D-VATS groups showed similar results in terms of morbidity and mortality.

    8eea62084ca7e541d918e823422bd82e Conclusion
    

    In the surgical resection of early-stage non-small cell lung cancer, 3D uniportal VATS anatomic segmentectomy is a safe and effective alternative to the 2D-VATS procedure. Nevertheless, further studies are necessary to better comprehend the role of 3D-VATS in modern thoracic surgery.

    6f8b794f3246b0c1e1780bb4d4d5dc53

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