KẾT QUẢ PHẪU THUẬT NỘI SOI LỒNG NGỰC MỘT LỖ ĐIỀU TRỊ UNG THƯ PHỔI KHÔNG TẾ BÀO NHỎ GIAI ĐOẠN SỚM TẠI BỆNH VIỆN K

Abstract

Background: Lung cancer is one of the most common malignancies and remains the leading cause of cancer-related mortality worldwide. In Vietnam, the incidence and mortality of lung cancer continue to rise due to late-stage diagnosis. For early-stage non-small cell lung cancer (NSCLC), lobectomy video-assisted thoracoscopic surgery (VATS) has been recognized as the optimal radical treatment. In Vietnam, there are not many studies evaluating the efficacy and safety of uniportal thoracoscopic lobectomy Uniportal VATS lobectomy has been adopted at K Hospital since 2019. This study aimed to evaluate the feasibility and safety of this technique in early-stage NSCLC patients. Methods: This was a descriptive, prospective study of 116 patients with early-stage non-small cell lung cancer who underwent uniportal video-assisted thoracoscopic surgery from September 2024 to March 2025, assessing preoperative, intraoperative and postoperative variables along with pathological outcomes. Result: Among 116 patients, 60 were male and 56 were female, with a mean age of 60.5 ± 7.6 years (42–73). The most frequent tumor location was the right upper lobe (36.2%). The mean operative time was 114.2 ± 15.6 minutes (range, 90–180). The mean chest tube duration was 5.5 ± 1.4 days (4–10), and the mean postoperative hospital stay was 10.5 ± 1.9 days (8–14). Intraoperative complications occurred in two cases, including one requiring conversion to thoracotomy due to bleeding and one managed successfully thoracoscopically. Postoperative complications included four cases of pneumonia and eight cases of prolonged air leak. Conclusion: Single-port VATS lobectomy for early-stage NSCLC is a safe and feasible approach, demonstrating favorable short-term outcomes with low complication rates.