LOBECTOMY WITH LYMPH NODE DISSECTION IN THE TREATMENT OF EARLY-STAGE NON-SMALL CELL LUNG CANCER BY UNIPORTAL VIDEO-ASSISTED THORACOSCOPIC SURGERY

Phạm Hữu Lư1,, Nguyễn Mạnh Hiệp2
1 Vietnam-Germany Friendship Hospital
2 General Hospital of Yen Bai Province

Main Article Content

Abstract

Background: Lung cancer is one of the most common cancers and the leading cause of death worldwide. The technique of lobectomy with lymph node dissection for early-stage non-small cell lung cancer (I, II) by uniportal video-assisted thoracoscopic surgery has been widely performed by authors. At Viet Duc University Hospital, this procedure has been carried out routinely and we need summaries and comments on the feasibility of the method. Methods: A descriptive, retrospective study of 37 patients with early-stage non-small cell lung cancer treated by single-hole thoracoscopic surgery from January 2016 to June 2021 on intra-operative and post-operative parameters, with the same complication rate.... Result: Including 21 men and 16 women. Mean age 59.62 ± 8.79 (34 - 76). Surgery time 150 ± 22.58 minutes (90-195). The average time of pleural drainage was 5.59 ± 1.46 days (3-9). Average number of hospital days 7.54 ± 1.86 days (4-12). There were no deaths, complications and serious complications during and post-operation. Cancer stage: 18 cases stage I, 19 cases stage II. Conclusion: Lobectomy with lymph node dissection in the treatment of early non-small cell lung cancer by uniportal video-assited thoracoscopic surgery is a safe, feasible and advantageous method.

Article Details

References

1. Postmus P.E., Kerr K.M., Oudkerk M. và cộng sự. (2017). Early and locally advanced non-small-cell lung cancer (NSCLC): ESMO Clinical Practice Guidelines for diagnosis, treatment and follow-up. Ann Oncol, 28(suppl_4), iv1–iv21.
2. Nachira D., Congedo M.T., Tabacco D. và cộng sự. (2022). Surgical Effectiveness of Uniportal-VATS Lobectomy Compared to Open Surgery in Early-Stage Lung Cancer. Front Surg, 9, 840070.
3. Wang W., Rao S., Ma M. và cộng sự. (2021). The concept of broad exposure facilitates uniportal video-assisted thoracoscopic mediastinal lymph nodes dissection. J Cardiothorac Surg, 16(1), 138.
4. Gonzalez-Rivas D. (2012). VATS Lobectomy: Surgical Evolution from Conventional VATS to Uniportal Approach. The Scientific World Journal, 2012, 1–5.
5. Yan T.D., Cao C., D’Amico T.A. và cộng sự. (2014). Video-assisted thoracoscopic surgery lobectomy at 20 years: a consensus statement. European Journal of Cardio-Thoracic Surgery, 45(4), 633–639.
6. Bertolaccini L., Batirel H., Brunelli A. và cộng sự. (2019). Uniportal video-assisted thoracic surgery lobectomy: a consensus report from the Uniportal VATS Interest Group (UVIG) of the European Society of Thoracic Surgeons (ESTS). European Journal of Cardio-Thoracic Surgery, 56(2), 224–229.
7. Kim H.K., M.D, và Ph.D (2021). Video-Assisted Thoracic Surgery Lobectomy. Journal of Chest Surgery, 54(4), 239–245.
8. Li T., Xia L., Wang J. và cộng sự. (2021). Uniportal versus three‐port video‐assisted thoracoscopic surgery for non‐small cell lung cancer: A retrospective study. Thorac Cancer, 12(8), 1147–1153.
9. Rocco G., Martucci N., La Manna C. và cộng sự. (2013). Ten-Year Experience on 644 Patients Undergoing Single-Port (Uniportal) Video-Assisted Thoracoscopic Surgery. The Annals of Thoracic Surgery, 96(2), 434–438.
10. Rocco G., Martin-Ucar A., và Passera E. (2004). Uniportal VATS wedge pulmonary resections. The Annals of Thoracic Surgery, 77(2), 726–728.