THE ROLE OF MINIMALLY INVASIVE LATERAL THORACOTOMY IN LOBECTOMY WITH LYMPH NODE DISSECTION TREATMENT OF NON-SMALL CELL LUNG CANCER

Phạm Hữu Lư 1,, Bùi Văn Bình2
1 Cardiovascular and Thoracic Center, Vietnam-Germany Friendship Hospital
2 Thanh Nhàn Hospital

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Abstract

Background: Using minimally invasive lateral thoracotomy in thoracic surgery in general and lobectomy for non-small cell lung cancer in particular still plays an important role. Methods: Descriptive, retrospective study: From January 2015 to December 2016, 93 patients underwent lobectomy – node dissection for non-small cell lung cancer by minimally invasive lateral thoracotomy at Viet Duc University Hospital. Results: Male/female ratio = 1,7 and mean age was 56,87±10,9 (from 15 to 76 years old). Average operative time 155.10 ± 38.5 minutes, 3 patients required intraoperative blood transfusion (3,23%), chest tube time 4,94 ± 2,09 days, hospital stay 9,91± 3,03 days, post-operative complications 10,8%. Normal and almost normal function of shoulder joint was 39,1% and 52,4%; 100% of patients were satisfied and very satisfied with the aesthetic of the incision after surgery. Conclusion: Minimally invasive thoracotomy without cutting chest wall muscles plays a good role in the surgical treatment of non-small cell lung cancer in parallel with video-assisted thoracoscopic surgery with some confirmed advantages on postoperative pain relief, shoulder function, cosmetic and training.

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References

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