Systematic node dissection by VATS is not inferior to that through an open thoracotomy: A comparative clinicopathologic retrospective study
Systematic node dissection by VATS is not inferior to that through an open thoracotomy: A comparative clinicopathologic retrospective study
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DOI：
10.1016/j.surg.2005.04.005
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发表时间：
2005-09-01
期刊：
影响因子：
3.8
通讯作者：
Abe, T
中科院分区：
文献类型：
--
作者：
Watanabe, A;Koyanagi, T;Abe, T
背景在电视胸腔镜手术（VATS）下施行肺大部切除联合系统性淋巴结清扫（SAD）治疗早期肺癌已在国内多所医院开展，但在VATS下施行SAD治疗早期肺癌的可行性仍存在争议。本研究的目的是阐明SND的可行性和安全性的VATS。1998年至2003年间，350例临床I期肺癌患者接受了SND肺大切除术。其中，191例（VATS组）通过VATS行SAD肺切除术; 159例（开胸术[OT]组）通过前外侧开胸术进行。比较两组患者的临床及病理资料，包括每个淋巴结的解剖数目，以评价经胸腔镜手术治疗SAD的可行性。病理学数据显示，在VATS组中，更多的患者患有腺癌（P = 0.0078），而更少的患者患有晚期因素。VATS组和OT组肿瘤最大直径分别为24.5 mm和29.6 mm（P
Background. Major pulmonary resection with systematic node dissection (SAD) for early lung cancer by video-assisted thoracic surgery (VATS) is Performed in many institutes, but the feasibility of SAD for early lung cancer by VATS remains controversial. The aim of this study was to elucidate the feasibility and safety of SND by VATS.Methods. Three hundred fifty Patients with clinical stage I lung cancer who underwent pulmonary major resection with SND between 1998 and 2003 were enrolled in this study. Of these patients, 191 (VATS group) underwent pulmonary resection with SAD by VATS; 159 patients (open thoracotomy [OT] group) did so through anterolateral thoracotomy. The clinical and pathologic data, including the number of dissected nodes in each nodal station, of the 2 groups were compared to evaluate the feasibility of SAD by VATS.Results. Pathologic data showed that, in the VATS group, more patients had adenocarcinoma (P = .0078) and fewer patients had advanced factors than the OT group. The greatest tumor diameter was 24.5 mm and 29.6 mm in the VATS group and OT group, respectively (P