Long-term outcome of uniport vs. multiport video-assisted thoracoscopic lobectomy for lung cancer

This study aims to compare the perioperative outcomes and long-term survival of U-VATS lobectomy for NSCLC with multiportal VATS (M-VATS, involving two ports or more) lobectomy. A total of 339 patients who underwent intentional VATS lobectomy for lung cancer between 2012 and 2017 were included in th...

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Published in:Scientific reports 2024-03, Vol.14 (1), p.5316-5316, Article 5316
Main Authors: Ruan, Yingding, Cao, Wenjun, Xue, Hongsheng, You, Maoduan, Zhao, Zhilong
Format: Article
Language:English
Subjects:
692/4028
692/699/1785
Carcinoma, Non-Small-Cell Lung - surgery
Female
Humanities and Social Sciences
Humans
Ion Transport
Lung cancer
Lung Neoplasms - surgery
Lymph nodes
Male
Mediastinum
Morbidity
multidisciplinary
Multiportal
Non-small cell lung carcinoma
Ostomy
Science
Science (multidisciplinary)
Survival
Survival time
Thoracic surgery
Thoracic Surgery, Video-Assisted
Uniportal
Video-assisted thoracoscopic surgery (VATS)
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Summary:This study aims to compare the perioperative outcomes and long-term survival of U-VATS lobectomy for NSCLC with multiportal VATS (M-VATS, involving two ports or more) lobectomy. A total of 339 patients who underwent intentional VATS lobectomy for lung cancer between 2012 and 2017 were included in the analysis. Perioperative outcomes and long-term survival were evaluated. Propensity score matching was utilized to minimize baseline characteristic differences between the two groups. Out of the total cases, 17 (5.01%) were converted to open thoracotomy. The conversion rates were 4.96% (7/141) in the U-VATS group and 5.05% (10/198) in the M-VATS group. A total of 322 consecutive patients underwent VATS lobectomy and mediastinal lymphadenectomy. After propensity matching, 106 pairs were obtained, consisting of 83 males and 129 females. Intraoperative bleeding volume, number of retrieved lymph nodes, explored nodal stations, drainage time and volume, and postoperative hospital stay were similar between the two groups. Both groups exhibited comparable morbidity and mortality rates. From the multivariable analysis, there was no significant difference observed in terms of overall survival (OS) and disease-free survival (DFS) between the two patient cohorts. U-VATS demonstrated comparable perioperative outcomes and long-term efficacy to M-VATS. However, further confirmation of these findings is required.
ISSN:2045-2322
2045-2322
DOI:10.1038/s41598-024-55737-8