Department of Thoracic and Cardiovascular Surgery, Haeundae Paik Hospital, Inje University College of Medicine, Busan, South Korea.
Thorac Cancer. 2021 Apr;12(7):1006-1013. doi: 10.1111/1759-7714.13774. Epub 2021 Mar 2.
Uniportal video-assisted thoracoscopic surgery (VATS) anatomical lung resection has become widely accepted for its favorable outcomes with regard to pain. However, oncological outcomes, especially mid- or long-term outcomes, are still lacking. The objective of this study was to present our eight-year experience of uniportal VATS anatomical lung resection, including mid-term oncological outcomes.
All consecutive patients undergoing uniportal VATS anatomical lung resection between June 2012 and February 2020 were reviewed retrospectively.
We analyzed data of 170 patients (100 male and 70 female), with a median age of 67 years. The median follow-up time was 21 months (range 11-41). The DFS of the entire cohort was 66.3 months. Stage-correlated DFS was 73.1 months for stage I, 42.6 months for stage II, 30.6 months for stage III and 12.5 months for stage IV. The OS of the entire court was 67 months. Stage-correlated OS was 75.6 months for stage I, 50.2 months for stage II, 31.7 months for stage III and 12.5 months for stage IV.
Uniportal VATS anatomical lung resection for lung cancer can be performed with satisfactory mid-term histology- and stage-related outcomes, which is consistent with prior results of traditional VATS or thoracotomy.
单孔电视辅助胸腔镜手术（VATS）解剖性肺切除术因其在疼痛方面的良好效果而得到广泛认可。然而，其肿瘤学结果，尤其是中期或长期结果，仍缺乏相关报道。本研究的目的是介绍我们在单孔 VATS 解剖性肺切除术中的八年经验，包括中期肿瘤学结果。
回顾性分析 2012 年 6 月至 2020 年 2 月期间连续接受单孔 VATS 解剖性肺切除术的 170 例患者（男性 100 例，女性 70 例）。
我们分析了 170 例患者（100 例男性和 70 例女性）的数据，中位年龄为 67 岁。中位随访时间为 21 个月（范围 11-41）。全队列的 DFS 为 66.3 个月。与分期相关的 DFS 为 I 期 73.1 个月，II 期 42.6 个月，III 期 30.6 个月，IV 期 12.5 个月。全队列的 OS 为 67 个月。与分期相关的 OS 为 I 期 75.6 个月，II 期 50.2 个月，III 期 31.7 个月，IV 期 12.5 个月。
对于肺癌，单孔 VATS 解剖性肺切除术可以获得满意的中期组织学和分期相关结果，这与传统 VATS 或开胸术的结果一致。
