EJCTS Click here for details of sales representative
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
QUICK SEARCH:   [advanced]


     

This Article
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to Personal Folders
Right arrow Download to citation manager
Right arrow Permission Requests
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Thomas, P.
Right arrow Articles by Giudicelli, R.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Thomas, P.
Right arrow Articles by Giudicelli, R.
Related Collections
Right arrow Lung - cancer

Eur J Cardiothorac Surg 2002;21:1094-1099
© 2002 Elsevier Science NL

VATS is an adequate oncological operation for stage I non-small cell lung cancer

P. Thomasa,b*, C. Doddolia, S. Yenaa, X. Thirionc, F. Sebaga, P. Fuentesa, R. Giudicellia

a Department of Thoracic Surgery, Sainte Marguerite Hospital-CHU Sud, Université Méditerranée (Aix-Marseille II), School of Medicine, 270 Bd Sainte Marguerite, 13274 Marseille, France
b UPRES EA 2201, IFR Jean Roche, France
c Department of Medical Information and Biostatistics, Sainte Marguerite Hospital, Université Méditerranée (Aix-Marseille II), School of Medicine, 13274 Marseille, France

Received 14 September 2001; received in revised form 8 January 2002; accepted 15 March 2002.

* Corresponding author. Tel.: +33-491-744-680; fax: +33-491-744-590
e-mail: pathomas{at}ap-hm.fr

Objectives: This study was designed to determine the long-term prognosis of video-assisted thoracic surgery (VATS) vs. open lung resections for patients with pathological stage I non-small cell lung cancer (NSCLC). Materials and methods: The medical records of all patients who underwent lung resection for a pathological stage I NSCLC were reviewed for the period from 1990 to 1999, by screening of a database into which data were entered prospectively. There were 511 patients (430 males and 81 females) whose age averaged 63±10 years who underwent 515 lung resections. Our VATS experience began in 1993 with selected stage I patients, and since that date an average of one patient on four was managed with VATS. Lung resections consisted of 25 wedge resections or segmentectomies (seven VATS), 390 lobectomies (92 VATS), 19 bilobectomies (one VATS) and 81 pneumonectomies (ten VATS). Lymph node dissection was performed in all cases. Results: There were significantly more females (P=0.01) and adenocarcinoma (P=0.02) in the VATS group (n=110) when compared to the open group (n=405). Tumour size averaged 4±2 cm in the open group and 3±2 cm in the VATS group (P=0.04). The distribution of T1/T2 tumours was 97/308 and 50/60, respectively (P=0.0001). At follow-up, cancer recurrence could be documented in 117 patients, with no difference of incidence between the two groups (22.5 vs. 24.5%; P=0.64). Estimated Kaplan–Meier 5-year survival rates, including the operative mortality as well as any cancer-related and unrelated death, were 62.8% (confidence interval (CI): 56.8–68.7%) vs. 62.9% (CI: 51.4–74.4%), respectively (P=0.60). The advent of VATS did not influence the patients' survival: 5-year survival rate was 63.9% (CI: 55.3–72.5%) for the period from 1990 to 1992, and 58.8% (CI: 51.7–65.9%) for the period from 1993 to 1999 (P=0.65). Subgroups survival analysis according to the T status did not show any statistically significant difference between the two groups. Conclusions: VATS lung resection with lymph node dissection achieved a 5-year survival similar to that achieved by the conventional approach. VATS is a valuable option for the management of selected patients with an early-stage NSCLC.

Key Words: Video-assisted thoracic surgery • Non-small cell lung cancer




This article has been cited by other articles:


Home page
 Asian Cardiovasc. Thorac. Ann.Home page
J. Loscertales, R. Jimenez-Merchan, M. Congregado, F. J. Ayarra, G. Gallardo, and A. Trivino
Video-Assisted Surgery for Lung Cancer. State of the Art and Personal Experience
Asian Cardiovasc Thorac Ann, June 1, 2009; 17(3): 313 - 326.
[Abstract] [Full Text] [PDF]

Home page
 Eur. J. Cardiothorac. Surg.Home page
G. Casali and W. S. Walker
Video-assisted thoracic surgery lobectomy: can we afford it?
Eur. J. Cardiothorac. Surg., March 1, 2009; 35(3): 423 - 428.
[Abstract] [Full Text] [PDF]

Home page
 Eur. J. Cardiothorac. Surg.Home page
N. K. Veeramachaneni, R. J. Battafarano, B. F. Meyers, J. B. Zoole, and G. A. Patterson
Risk factors for occult nodal metastasis in clinical T1N0 lung cancer: a negative impact on survival
Eur. J. Cardiothorac. Surg., March 1, 2008; 33(3): 466 - 469.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
S. M. Cattaneo, B. J. Park, A. S. Wilton, V. E. Seshan, M. S. Bains, R. J. Downey, R. M. Flores, N. Rizk, and V. W. Rusch
Use of Video-Assisted Thoracic Surgery for Lobectomy in the Elderly Results in Fewer Complications
Ann. Thorac. Surg., January 1, 2008; 85(1): 231 - 236.
[Abstract] [Full Text] [PDF]

Home page
 J. Thorac. Cardiovasc. Surg.Home page
B. J. Park, H. Zhang, V. W. Rusch, and D. Amar
Video-assisted thoracic surgery does not reduce the incidence of postoperative atrial fibrillation after pulmonary lobectomy
J. Thorac. Cardiovasc. Surg., March 1, 2007; 133(3): 775 - 779.
[Abstract] [Full Text] [PDF]

Home page
 ICVTSHome page
D. West, S. Rashid, and J. Dunning
Does video-assisted thoracoscopic lobectomy produce equal cancer clearance compared to open lobectomy for non-small cell carcinoma of the lung?
Interactive CardioVascular and Thoracic Surgery, February 1, 2007; 6(1): 110 - 116.
[Abstract] [Full Text] [PDF]

Home page
 J. Thorac. Cardiovasc. Surg.Home page
B. J. Park, R. M. Flores, and V. W. Rusch
Robotic assistance for video-assisted thoracic surgical lobectomy: Technique and initial results
J. Thorac. Cardiovasc. Surg., January 1, 2006; 131(1): 54 - 59.
[Abstract] [Full Text] [PDF]

Home page
 Eur. J. Cardiothorac. Surg.Home page
A. Iwasaki, T. Shirakusa, T. Shiraishi, and S. Yamamoto
Results of video-assisted thoracic surgery for stage I/II non-small cell lung cancer
Eur. J. Cardiothorac. Surg., July 1, 2004; 26(1): 158 - 164.
[Abstract] [Full Text] [PDF]

Home page
 Eur. J. Cardiothorac. Surg.Home page
J. Bodner, H. Wykypiel, G. Wetscher, and T. Schmid
First experiences with the da VinciTM operating robot in thoracic surgery
Eur. J. Cardiothorac. Surg., May 1, 2004; 25(5): 844 - 851.
[Abstract] [Full Text] [PDF]

Home page
 ChestHome page
T. Ohtsuka, H. Nomori, H. Horio, T. Naruke, and K. Suemasu
Is Major Pulmonary Resection by Video-Assisted Thoracic Surgery an Adequate Procedure in Clinical Stage I Lung Cancer?
Chest, May 1, 2004; 125(5): 1742 - 1746.
[Abstract] [Full Text] [PDF]

Home page
 ICVTSHome page
L. Solaini, F. Prusciano, P. Bagioni, and D.B. Poddie
Long-term results of video-assisted thoracic surgery lobectomy for stage I non-small cell lung cancer: a single-centre study of 104 cases
Interactive CardioVascular and Thoracic Surgery, March 1, 2004; 3(1): 57 - 62.
[Abstract] [Full Text] [PDF]


HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
ANN THORAC SURG ASIAN CARDIOVASC THORAC ANN EUR J CARDIOTHORAC SURG
J THORAC CARDIOVASC SURG ICVTS ALL CTSNet JOURNALS
Copyright © 2002 European Association for Cardio-Thoracic Surgery. Published by Elsevier. All rights reserved.