《Application of videoassisted thoracic surgery in the standard operation for thoracic tumors》.pdfVIP

Cancer Biol Med 2013;10:28-35. doi: 10.7497/j.issn.2095-3941.2013.01.005 OrIGINAL ArTICLe Application of video-assisted thoracic surgery in the standard operation for thoracic tumors Ju-Wei Mu, Gui-Yu Chen, Ke-Lin Sun, Da-Wei Wang, Bai-Hua Zhang, Ning Li, Fang Lv, You-Sheng Mao, Qi Xue, Shu- Geng Gao, Jun Zhao, Da-Li Wang, Zhi-Shan Li, Wen-Dong Lei, Yu-Shun Gao, Liangze Zhang, Jin-Feng Huang, Kang Shao, Kai Su, Kun Yang, Liang Zhao, Fei-Yue Feng, Yong-Gang Wang, Jian Li, Jie He Department of Thoracic Surgical Oncology, Cancer Institute Hospital, Chinese Academy of Medical Sciences, Beijing 100021, China AbstrAct Objective: To evaluate the short-term outcomes of video-assisted thoracic surgery (VATS) for thoracic tumors. Methods: The data of 1,790 consecutive patients were retrospectively reviewed. These patients underwent VATS pulmonary resections, VATS esophagectomies, and VATS resections of mediastinal tumors or biopsies at the Cancer Institute Hospital, Chinese Academy of Medical Sciences between January 2009 and January 2012. Results: There were 33 patients converted to open thoracotomy (OT, 1.84%). The overall morbidity and mortality rate was 2.79% (50/1790) and 0.28% (5/1790), respectively. The overall hospitalization and chest tube duration were shorter in the VATS lobectomy group (n=949) than in the open thoracotomy (OT) lobectomy group (n=753). There were no significant differences in morbidity rate, mortality rate and operation time between the two groups. In the esophageal cancer patients, no significant difference was found in the number of nodal dissection, chest tube duration, morbidity rate, mortality rate, and hospital length of stay between the VATS esophagectomy