Uniportal versus multiportal nonintubated thoracoscopic anatomical resection for lung cancer: A propensity-matched analysis

Autor: Jen-Hao Chuang, Pei-Hsing Chen, Tzu-Pin Lu, Wan-Ting Hung, Hsien-Chi Liao, Tung-Ming Tsai, Mong-Wei Lin, Ke-Cheng Chen, Hsao-Hsun Hsu, Jin-Shing Chen
Jazyk: angličtina
Rok vydání: 2023
Předmět:
Zdroj: Journal of the Formosan Medical Association, Vol 122, Iss 9, Pp 947-954 (2023)
Druh dokumentu: article
ISSN: 0929-6646
DOI: 10.1016/j.jfma.2023.04.012
Popis: Background/Purpose: No studies have compared between uniportal and multiportal nonintubated thoracoscopic anatomical resection for non-small cell lung cancer (NSCLC). We aimed to compare short- and long-term postoperative outcomes concerning these two methods. Methods: Our retrospective dataset comprised patients with NSCLC who underwent uniportal or multiportal nonintubated thoracoscopic anatomical resection between January 2011 and December 2019. The primary outcome was recurrence-free survival. Propensity scores were matched according to age, sex, body mass index, pulmonary function, tumor size, cancer stage, and surgical method. Results: In total, 1130 such patients underwent nonintubated video-assisted thoracoscopic surgery (VATS), and 490 consecutive patients with stage I–III NSCLC underwent nonintubated anatomical resection, including lobectomy and segmentectomy (uniportal, n = 158 [32.3%]; multiportal, n = 331 [67.7%]). The uniportal group had fewer dissected lymph nodes and lymph node stations. In paired group analysis, the uniportal group had shorter operation durations (99.8 vs. 138.2 min; P
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