Total videothoracoscopic lobectomy versus open thoracotomy for early-stage non-small-cell lung cancer

James D. Luketich, Mindi A. Meehan, Rodney J. Landreneau, Neil A. Christie, John M. Close, Peter F. Ferson, Robert J. Keenan, Chandra P. Belani

Research output: Contribution to journalArticle

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Abstract

Lobectomy remains the standard procedure for early-stage non-small-cell lung cancer (NSCLC). Advances in minimally invasive surgery allow lobectomy to be performed by videothoracoscopy (VATSLOBE). The objective of this study was to compare open thoracotomy (OPENLOBE) to VATSLOBE in the treatment of early-stage NSCLC. A retrospective review over a 6-year period at a single tertiary care center identified 31 patients treated by VATSLOBE. A comparison was made with 31 patients undergoing OPENLOBE during the same time period. The cases were matched for age, pulmonary function testing, tumor size, and comorbidities. The VATSLOBE technique was carried out using four 1 cm thoracoports, one of which was enlarged to a 4-6 cm access incision for lobe retrieval. OPENLOBE was performed by standard posterolateral thoracotomy. The VATSLOBE group had a longer operative time (214.03 min) compared to OPENLOBE (140.67 min). There was no difference in the extent of lymph node dissection or in morbidity between the two groups. VATSLOBE patients had their chest tubes removed earlier (4.77 vs 8.16 days) and stayed in the hospital for a shorter time (7.07 vs 11.94 days) compared to OPENLOBE patients. In this retrospective review, lobectomy performed by the videothoracoscopic approach was comparable to OPENLOBE in terms of lymph node dissection, morbidity, and long-term survival. VATSLOBE had the advantages of a shorter hospital stay and fewer days with a chest tube. Minimally invasive surgery for early-stage lung cancer should be further investigated in multi-institutional controlled trials.

Original languageEnglish (US)
Article number70623
Pages (from-to)56-60
Number of pages5
JournalClinical Lung Cancer
Volume2
Issue number1
DOIs
StatePublished - Jan 1 2000

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Thoracotomy
Non-Small Cell Lung Carcinoma
Chest Tubes
Minimally Invasive Surgical Procedures
Lymph Node Excision
Morbidity
Operative Time
Tertiary Care Centers
Comorbidity
Length of Stay
Lung Neoplasms
Lung
Survival
Neoplasms
Therapeutics

All Science Journal Classification (ASJC) codes

  • Oncology
  • Pulmonary and Respiratory Medicine
  • Cancer Research

Cite this

Luketich, J. D., Meehan, M. A., Landreneau, R. J., Christie, N. A., Close, J. M., Ferson, P. F., ... Belani, C. P. (2000). Total videothoracoscopic lobectomy versus open thoracotomy for early-stage non-small-cell lung cancer. Clinical Lung Cancer, 2(1), 56-60. [70623]. https://doi.org/10.3816/CLC.2000.n.018
Luketich, James D. ; Meehan, Mindi A. ; Landreneau, Rodney J. ; Christie, Neil A. ; Close, John M. ; Ferson, Peter F. ; Keenan, Robert J. ; Belani, Chandra P. / Total videothoracoscopic lobectomy versus open thoracotomy for early-stage non-small-cell lung cancer. In: Clinical Lung Cancer. 2000 ; Vol. 2, No. 1. pp. 56-60.
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Luketich, JD, Meehan, MA, Landreneau, RJ, Christie, NA, Close, JM, Ferson, PF, Keenan, RJ & Belani, CP 2000, 'Total videothoracoscopic lobectomy versus open thoracotomy for early-stage non-small-cell lung cancer', Clinical Lung Cancer, vol. 2, no. 1, 70623, pp. 56-60. https://doi.org/10.3816/CLC.2000.n.018

Total videothoracoscopic lobectomy versus open thoracotomy for early-stage non-small-cell lung cancer. / Luketich, James D.; Meehan, Mindi A.; Landreneau, Rodney J.; Christie, Neil A.; Close, John M.; Ferson, Peter F.; Keenan, Robert J.; Belani, Chandra P.

In: Clinical Lung Cancer, Vol. 2, No. 1, 70623, 01.01.2000, p. 56-60.

Research output: Contribution to journalArticle

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AU - Belani, Chandra P.

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Luketich JD, Meehan MA, Landreneau RJ, Christie NA, Close JM, Ferson PF et al. Total videothoracoscopic lobectomy versus open thoracotomy for early-stage non-small-cell lung cancer. Clinical Lung Cancer. 2000 Jan 1;2(1):56-60. 70623. https://doi.org/10.3816/CLC.2000.n.018