Short-Term Outcomes of Conventional versus VATS Lobectomy in Surgical Treatment of NSCLC | ||
| The Egyptian Journal of Hospital Medicine | ||
| Article 101, Volume 90, Issue 2, January 2023, Pages 2656-2661 PDF (498.16 K) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/ejhm.2023.286418 | ||
| Authors | ||
| Abdelhamid Fathi Sherif* ; Rakan Khalifa; Anhar Elsayed Abd-Ellatif | ||
| Abstract | ||
| Background: A major cause of cancer-related death is non-small-cell lung cancer (NSCLC). As only 20 % of NSCLC cases are typically discovered while the illness is potentially curable & resectable, resulting in poor 5-year survival rate. Objective: To compare between conventional versus VATS lobectomy in surgical treatment of NSCLC. Patients and Methods: This prospective randomized open label clinical trial involved 100 patients aged >18 years old sex diagnosed with NSCLS at Benha university. Randomly, cases were classified into 2 equal groups by computer generator into group A (n=50): underwent open thoracotomy, and group B (n=50): underwent VATS. All patients were subjected to full history taking, general examination such as vital signs and laboratory investigations were recorded. Results: Group A had significant increased duration of operation, prolonged air leak, & atelectasis than group B (P value <0.001, 027, 0.030 respectively). Pneumonia, hemothorax, AF, cerebrovascular accident and wound infection were insignificantly different between both groups. Group B had significant lower ICU stay & hospital stay than group A. Bleeding, readmission, recurrence, and mortality were insignificantly different between both groups. Group B had significant higher mean survival rate than group A. Conclusion: Open lobectomy was accompanied with a reduced survival rate and more comorbidities than VATS lobectomy. These findings imply showed that for treating NSCLC at an early stage, VATS is a safe & efficient method. | ||
| Keywords | ||
| Conventional; VATS; Open thoracotomy; Surgical treatment; NSCLC | ||
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