Total videothoracoscopic lobectomy versus open thoracotomy for early-stage XXXX .

@entity1 @entity1149 @entity5 @entity2
Lobectomy remains the standard procedure for early-stage @entity1149 ( @entity1149 ). 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 @entity1149 . A retrospective review over a 6-year period at a single tertiary care center identified 31 @entity1 treated by VATSLOBE. A comparison was made with 31 @entity1 undergoing OPENLOBE during the same time period. The cases were matched for age, pulmonary function testing, @entity5 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 @entity1 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 @entity1 . 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 @entity2 should be further investigated in multi-institutional controlled trials.
