Acıbadem Üniversitesi Sağlık Bilimleri Dergisi 2019 , Vol 10, Issue 4
Triportal Video- Assisted Thoracoscopic (Vats) Lobectomy Can Be Performed Safely In Patients With Malignant Lung Cancer: Results of a Single-Centre
Ezel Erşen1,Burcu Kılıç1,Hasan Volkan Kara1,Kamil Kaynak1
1İstanbul Üniversitesi Cerrahpaşa Tıp Fakültesi, Göğüs Cerrahisi, İstanbul, Türkiye DOI : 10.31067/0.2019.214 Purpose: Our objective was to analyze the results of the patients with malignant lung tumor who underwent triportal VATS lung resection in our clinic in the 2010?2018 period.

Patients and methods: Between August 2010 and January 2018, 46 patients with malignant tumors (37 male, 9 female) underwent triportal VATS lobectomy. Mean age of the patients was 55.5 (age range: 16-78). Patients" pre-operation features (additional diseases, comorbidities), amount of bleeding, operation duration, resection type, number of sampled lymph nodes, postoperative conditions (amount of drainage, duration of drainage, hospital stay), complications and postoperative pain scores were recorded.

Results: The pathological diagnosis was adenocarcinoma in 29 patients, squamous cell carcinoma in 10 patients and other tumor types in 7 patients. 21 patients had preoperative comorbidities. The conversion rate was 4.3%. No operative mortality was observed. The average operation time was calculated as 169 minutes (range 75-285 minutes), while the average duration of hospital stay was 5.1 days and the average duration of drainage was 4.2 days. Perioperative and postoperative drainage was 219 mL and 679 mL respectively. Complication rate was 15.2 percent (pneumonia; 6.5%, extended air leakage; 2.1%, arrhythmia; 4.3% and subcutaneous emphysema; 2.1%). The visual analogue pain scale value was 2.8 percent on the first post-operative day. Regarding the harvested lymph node samples, the average number of harvested lymph nodes was 17.

Conclusion: VATS lobectomy is a successful and reliable technique in patients with malignant lung cancer due to its low morbidity rates as well as satisfactory postoperative results. Keywords : Lung cancer, video-assisted thoracoscopy, lobectomy