2023 World Conference on Lung Cancer (Posters)-EP07.03. A Minimally Invasive Open Surgery Approach Is Superior to VATS with Respect to Intraoperative Outcomes during Lung Cancer Surgery

EP07.03. A Minimally Invasive Open Surgery Approach Is Superior to VATS with Respect to Intraoperative Outcomes during Lung Cancer Surgery - PDF(Slides)

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A study compared the outcomes of Minimally Invasive Open Surgery (MIOS) and Video-assisted Thoracic Surgery (VATS) in patients undergoing lung cancer surgery. MIOS, which involves a larger incision compared to VATS, was found to have shorter operative times and less blood loss. The study included 870 patients who underwent lobectomy for lung cancer, with 474 patients undergoing MIOS and VATS. After excluding certain cases, a total of 199 MIOS cases and 275 VATS cases were analyzed. <br /><br />In terms of patient characteristics, there were no significant differences in age, sex, smoking index, lung function measures (FVC, FEV1), oxygen and carbon dioxide levels, body mass index, and stage of cancer between the MIOS and VATS groups. <br /><br />The study found that the MIOS approach had significantly shorter operative times (139 minutes vs 174 minutes) and less blood loss (11g vs 60g) compared to VATS. There were no significant differences in the number of lymph nodes dissected, blood transfusion rate, duration of chest tube drainage, postoperative complications, readmission rate, and 30-day mortality between the two groups. <br /><br />After matching patient characteristics through propensity score matching, the MIOS approach still had shorter operative times (135 minutes vs 175 minutes), less blood loss (11g vs 59g), and shorter postoperative hospital stays (4 days vs 5 days) compared to VATS. <br /><br />In conclusion, the MIOS approach was superior to VATS in terms of shorter operative times and less blood loss during lung cancer surgery. There were no significant differences in postoperative complications between the two approaches. The study also highlighted that the size of the incision does not significantly impact intra- and post-operative outcomes for lung cancer surgery.

Asset Subtitle

Satoshi Shiono

Meta Tag

Speaker Satoshi Shiono

Topic Early-Stage NSCLC: Limited Resections & Minimally Invasive Approaches

Keywords

Minimally Invasive Open Surgery

Video-assisted Thoracic Surgery

lung cancer surgery

operative times

blood loss

lobectomy

patient characteristics

propensity score matching

postoperative hospital stays

postoperative complications