2023 World Conference on Lung Cancer (Posters)-EP07.03. Early PROs after Thoracoscopic Segmentectomy versus Wedge Resection for Small-sized Peripheral NSCLC

EP07.03. Early PROs after Thoracoscopic Segmentectomy versus Wedge Resection for Small-sized Peripheral NSCLC - PDF(Abstract)

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The purpose of this study was to compare the patient-reported outcomes (PROs) of thoracoscopic segmentectomy and wedge resection for early-stage non-small cell lung cancer (NSCLC). PROs refer to the patient's assessment of their own disease and treatment feelings. The study included patients who underwent surgery for peripheral NSCLC between 2021 and 2022. The severity of symptoms and functional impairment were assessed using the Perioperative Symptom Assessment for Lung Surgery (PSA-Lung) at baseline, the first day post-surgery, and weekly post-discharge for up to 4 weeks. A total of 292 patients were included, with 223 undergoing thoracoscopic segmentectomy and 69 undergoing wedge resection. There were no significant differences between the two groups in the severity of symptoms or functional impairment during the early postoperative period. However, thoracoscopic segmentectomy had longer operative time, greater operative blood loss, and a higher in-hospital complication rate compared to wedge resection. Short-term clinical outcomes, such as postoperative hospital stay and total cost, were comparable between the two groups. In conclusion, thoracoscopic segmentectomy and wedge resection resulted in similar symptom burden and functional impairment in the early postoperative period for patients with early-stage peripheral lung cancer. However, wedge resection was found to be more advantageous in terms of reducing operative blood loss, shortening operative time, and reducing the incidence of postoperative complications.

Asset Subtitle

Yingzhi Zhao

Meta Tag

Speaker Yingzhi Zhao

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

Keywords

patient-reported outcomes

thoracoscopic segmentectomy

wedge resection

early-stage non-small cell lung cancer

peripheral NSCLC

Perioperative Symptom Assessment for Lung Surgery

operative time

operative blood loss

in-hospital complication rate

postoperative hospital stay