2023 World Conference on Lung Cancer (Posters)-EP07.03. Nodal Upstaging in Uniportal VATS Lobectomy for Early-Stage Lung Cancer: Is It Fair?

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A study presented at the World Conference on Lung Cancer focused on the use of uniportal video-assisted thoracoscopic surgery (u-VATS) for lobectomy in early-stage lung cancer. The study aimed to assess the nodal upstaging rate in u-VATS and compare it with other minimally invasive techniques. The authors conducted a retrospective analysis of patients who underwent u-VATS lobectomy for early-stage lung cancer at a tertiary center between March 2017 and December 2021. The primary endpoint was nodal upstaging, and secondary endpoints included operative time, chest-tube removal, morbidity and mortality rates, number of harvested nodes, and nodal recurrence rate.<br /><br />The study included 160 patients with clinically early-stage lung cancer out of 221 who underwent u-VATS lobectomy. The mean operative time was 113.6 minutes, and the mean chest-tube duration was 3.4 days. The 30-day morbidity and mortality rates were 13.1% and 0%, respectively. The mean number of sampled nodes was 7.6, with a rate of nodal upstaging of 14.4%. Of the upstaged cases, 8.7% went from N0 to N1 and 5.6% went from N0 to N2. The 1-year nodal recurrence rate was 5%.<br /><br />The authors concluded that u-VATS performed in experienced tertiary centers provides satisfactory node dissection with low morbidity and mortality rates. They found that the nodal upstaging rate in u-VATS was comparable to other minimally invasive approaches reported in the literature. The study highlighted the value of u-VATS as a safe and effective approach in surgical oncology, emphasizing the importance of thorough preoperative nodal evaluation.<br /><br />The study also provided descriptive statistics on the patient cohort, including demographics, comorbidities, tumor characteristics, and surgical details. The authors used SPSS-23.0 software for statistical analysis.

Asset Subtitle

Riccardo Orlandi

Meta Tag

Speaker Riccardo Orlandi

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

Keywords

uniportal video-assisted thoracoscopic surgery

u-VATS

lobectomy

early-stage lung cancer

nodal upstaging rate

minimally invasive techniques

operative time

chest-tube removal

morbidity rate

mortality rate