2024 World Conference on Lung Cancer (WCLC) - ePosters-EP.07A.27 Change in Quality of Life for Robotic-Assisted Surgery and Video-Assisted Thoracoscopic Surgery in Stage IA Non-Small Cell Lung Cancer Patients

EP.07A.27 Change in Quality of Life for Robotic-Assisted Surgery and Video-Assisted Thoracoscopic Surgery in Stage IA Non-Small Cell Lung Cancer Patients

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The study examines the impact of robotic-assisted thoracic surgery (RATS) and video-assisted thoracic surgery (VATS) on the quality of life (QoL) of patients with Stage IA non-small cell lung cancer (NSCLC). The advent of CT screening has facilitated the early detection of lung cancer, leading to better treatment outcomes. Both RATS and VATS are minimally invasive surgical techniques, but their effects on patients' QoL, particularly in terms of physical and mental health, are not well-documented.<br /><br />The study involved a prospective cohort from the Initiative for Early Lung Cancer Research on Treatment at Mount Sinai Health System, including 698 patients (458 undergoing VATS and 240 undergoing RATS). The participants' QoL was assessed before treatment and at 2, 6, and 12 months post-treatment using several measures: SF-12 physical and mental component scores, FACT-LCS, and PHQ-4 for depression and anxiety. <br /><br />Results indicated that patients who underwent RATS experienced a more significant initial decline in physical health scores two months post-surgery compared to those who had VATS. However, the RATS group showed substantial recovery by 12 months, reaching similar or slightly higher physical health scores than baseline. Mental health scores remained stable across groups over time. Anxiety and depression levels exhibited notable improvements, especially the anxiety symptoms at the 2-month mark. Additionally, the RATS group encountered fewer postoperative complications and lower conversion rates to open thoracotomy than the VATS group.<br /><br />The findings suggest that both RATS and VATS offer comparable long-term QoL outcomes for early-stage NSCLC patients. The study highlights the importance of personalized postoperative care, considering patient preferences and characteristics, and recommends further research into long-term QoL influences and sociocultural recovery factors.

Asset Subtitle

Jiafang Zhang

Meta Tag

Speaker Jiafang Zhang

Topic Early-Stage Non-small Cell Lung Cancer

Keywords

robotic-assisted thoracic surgery

video-assisted thoracic surgery

quality of life

non-small cell lung cancer

CT screening

minimally invasive surgery

physical health

mental health

postoperative complications

personalized postoperative care