Complex video-assisted thoracoscopic surgery lobectomy for locally advanced lung cancer: a prospective feasibility study.
Lobectomy
Lung Cancer
Outcome
VATS
Journal
Surgery today
ISSN: 1436-2813
Titre abrégé: Surg Today
Pays: Japan
ID NLM: 9204360
Informations de publication
Date de publication:
Nov 2022
Nov 2022
Historique:
received:
26
08
2021
accepted:
22
02
2022
pubmed:
24
3
2022
medline:
27
10
2022
entrez:
23
3
2022
Statut:
ppublish
Résumé
The limitations regarding indications for video-assisted thoracoscopic surgery lobectomy requiring complex surgery remain unclear. A prospective cohort study was conducted to elucidate the safety and feasibility of complex thoracoscopic lobectomy for patients with locally advanced non-small-cell lung cancer. We planned to enroll patients who were suspected of needing thoracoscopic lobectomy or more with complex surgery, including tracheo-bronchoplasty, pulmonary arterioplasty, and combined resection of adjacent organs. Between February 2016 and January 2019, 28 consecutive patients were prospectively enrolled. After excluding 1 patient due to disease progression, 27 patients were included in this study. Three patients underwent thoracoscopic lobectomy without complex surgery. Of the remaining 24 patients, complex thoracoscopic lobectomy was successfully completed in 21 (88%), and the 3 conversions were due to surgery for the great vessels. All 27 patients achieved complete resection. Six patients (22%) suffered grade 2 complications, and the in-hospital, 30-day, and 90-day mortality rates were all 0%. At a median follow-up time of 900 days, the 3-year overall and disease-free survival rates were 75% and 54%, respectively. Complex thoracoscopic lobectomy was shown to be safe and feasible in select patients with locally advanced non-small-cell lung cancer excluding invasion to the great vessels. University Hospital Medical Information Network Clinical Trials Registry, 000,019,441 (JAPAN). Institutional Review Board number: 46-15-0003 (accepted at September 7, 2015).
Identifiants
pubmed: 35320417
doi: 10.1007/s00595-022-02491-x
pii: 10.1007/s00595-022-02491-x
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
1582-1590Informations de copyright
© 2022. The Author(s) under exclusive licence to Springer Nature Singapore Pte Ltd.
Références
Petersen RP, Pham D, Toloza EM, Burfeind WR, Harpole DH Jr, Hanish SI, et al. Thoracoscopic lobectomy: a safe and effective strategy for patients receiving induction therapy for non-small cell lung cancer. Ann Thorac Surg. 2006;82:214–9.
doi: 10.1016/j.athoracsur.2006.02.051
Hennon M, Sahai RK, Yendamuri S, Tan W, Demmy TL, Nwogu C. Safety of thoracoscopic lobectomy in locally advanced lung cancer. Ann Surg Oncol. 2011;18:3732–6.
doi: 10.1245/s10434-011-1834-9
Huang J, Xu X, Chen H, Yin W, Shao W, Xiong X, et al. Feasibility of complete video-assisted thoracoscopic surgery following neoadjuvant therapy for locally advanced non-small cell lung cancer. J Thorac Dis. 2013;5:S267–73.
pubmed: 24040535
pmcid: 3771588
Nakanishi R, Fujino Y, Yamashita T, Shinohara S, Oyama T. Thoracoscopic anatomic pulmonary resection for locally advanced non-small cell lung cancer. Ann Thorac Surg. 2014;97:980–6.
doi: 10.1016/j.athoracsur.2013.10.082
Gonfiotti A, Bongiolatti S, Bertolaccini L, Viggiano D, Solli P, Droghetti A, et al. Thoracoscopic lobectomy for locally advanced-stage non-small cell lung cancer is a feasible and safe approach: analysis from multi-institutional national database. J Vis Surg 2017; 3:160. https://doi.org/10.21037/jovs.2017.09.06. eCollection 2017.
Yang CJ, Nwosu A, Mayne NR, Wang Y, Raman V, Meyerhoff RR, et al. A minimally invasive approach to lobectomy after induction therapy does not compromise survival. Ann Thorac Surg. 2020;109:1503–11.
doi: 10.1016/j.athoracsur.2019.09.065
Goldstraw P, Chansky K, Crowley J, Rami-Porta R, Asamura H, Eberhardt WE, et al. The IASLC lung cancer staging project: proposals for revision of the TNM stage groupings in the forthcoming (eighth) edition of the TNM Classification for lung cancer. J Thorac Oncol. 2016;11:39–51.
doi: 10.1016/j.jtho.2015.09.009
Bhattacharyya N. Contemporary staging and prognosis for primary tracheal malignancies: A population-based analysis. Otolaryngol Head Neck Surg. 2004;131:639–42.
doi: 10.1016/j.otohns.2004.05.018
Nakanishi R, Fujino Y, Oka S, Odate S. Video-assisted thoracic surgery involving major pulmonary resection for central tumors. Surg Endosc. 2010;24:161–9.
doi: 10.1007/s00464-009-0540-1
Nakanishi R, Yamashita T, Muranaka K, Shinohara K. Surgical Technique: Thoracoscopic carinal resection and reconstruction in a patient with mucoepidermoid carcinoma. J Thorac Cardiovasc Surg. 2013;145:1134–5.
doi: 10.1016/j.jtcvs.2012.12.008
Nakanishi R, Yamashita T, Oka S. Initial experience of video-assisted thoracic surgery lobectomy with partial removal of the pulmonary artery. Interact Cardiovasc Thorac Surg. 2008;7:996–1000.
doi: 10.1510/icvts.2008.184564
Demmy TL, Yendamuri S, Hennon MW, Dexter EU, Picone AL, Nwogu C. Thoracoscopic maneuvers for chest wall resection and reconstruction. J Thorac Cardiovasc Surg. 2012;144:S52–7.
doi: 10.1016/j.jtcvs.2012.06.005
National Cancer Institute Cancer Therapy Evaluation Program. Available at https://ctep.cancer.gov/protocoldevelopment/electronic_applications/docs/CTCAE_v5_Quick_Reference_5x7.pdf
Chen K, Wang X, Yang F, Li J, Jiang G, Liu J, et al. Propensity-matched comparison of video-assisted thoracoscopic with thoracotomy lobectomy for locally advanced non-small cell lung cancer. J Thorac Cardiovasc Surg 2017; 153:967–76. e2.
Yang CJ, Meyerhoff RR, Mayne NR, Singhapricha T, Toomey CB, Speicher PJ, et al. Long-term survival following open versus thoracoscopic lobectomy after preoperative chemotherapy for non-small cell lung cancer. Eur J Cardiothorac Surg. 2016;49:1615–23.
doi: 10.1093/ejcts/ezv428
Matsuoka K, Yamada T, Matsuoka T, Nagai S, Ueda M, Miyamoto Y. Video-assisted thoracoscopic surgery for lung cancer after induction therapy. Asian Cardiovasc Thorac Ann. 2018;26:698–714.
doi: 10.1177/0218492318804413
Yang CJ, Yendamuri S, Mayne NR, Battoo A, Wang H, Meyerhoff RR, et al. The role of thoracoscopic pneumonectomy in the management of non-small cell lung cancer: a multicenter study. J Thorac Cardiovasc Surg 2019; 158:252–64. e2.
Xie D, Deng J, Gonzalez-Rivas D, Zhu Y, Jiang L, Jiang G, et al. Comparison of video-assisted thoracoscopic surgery with thoracotomy in bronchial sleeve lobectomy for centrally located non-small cell lung cancer. J Thorac Cardiovasc Surg. 2021;161:403–13.
doi: 10.1016/j.jtcvs.2020.01.105
Hanna JM, Berry MF, D’Amico TA. Contraindications of video-assisted thoracoscopic surgical lobectomy and determinants of conversion to open. J Thorac Dis. 2013;5:S182–9.
pubmed: 24040521
pmcid: 3771618
Shao W, Yin W, Wang W, Zhang X, Peng G, Chen X, et al. Glasses-free three-dimensional endoscopic bronchoplasty, arterioplasty, and angioplasty of the superior vena cava for the radical treatment of right middle upper lung cancer. J Thorac Dis. 2016;8:608–11.
doi: 10.21037/jtd.2016.01.57
Tarui T, Ishikawa N, Ohtake H, Watanabe G. Totally endoscopic robotic resection of left atrial myxoma with persistent left superior vena cava. Interact Cardiovasc Thorac Surg. 2016;23:174–5.
doi: 10.1093/icvts/ivw059
Veronesi G, Park B, Cerfolio R, Dylewski M, Toker A, Fontaine JP, et al. Robotic resection of stage III lung cancer: an international retrospective study. Eur J Cardiothorac Surg. 2018;54:912–9.
doi: 10.1093/ejcts/ezy166
Berry MF, Onaitis MW, Tong BC, Balderson SS, Harpole DH, D’Amico TA. Feasibility of hybrid thoracoscopic lobectomy and en-bloc chest wall resection. Eur J Cardiothorac Surg. 2012;41:888–92.
doi: 10.1093/ejcts/ezr150