Video-assisted thoracoscopic lobectomy and bilobectomy versus open thoracotomy for non-small cell lung cancer: Mortality and survival

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dc.authoridYazgan, Serkan/0000-0001-9763-6336
dc.authoridErbaycu, Ahmet Emin/0000-0001-6618-6774
dc.authorwosidYazgan, Serkan/GSO-1911-2022
dc.authorwosidErbaycu, Ahmet Emin/K-2948-2017
dc.authorwosidUcvet, Ahmet/B-5612-2009
dc.contributor.authorÜçvet, Ahmet
dc.contributor.authorYazgan, Serkan
dc.contributor.authorSamancılar, Özgür
dc.contributor.authorTürk, Yunus
dc.contributor.authorGürsoy, Soner
dc.contributor.authorErbaycu, Ahmet Emin
dc.date.accessioned2023-03-22T19:47:42Z
dc.date.available2023-03-22T19:47:42Z
dc.date.issued2022
dc.departmentBelirleneceken_US
dc.description.abstractBackground: In this study, we aimed to evaluate patients who had non-small cell lung cancer and underwent resection, to investigate our tendency to prefer video-assisted thoracic surgery or open thoracotomy, and to compare 30-and 90-day mortalities and survival rates. Methods: Between January 2013 and January 2019, a total of 706 patients (577 males, 129 females; mean age: 61.9 +/- 8.6 years; range, 17 to 84 years) who underwent lobectomy or bilobectomy due to primary non-small cell lung cancer were retrospectively analyzed. The patients were divided into two groups as operated on through video-assisted thoracic surgery and through open thoracotomy. The 30-and 90-day mortality rates and survival rates were compared. Results: Of the patients, 202 (28.6%) underwent video-assisted thoracic surgery and 504 (71.4%) underwent open thoracotomy. Lobectomy was performed in 632 patients (89.5%) and bilobectomy was performed in 74 patients (10.5%). Patients who were chosen for video-assisted thoracic surgery were statistically significantly older, did not require any procedure other than lobectomy, did not receive neoadjuvant therapy, had a small tumor, and did not have lymph node metastases. The 30-and 90-day mortality rates in the video-assisted thoracic surgery and open thoracotomy groups were 1.8% vs. 2% and 2.6% vs. 2.5%, respectively. The five-year survival rates of video-assisted thoracic surgery and open thoracotomy groups were 74.1% and 65.2%, respectively (p>0.05). The 30-and 90-day mortality and five-year survival rates were 2.1%, 2.6%, and 73.5% in the video-assisted thoracic surgery group and 2.1%, 2.1%, and 68.5% in the open thoracotomy group, respectively, indicating no statistically significant difference between the two groups. Conclusion: Throughout the study period, video-assisted thoracic surgery was more preferred in patients with advanced age, in those who had a small tumor, who did not receive neoadjuvant therapy, did not have lymph node metastasis, and did not require any procedure other than lobectomy. In the video-assisted thoracic surgery and open thoracotomy groups, 30-and 90-day mortality and five-year survival rates were similar. Based on these findings, both procedures seem to be acceptable in this patient population.en_US
dc.identifier.doi10.5606/tgkdc.dergisi.2022.20912
dc.identifier.endpage74en_US
dc.identifier.issn1301-5680
dc.identifier.issue1en_US
dc.identifier.pmid35444859en_US
dc.identifier.scopus2-s2.0-85124297871en_US
dc.identifier.scopusqualityQ3en_US
dc.identifier.startpage66en_US
dc.identifier.urihttps://doi.org/10.5606/tgkdc.dergisi.2022.20912
dc.identifier.urihttps://hdl.handle.net/20.500.14034/829
dc.identifier.volume30en_US
dc.identifier.wosWOS:000748633100002en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherBaycinar Medical Publ-Baycinar Tibbi Yayinciliken_US
dc.relation.journalTurk Gogus Kalp Damar Cerrahisi Dergisi-Turkish Journal Of Thoracic And Cardiovascular Surgeryen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectLung canceren_US
dc.subjectmortalityen_US
dc.subjectsurvivalen_US
dc.subjectthoracotomyen_US
dc.subjectvideo-assisted thoracic surgeryen_US
dc.subjectThoracic-Surgeryen_US
dc.subject90-Day Mortalityen_US
dc.subjectResectionen_US
dc.subject30-Dayen_US
dc.subjectRisken_US
dc.subjectVatsen_US
dc.titleVideo-assisted thoracoscopic lobectomy and bilobectomy versus open thoracotomy for non-small cell lung cancer: Mortality and survivalen_US
dc.typeArticleen_US

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