Impact of thoracoscopic segmental lung resection versus wedge on early post-operative recovery and short-term prognosis in elderly patients with early non-small cell lung cancer: A retrospective non-randomised controlled cohort study

Journal of Minimal Access Surgery, Год журнала: 2025, Номер unknown

Опубликована: Фев. 4, 2025

Abstract Introduction: The post-operative rehabilitation and prognostic indexes of thoracoscopic segmental resection wedge in the treatment early-stage non-small cell lung cancer (NSCLC) were retrospectively analysed. objective this study was to provide a theoretical basis for NSCLC elderly. Patients Methods: One hundred twenty elderly patients diagnosed with our hospital from January 2018 December 2021 selected as subjects. divided into group group. Various clinical data compared between two groups patients. Results: In group, operation time, anaesthesia intraoperative blood loss, chest tube volume, indwelling time stay significantly higher undergoing also had Visual Analogue Scale scores serum indices. addition, mini–mental state examination lower Conclusions: Thoracoscopic both safe feasible NSCLC. However, advantage effectively reducing amount bleeding, shortening having less impact on function physical function. This conducive patient’s faster recovery after surgery.

Язык: Английский

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Comparison of Early Functional Recovery Following Triportal Robot‐Assisted and Uniportal Video‐Assisted Segmentectomy in Patients With Early‐Stage Non‐Small Cell Lung Cancer: A Propensity Score‐Matched Analysis

Thoracic Cancer, Год журнала: 2025, Номер 16(5)

Опубликована: Март 1, 2025

ABSTRACT Background Robot‐assisted thoracoscopic surgery (RATS) is more precise and flexible than video‐assisted (VATS) for early‐stage non‐small cell lung cancer (NSCLC) treatment. This study compared the early postoperative functional recovery of patients who underwent triportal RATS with that uniportal thoracic (UVATS) segmentectomy. Methods observational, prospective included 172 clinical stage I or II peripheral NSCLC UVATS Propensity score matching (PSM) was used to balance differences between groups. The data were collected during first 4 weeks after discharge via portable devices questionnaires (EORTC QLQ‐C30, Christensen Fatigue Scale, MD Anderson Symptom Inventory, Leicester Cough Questionnaire). Results After PSM, baseline characteristics consistent associated shorter operation time lower total drainage volume UVATS. However, cases severe pain. Despite this, recovered well, showed good short‐term outcomes in fatigue physical function, experienced few adverse events. average daily step count sleep duration not significant. In terms global health status (GHS), slightly but nonsignificantly advantageous. Conclusions enhanced (ERAS) pathway, has potential benefits perioperative Trial Registration Biomedical Research Ethics Committee Shandong Province: 2022‐580; Chinese Clinical Registry: ChiCTR2300067977

Язык: Английский

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Impact of preoperative inflammatory biomarkers on postoperative pneumonia and one-month pulmonary imaging changes after surgery for non-small cell lung cancer

Frontiers in Oncology, Год журнала: 2025, Номер 15

Опубликована: Март 18, 2025

This study examined the effectiveness of preoperative inflammatory markers in predicting occurrence postoperative pneumonia (POP) and clinical outcomes based on chest computed tomography (CT) images patients who underwent surgical resection for non-small cell lung cancer (NSCLC). retrospective included NSCLC surgery at The First People's Hospital Jiande between January 2019 October 2023. Data demographic characteristics, biomarkers, approach duration, outcomes, CT findings 1 month postoperatively were collected analyzed. POP after was assessed using propensity score matching. Among 568 patients, 72 (12.7%) had POP. After matching, 252 (POP group: 66; non-POP 186) analysis. systemic immune-inflammation index (SII) platelet-to-lymphocyte ratio (PLR) significantly higher group than (433.53 vs. 323.75, P = 0.001; 126.42 103.64, < 0.001). length hospital stay percentage improved clinically (11 days 9 days, 0.008; 77.3% 59.7%, 0.033). Multivariate analysis showed that PLR lymphocyte-to-monocyte (LMR) independent predictors (AUC 0.780 0.730, both However, there no significant differences radiographic among stratified by risk LMR accurately predict with NSCLC. Nonetheless, these ratios may not resection.

Язык: Английский

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Comparison of perioperative outcomes between hybrid uniportal robotic-assisted and uniportal video-assisted thoracoscopic surgery – A propensity score matching analysis

Annals of Thoracic Medicine, Год журнала: 2025, Номер 20(2), С. 125 - 133

Опубликована: Март 31, 2025

ABSTRACT BACKGROUND: To evaluate the perioperative outcomes of hybrid multi-arm robotic-assisted uniportal thoracoscopic surgery (H-URATS) using a laparoscopic stapling device, assess safety and feasibility procedure, summarize surgical experience. METHODS: The Department Thoracic Surgery at Xinjiang Tumor Hospital has performed over 100 H-URATS procedures endoscopic staplers robotic platform. We collected clinical data from patients undergoing Uniportal Video-assisted Thoracoscopic (UVATS) between January 2023 August 2024. Propensity score matching (PSM) was conducted based on characteristics were compared two groups after matching. RESULTS: A total 395 included, with 109 in group 286 UVATS group. After PSM, each consisted 92 patients. There no significant differences terms chest drainage duration, postoperative hospital stay, conversion to thoracotomy rate, intensive care unit admission complication pathological types, or tumor TNM staging ( P > 0.05). had less intraoperative blood loss < 0.001), more lymph nodes (LNs) LN stations dissected 0.001). CONCLUSION: In short-term results, our study confirms as new minimally invasive technique. It combines advantages thoracoscopy systems demonstrates potential benefits oncological complex such segmentectomies.

Язык: Английский

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Comparing the efficacy of video assisted thoracoscopic surgery (VATS) vs intrapleural fibrinolytic therapy in children with pleural empyema

Pediatric Surgery International, Год журнала: 2025, Номер 41(1)

Опубликована: Апрель 9, 2025

Язык: Английский

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Effect of thoracic paravertebral nerve block on the early postoperative rehabilitation in patients undergoing thoracoscopic radical lung cancer surgery

World Journal of Surgical Oncology, Год журнала: 2020, Номер 18(1)

Опубликована: Ноя. 12, 2020

Abstract Objective To evaluate the effect of thoracic paravertebral nerve block on early postoperative rehabilitation in patients undergoing radical thoracoscopic surgery for lung cancer. Methods Ninety scheduled elective video-assisted lobectomy cancer were divided into 2 groups: general anesthesia group (GA group, n = 45) and TPVB (TP 45). The primary outcome was decline rate 6-min walking test (6MWT); second outcomes as follows: absolute value completion 6MWT, analgesia deficiency pain scores, oxycodone consumption, sleep quality, incidence pulmonary complications, hospital stay. Results Compared with GA TP had a lower 6MWT POD1 POD2. distance POD2 significantly longer than that group; at higher group. scores consumption quality Conclusions can improve surgery, which is helpful promoting recovery patients. Trial registration Chinese Clinical Registry, ChiCTR1900026213. Registered 26 Sept. 2019, http://www.chictr.org.cn/showproj.aspx?proj=43733 .

Язык: Английский

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A Preclinical Feasibility Study of Single-Port Robotic Subcostal Anatomical Lung Resection and Subxiphoid Thymectomy Using the da Vinci® SP System

Diagnostics, Год журнала: 2023, Номер 13(3), С. 460 - 460

Опубликована: Янв. 26, 2023

Despite the recent introduction of technologically advanced single-port (SP) robotic systems, their use in field thoracic surgery has been rarely explored. Here, we report our preclinical experience concerning SP using da Vinci® system. The system was used to perform subcostal anatomical lung resection and subxiphoid thymectomy three cadavers. operative settings that best met surgeon’s requirements for each were also determined. Four resections two thymectomies completed. While both procedures did not require additional incisions, an observation port intercostal spaces strongly recommended safely create access. Dissection hilar structures mediastinal lymph nodes feasible. However, due current unavailability a stapler, handheld stapling instrument required transection vital structures. When process proved be difficult, table surgeon temporarily removed arm acquire necessary space complete procedure. Our data represent promising step understanding feasibility thymectomy.

Язык: Английский

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Effect of continuous nursing combined with respiratory exercise nursing on pulmonary function of postoperative patients with lung cancer

World Journal of Clinical Cases, Год журнала: 2023, Номер 11(6), С. 1330 - 1340

Опубликована: Фев. 21, 2023

Lung cancer is a malignant tumor with high morbidity and mortality among cancers. Surgery currently one of the primary methods treating lung cancer. Although it can slow down progression disease by removing lesion, this invasive surgery inevitably damages integrity patient's chest. Moreover, pulmonary function may have low compensatory capacity after surgery, causing various respiratory diseases such as atelectasis, decline, even serious cardiovascular disease. All these great negative impacts on surgical effect prognosis patients. With continuous exploration development nursing, nursing exercise been gradually applied in patients achieved good results.To investigate combined postoperative cancer.A total 80 who underwent our hospital from January 2021 to December were selected study subjects. subjects randomly divided into control group (n = 40 cases) experimental cases). Patients given conventional while was based nursing. The recovery symptoms observed before 3 mo intervention both groups. parameters, blood gas analysis, MD Anderson Symptom Inventory-lung module (MDASI-LC) scores, incidence complications, Morisky compliance scores compared between two groups intervention.There no significant difference analysis (P > 0.05). intervention, parameters (SpO2, VC, MVV, FEV1, FEV1% pred, FEV1/FVC) higher than those group, differences statistically < There PaO2 significantly that PaCO2 lower intervention. had statistical significance MDASI score 0.05), complications In addition, treatment satisfaction 0.05).Continuous accelerate patients, reduce well improve

Язык: Английский

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Development and external validation of a novel model for predicting new clinically important atrial fibrillation after thoracoscopic anatomical lung cancer surgery: a multicenter retrospective cohort study

International Journal of Surgery, Год журнала: 2024, Номер 110(3), С. 1645 - 1652

Опубликована: Янв. 4, 2024

Background: New clinically important postoperative atrial fibrillation (POAF) is the most common arrhythmia after thoracoscopic anatomical lung cancer surgery and associated with increased morbidity mortality. The full spectrum of predictors remains unclear, effective assessment tools are lacking. This study aimed to develop externally validate a novel model for predicting new POAF. Methods: retrospective included 14 074 consecutive patients who received from January 2016 December 2018 in Shanghai Chest Hospital. Based on split date 1 2018, we selected 8717 participants training cohort 5357 testing cohort. For external validation, pooled 2941 this surgical treatment July 2021 Ruijin Independent were used internally validated using bootstrap-resampling approach. area under receiver operating characteristic curves (AUROCs) Brier score performed assess discrimination calibration. decision curve analysis (DCA) was evaluate clinical validity net benefit. POAF defined as new-onset that causes symptoms or requires treatment. Results: Multivariate suggested age, hypertension, preoperative treatment, tumor stage, intraoperative transfusion, operative time independent These seven candidate nomogram, which showed concordance statistic (C-statistic) value 0.740 good calibration (Brier score; 0.025). Internal validation revealed similarly (C-statistic, 0.736; 95% CI: 0.705–0.768) positive benefits threshold risk range 0–100%. C-statistic 0.717 0.028 cohort, 0.768 0.012 respectively. Conclusions: identified POAF, among arrhythmia, rarely reported. established has performance usefulness, may promote application prevention high-risk patients, reduce development related adverse outcomes event.

Язык: Английский

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Mini-Invasive Thoracic Surgery for Early-Stage Lung Cancer: Which Is the Surgeon’s Best Approach for Video-Assisted Thoracic Surgery?

Journal of Clinical Medicine, Год журнала: 2024, Номер 13(21), С. 6447 - 6447

Опубликована: Окт. 28, 2024

Objectives: The choice of the best Video-Assisted Thoracic Surgery (VATS) surgical approach is still debated. Surgeons are often faced with between innovation and self-confidence. present study reports experience a high-volume single institute, comparing data uni-portal, bi-portal tri-portal VATS, to find out safest most effective mini-invasive approach, leading surgeon’s choice. Methods: Between 2015 2022, total 210 matched patients underwent VATS lobectomy for early-stage cancer, using uni-portal (fifth intercostal space), (seventh space optic fifth), fifth/four) access. Patients were age, BPCO, smoke, comorbidities, lesions (size staging) obtain three homogenous groups (A: uni-portal; B: bi-portal; C: tri-portal). surgeons had comparable expertise. Data retrospectively collected from institutional database analyzed. Results: No differences detected considering time surgery, length hospital stay, complications, conversion rate, specific survival, days chest tube stay. Better results on removal described in group A (mean 1.1 days) compared B 2.6 C 4.7 days); nevertheless, they not statistically significant (p = 0.106). Conclusions: among described, except reduction permanence A. This allows hypothesize an enhanced recovery after surgery this but different approaches series seem guarantee safety effectiveness. Considering no superiority one method above others, suggested should be which surgeon feels more confident.

Язык: Английский

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