Next Article in Journal
Thoughts on Self-Harm in Polish Pregnant and Postpartum Women During the Pandemic Period
Next Article in Special Issue
Two-Year Experience of a Center of Excellence for the Comprehensive Management of Non-Small Cell Lung Cancer at a Fourth-Level Hospital in Bogota, Colombia: Observational Case Series Study and Retrospective Analysis
Previous Article in Journal
Muscle Mass and Muscle Strength in Non-Dialysis-Dependent Chronic Kidney Disease Patients
Previous Article in Special Issue
Co-Occurring Driver Genomic Alterations in Advanced Non-Small-Cell Lung Cancer (NSCLC): A Retrospective Analysis
 
 
Search for Articles:
Title / Keyword
Author / Affiliation / Email
Journal
Article Type
 
 
Advanced Search
 
Section
Special Issue
Volume
Issue
Number
Page
 
Journals
JCM
Volume 13
Issue 21
10.3390/jcm13216447
jcm-logo
Submit to this Journal Review for this Journal Propose a Special Issue
► Article Menu

Article Menu

share Share announcement Help format_quote Cite question_answer Discuss in SciProfiles
first_page
settings
Order Article Reprints
Font Type:
Arial Georgia Verdana
Font Size:
Aa Aa Aa
Line Spacing:
Column Width:
Background:
Article

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

by
Beatrice Trabalza Marinucci
*,
Alessandra Siciliani
,
Claudio Andreetti
,
Matteo Tiracorrendo
,
Fabiana Messa
,
Giorgia Piccioni
,
Giulio Maurizi
,
Antonio D’Andrilli
,
Cecilia Menna
,
Anna Maria Ciccone
,
Camilla Vanni
,
Giacomo Argento
,
Erino Angelo Rendina
and
Mohsen Ibrahim
Department of Thoracic Surgery, Sant’Andrea Hospital, Sapienza University, 00189 Rome, Italy
*
Author to whom correspondence should be addressed.
J. Clin. Med. 2024, 13(21), 6447; https://doi.org/10.3390/jcm13216447
Submission received: 6 September 2024 / Revised: 6 October 2024 / Accepted: 22 October 2024 / Published: 28 October 2024
(This article belongs to the Special Issue Prevention, Diagnosis and Treatments of Early-Stage NSCLC: New Advances and Future Prospective)
Browse Figures
Versions Notes

Abstract

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

Share and Cite

MDPI and ACS Style

Trabalza Marinucci, B.; Siciliani, A.; Andreetti, C.; Tiracorrendo, M.; Messa, F.; Piccioni, G.; Maurizi, G.; D’Andrilli, A.; Menna, C.; Ciccone, A.M.; et al. Mini-Invasive Thoracic Surgery for Early-Stage Lung Cancer: Which Is the Surgeon’s Best Approach for Video-Assisted Thoracic Surgery? J. Clin. Med. 2024, 13, 6447. https://doi.org/10.3390/jcm13216447

AMA Style

Trabalza Marinucci B, Siciliani A, Andreetti C, Tiracorrendo M, Messa F, Piccioni G, Maurizi G, D’Andrilli A, Menna C, Ciccone AM, et al. 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. 2024; 13(21):6447. https://doi.org/10.3390/jcm13216447

Chicago/Turabian Style

Trabalza Marinucci, Beatrice, Alessandra Siciliani, Claudio Andreetti, Matteo Tiracorrendo, Fabiana Messa, Giorgia Piccioni, Giulio Maurizi, Antonio D’Andrilli, Cecilia Menna, Anna Maria Ciccone, and et al. 2024. "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 13, no. 21: 6447. https://doi.org/10.3390/jcm13216447

APA Style

Trabalza Marinucci, B., Siciliani, A., Andreetti, C., Tiracorrendo, M., Messa, F., Piccioni, G., Maurizi, G., D’Andrilli, A., Menna, C., Ciccone, A. M., Vanni, C., Argento, G., Rendina, E. A., & Ibrahim, M. (2024). 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, 13(21), 6447. https://doi.org/10.3390/jcm13216447

Note that from the first issue of 2016, this journal uses article numbers instead of page numbers. See further details here.

Article Metrics

Back to TopTop