title: Sleeve lobectomy by video-assisted thoracic surgery versus thoracotomy for non-small cell lung cancer.
abstract: BACKGROUND
  Both video-assisted thoracic surgery (VATS) and thoracotomy are used for sleeve lobectomy for patients with non-small cell lung cancer (NSCLC). This retrospective study aimed to assess the safety and efficacy of VATS sleeve lobectomy for NSCLC patients.
  
  
  METHODS
  Between May 2009 and May 2013, 51 sleeve lobectomies (10 by VATS and 41 by thoracotomy) were performed for patients with NSCLC. Operative characteristics and postoperative course were compared between two groups.
  
  
  RESULTS
  Patient demographics were similar between the two groups. Thoracotomy patients had larger tumors compared with VATS patients (p = 0.02). VATS patients had a longer operating time (p < 0.001) but a shorter length of postoperative hospital stay (p = 0.009). The two groups did not differ in pathologic stage, histologic results, blood loss, ICU stay, amount of chest drainage, duration of chest drainage, numbers and distributions of dissected lymph nodes and the occurrence of complications. There were no perioperative deaths in the VATS group, whereas there was one death (2.4 %) in the thoracotomy group. There were no conversions to thoracotomy in the VATS group. The overall median survival between the two groups was similar (3.2 years VATS versus 3.2 years thoracotomy, log-rank p = 0.58).
  
  
  CONCLUSIONS
  VATS sleeve lobectomy for the treatment of NSCLC is technically feasible and safe and is associated with comparable complication rates and survival compared with thoracotomy approach, but it deserves further investigation in large series.
authors.affiliation: Department of Thoracic Surgery, Beijing Chest Hospital, Capital Medical University, Machang 97, Tongzhou District, Beijing, 101149, China.
authors.forename: Shijie
authors.initials: S
authors.lastname: Zhou
authors.affiliation: Department of Thoracic Surgery, Beijing Chest Hospital, Capital Medical University, Machang 97, Tongzhou District, Beijing, 101149, China.
authors.forename: Guotian
authors.initials: G
authors.lastname: Pei
authors.affiliation: Department of Thoracic Surgery, Beijing Chest Hospital, Capital Medical University, Machang 97, Tongzhou District, Beijing, 101149, China.
authors.forename: Yi
authors.initials: Y
authors.lastname: Han
authors.affiliation: Department of Thoracic Surgery, Beijing Chest Hospital, Capital Medical University, Machang 97, Tongzhou District, Beijing, 101149, China.
authors.forename: Daping
authors.initials: D
authors.lastname: Yu
authors.affiliation: Department of Thoracic Surgery, Beijing Chest Hospital, Capital Medical University, Machang 97, Tongzhou District, Beijing, 101149, China.
authors.forename: Xiaoyun
authors.initials: X
authors.lastname: Song
authors.affiliation: Department of Thoracic Surgery, Beijing Chest Hospital, Capital Medical University, Machang 97, Tongzhou District, Beijing, 101149, China.
authors.forename: Yunsong
authors.initials: Y
authors.lastname: Li
authors.affiliation: Department of Thoracic Surgery, Beijing Chest Hospital, Capital Medical University, Machang 97, Tongzhou District, Beijing, 101149, China.
authors.forename: Ning
authors.initials: N
authors.lastname: Xiao
authors.affiliation: Department of Thoracic Surgery, Beijing Chest Hospital, Capital Medical University, Machang 97, Tongzhou District, Beijing, 101149, China.
authors.forename: Shuku
authors.initials: S
authors.lastname: Liu
authors.affiliation: Department of Thoracic Surgery, Beijing Chest Hospital, Capital Medical University, Machang 97, Tongzhou District, Beijing, 101149, China. liuzhidong@ccmu.edu.cn.
authors.forename: Zhidong
authors.initials: Z
authors.lastname: Liu
authors.affiliation: Department of Thoracic Surgery, Beijing Chest Hospital, Capital Medical University, Machang 97, Tongzhou District, Beijing, 101149, China. shaofaxu@gmail.com.
authors.forename: Shaofa
authors.initials: S
authors.lastname: Xu
mesh_terms: D000328:Adult; D000368:Aged; D002289:Carcinoma, Non-Small-Cell Lung / Q000601:surgery*; D005260:Female; D006801:Humans; D007902:Length of Stay / Q000706:statistics & numerical data; D008175:Lung Neoplasms / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D009367:Neoplasm Staging; D061646:Operative Time; D011013:Pneumonectomy / Q000379:methods*; D012189:Retrospective Studies; D013536:Suture Techniques; D020775:Thoracic Surgery, Video-Assisted / Q000379:methods; D013908:Thoracotomy / Q000379:methods*